nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2023-3-11-15nnp-2023Research ArticleORIGINAL INVESTIGATIONSОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ И МЕТОДИКИPeriarticular cysts of the cervical spineПериартикулярные кисты шейного отдела позвоночникаhttps://orcid.org/0000-0002-0442-4770БашлачевМ. Г.BashlachevM. G.

Михаил Григорьевич Башлачев

119021, Москва, ул. Россолимо, 11, стр. 1

Mikhail Grigoruevitch Bashlachev

11, Rossolimo St., Build. 1, Moscow 119021

bashlachev.m@gmail.comhttps://orcid.org/0000-0002-6715-6021ЕвзиковГ. Ю.EvzikovG. Yu.

119021, Москва, ул. Россолимо, 11, стр. 1

11, Rossolimo St., Build. 1, Moscow 119021

Клиника нервных болезней им. А.Я. Кожевникова ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)РоссияA.Ya.Kozhevnikov Clinic of Nervous System Diseases, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)Russian Federation2023030720231531115Copyright © Bashlachev M.G., Evzikov G.Y., 20232023Башлачев М.Г., Евзиков Г.Ю.Bashlachev M.G., Evzikov G.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/2023

Periarticular cysts of the facet joints are relatively rare and occur predominantly (95%) in the lumbar spine, the effectiveness of their surgical treatment requires further study.

Objective

Objective: to give a detailed description of a case series of patients with periarticular cysts of the cervical spine.

Material and methods

Material and methods. During 10 years (from 2012 to 2022) 8 patients with periarticular cysts of the cervical spine were treated in the neurosurgical department of the Clinic of Nervous System Diseases of Sechenov University. All patients underwent decompressive surgery. The severity of the pain syndrome was assessed by the visual analogue scale (VAS) of pain, the degree of disability – by the disability index (DI) due to neck pain.

Results

Results. After surgical treatment, the pain syndrome decreased from 7.25±1.28 to 2.13±1.12 points according to VAS (p<0.01), disability according to DI decreased from 51.5±8.08 to 21.25± 4.5 points (p<0.01), all patients achieved a significant (50% or more) reduction in pain. None of the patients had complications during surgical treatment.

Conclusion

Conclusion. Microsurgical removal of periarticular cysts at the cervical level can significantly reduce pain and disability.

Периартикулярные кисты дугоотростчатых суставов встречаются относительно редко и преимущественно (95%) в поясничном отделе позвоночника, эффективность их хирургического лечения требует дальнейшего изучения.

Цель исследования – подробное описание серии наблюдений пациентов с периартикулярными кистами шейного отдела позвоночника.

Материал и методы

Материал и методы. В нейрохирургическом отделении Клиники нервных болезней Сеченовского Университета в течение 10 лет (с 2012 по 2022 г.) находились на лечении восемь пациентов с периартикулярными кистами шейного отдела позвоночника. Всем пациентам были выполнены декомпрессивные операции. Выраженность болевого синдрома оценивали по визуальной аналоговой шкале (ВАШ) боли, степень инвалидизации – по индексу ограничения жизнедеятельности (ИОЖ) из-за боли в шее.

Результаты

Результаты. После хирургического лечения болевой синдром уменьшился с 7,25±1,28 до 2,13±1,12 балла по ВАШ (р<0,01), инвалидизация по ИОЖ снизилась с 51,5±8,08 до 21,25±4,5 балла (р<0,01), у всех пациентов достигнуто существенное (на 50% и более) снижение боли. Ни у одного пациента не отмечено осложнений при хирургическом лечении.

Заключение

Заключение. Микрохирургическое удаление периартикулярных кист на шейном уровне позволяет существенно уменьшить боль и степень инвалидности.

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The authors declare that there are no conflicts of interest present.