[Percutaneous laser denervation of the zygapophyseal joints in the pain facet syndrome].

Percutaneous laser denervation of archoappendicular joints in spinal pain was made in 15 patients from a study group. Percutaneous high-frequency denervation of archoappendicular joints was performed in a control group consisting of 15 patients with facet syndrome. A preoperative protocol for each patient included at least two diagnostic segmental blocks.

Ultrasound microneurosurgery.

This work focuses on the use of an ultrasound neurosurgical unit which includes frequency generator and acoustic converter with different types of surgical attachments according to the surgical peculiarity. These attachments were designed to be used for ultrasonic resection, ultrasonic aspiration, ultrasonic disintegration and other applications. High cutting ability, possibility of local disintegration, specific hemostatic effects and other benefits of ultrasonic surgical tools (in the experimental level) were behind the efforts to create the ultrasound microneurosurgical unit with different attachments of cutting, disintegration, aspiration and separation tools.

[Transcutaneous radiofrequency destruction of the articular nerves in treating low back pains].

Lumbar pain is a most common suffering which frequently becomes chronic. In the mechanical low back syndrome caused by an abnormality in the intervertebral joints, lumbar pain may be rather easily differentiated from pain induced by to spinal root compression due to discal hernia or intervertebral foramen stenosis. The absence of benefits from conservative treatment of lumbar pain caused by intervertebral joint abnormalities is an indication for the highly effective and low-traumatic surgical technique transcutaneous radiofrequency destruction of intervertebral facette nerves.

Percutaneous radiofrequency destruction of the obturator nerve for treatment of pain caused by coxarthrosis.

Pain and restriction of movements in the hip joint due to coxarthrosis are common causes of patients' visits to their doctors. During the past few years, endoprosthetic surgery has been the most common surgical method for the treatment of this disease. Endoprosthetic operation is contraindicated for some patients in view of their excessive body weight or the presence of concurrent somatic diseases.