Intradiscal Electrothermal Annuloplasty (IDET): A Novel Approach for Treating Chronic Discogenic Back Pain

Derby, Richard; Eek, Bjorn; Chen, Yung; O’Neill, Conor; Ryan, Deaglán

doi:10.1046/j.1525-1403.2000.00082.x

Cited by 94 publications

(70 citation statements)

References 30 publications

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“…Application of direct heat through intradiscal electrothermal treatment reduces discogenic pain with a successful rate, as reported in several uncontrolled studies. [23][24][25] As for the radiofrequency catheter, no study has been published yet, but some promising results have been reported. A prospective study using this method has been conducted in our clinic.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Radiofrequency Lesioning Using Two Different Time Modalities for the Treatment of Lumbar Discogenic Pain: A Randomized Trial

Erçelen¹,

Bulutçu²,

Öktenoğlu³

et al. 2003

Spine

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Percutaneous intradiscal radiofrequency thermocoagulation has been suggested and performed to relieve discogenic pain. In the previous controlled study, no effective pain relief has been obtained. In this study, the authors increased the duration of radiofrequency thermocoagulation to improve the effectiveness of this method. Yet, the authors have not found any significant differences between the application of lesioning at two different times in percutaneous intradiscal radiofrequency thermocoagulation.

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Section: Discussionmentioning

confidence: 99%

“…21 Intradiscal electrothermal therapy (IDET) and percutaneous intradiscal radiofrequency thermocoagulation (PIRFT) have been suggested as nonsurgical invasive treatment techniques for lumbar discogenic pain. [22][23][24][25][26] Yet, all treatment strategies are still controversial.…”

mentioning

confidence: 99%

Radiofrequency Lesioning Using Two Different Time Modalities for the Treatment of Lumbar Discogenic Pain: A Randomized Trial

Erçelen¹,

Bulutçu²,

Öktenoğlu³

et al. 2003

Spine

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show abstract

“…Proper patient selection, strict sterility maintained during the procedure, adequate follow-up, and patient's compliance with the restrictions placed on him will result in higher success rates and lower complication rates. [38,39] General complication rate 0.5-1% [40] Intradiscal electrothermal therapy 64-75% [12,28,[41][42][43] Transient and mild adverse events (radicular pain, paresthesia numbness) 0-15% [44] Serious adverse events (cerebrospinal fluid leak, cauda equine syndrome, vertebral osteonecrosis) \0.5% [44] General complication rate from meta-analysis 0.8% [28] DiscoGel 91.4% [45] \0.5% [45] Intervertebral disc nucleoplasty 79% [17] \0.5% [44] Ozone therapy 70-85% [46] \0.5% [47][48][49] Percutaneous disc decompression 60-85% [50,51] 0.5% [20] …”

Section: Qualification and Responsibilities Of Personnelmentioning

confidence: 99%

Standards of Practice: Quality Assurance Guidelines for Percutaneous Treatments of Intervertebral Discs

Kelekis

Filippiadis

Martin

et al. 2010

Cardiovasc Intervent Radiol

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Percutaneous treatments are used in the therapy of small-to medium-sized hernias of intervertebral discs to reduce the intradiscal pressure in the nucleus and theoretically create space for the herniated fragment to implode inward, thus reducing pain and improving mobility and quality of life. These techniques involve the percutaneous removal of the nucleus pulposus by using a variety of chemical, thermal, or mechanical techniques and consist of removal of all or part of nucleus pulposus to induce more rapid healing of the abnormal lumbar disc. These guidelines are written to be used in quality improvement programs for assessing fluoroscopy-and/or computed tomography-guided percutaneous intervertebral disc ablative techniques.

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“…A number of prospective cohort studies followed, reporting favorable [4][5][6][7][8][9] and unfavorable [10,11] outcomes after IDET. Saal and Saal [6] reported on the 24-month outcome in a cohort of 62 patients.…”

Section: Idetmentioning

confidence: 99%

“…Eighty-one percent of patients showed at least a 7-point improvement in physical function, and 78% showed at least a 7-point improvement in bodily pain, as measured by the Short-Form 36 (SF-36) questionnaire. Derby et al [7] reported 32 consecutive cases of IDET treatment for discrete annular fissures and global disc degeneration. The mean VAS improved by 1.84 (standard deviation [SD] ± 2.38), and the mean Roland-Morris score improved by 4.03 (SD ± 4.82).…”

Section: Idetmentioning

confidence: 99%

Intradiscal electrothermal therapy, percutaneous discectomy, and nucleoplasty: What is the current evidence?

Freeman

Mehdian²

2008

Current Science Inc

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Over the past decade, there has been a surge of minimally invasive techniques aimed at treating both discogenic low back pain (LBP) and radicular pain. This article assesses the current evidence for three such treatments: intradiscal electrothermal therapy (IDET), percutaneous discectomy, and nucleoplasty. An electronic search of the literature carried out using the Cochrane Library database (2007) and Medline (1966-2007) identified 77 references relating to IDET, 363 to percutaneous discectomy, and 36 to nucleoplasty. Two randomized controlled trials (RCTs) assessed the effectiveness of IDET; one demonstrated a positive effect on pain severity only, whereas the other demonstrated no substantial benefit. Other RCTs show that percutaneous intradiscal radiofrequency thermocoagulation is ineffective for the treatment of discogenic LBP. Trials of automated percutaneous discectomy suggest that clinical outcomes after treatment are at best fair and often worse when compared with microdiscectomy. There are no published RCTs assessing Coblation (ArthroCare Spine, Stockholm, Sweden) technology.

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Intradiscal Electrothermal Annuloplasty (IDET): A Novel Approach for Treating Chronic Discogenic Back Pain

Cited by 94 publications

References 30 publications

Radiofrequency Lesioning Using Two Different Time Modalities for the Treatment of Lumbar Discogenic Pain: A Randomized Trial

Radiofrequency Lesioning Using Two Different Time Modalities for the Treatment of Lumbar Discogenic Pain: A Randomized Trial

Standards of Practice: Quality Assurance Guidelines for Percutaneous Treatments of Intervertebral Discs

Intradiscal electrothermal therapy, percutaneous discectomy, and nucleoplasty: What is the current evidence?

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