Objective: to compare the therapeutic possibility of the decompressiveviedecompressive with stabilization surgeries using the standard posterior and anterior retroperitoneal approaches in patients with combination of inherent and obtaining lateral stenosis and to demonstrate the adequacy of using. At the main group we removed the herniated disc with stabilization using anterior and posterior approaches – 82 patients. The control group was treated by standard microdiscectomy – 40 patients. More excellent and good results were in the main group where decompression was combined with stabilization, and at the same group were less negative results. The decompressive-stabilizing surgery with anterior interbody fusion is a pathogenetic and technically adequate treatment for combined lateral stenosis.

To improve the results of surgical treatment the patients with discogenic compressive syndromes. Using the denervation of interbody discs and facet joints in series allow us, first off all, to induce, and then to discontinue the reflex-pain syndrome in 41 patients in preoperational period, and in 39 patients in long-term postoperative period. Good results come to 82,8 и 89,8% (р < 0,05) accordingly.

To study osteochondrous and spondylarthrosis reflex syndromes in patients operated on for herniated intervertebral disks, and to develop diagnostic and treatment options.Alcohol-novocaine blockades have been used to perform denervation of vertebral joints and dereception of mtervertebral disks in 39 patients who underwent surgical compression. Reflex-pain syndrome was evoked by solution injection into defined vertebral joint or into intervertebral disk. Subsequent anesthetic injection arrested pain syndrome justifying its provocative source.Clinical recovery and significant improvement demonstrated 85,6% (p < 0,05) of studied patients following dereception (denervation) procedure. Long-term therapeutic effect was found to be stable.