Percutaneous Disc Decompression for Lumbar Radicular Pain: A Review Article

Ong, Damian; Chua, Nicholas; Vissers, Kris

doi:10.1111/papr.12250

Cited by 27 publications

(18 citation statements)

References 63 publications

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“…Other techniques, like chemonucleolysis, and percutaneous nucleotomy of different kinds, have been tried and found not sufficient for general use [109,110]. Epidural steroids shows lower efficacy than surgery, but may be a treatment option in some cases where surgery is not preferred [111].…”

Section: Surgical Techniquesmentioning

confidence: 99%

Markers of inflammation and fibrinolysis in relation to outcome after surgery for lumbar disc herniation. A prospective study on 177 patients

et al. 2015

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Section: Surgical Techniquesmentioning

confidence: 99%

Markers of inflammation and fibrinolysis in relation to outcome after surgery for lumbar disc herniation. A prospective study on 177 patients

et al. 2015

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“…Lumbar radiculopathy due to herniated nucleus pulposus (HNP) is associated with severe morbidity (1). A lumbar HNP compresses the nerve roots and mechanical and inflammatory mechanisms cause pain (2).…”

Section: Introductionmentioning

confidence: 99%

Percutaneous navigable intradiscal decompression in treatment of lumbar disc herniation: a single-center experience

Ceylan¹

2019

Turk J Med Sci

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Background/aim: Minimally invasive procedures have been increasingly used for the treatment of herniated discs. Nonsurgical interventions minimize the secondary damage to other tissues and shorten the length of hospital stay by avoiding general anesthesia. Possible complications are thermal injuries, root injury, discitis, endplate damage, dural injury, meningitis, infection, increase in pain, and muscle spasm. We aimed to evaluate the efficacy of percutaneous decompression therapy by using intradiscal navigable electrodes on pain and functional movement index in patients with herniated nucleus pulposus (HNP). Materials and methods: A total of 209 patients with protrusive lumbar disc herniation underwent percutaneous ablation decompression treatment using an intradiscal routable electrode (L-Disq) in our pain clinic. Visual analog scale (VAS) and Oswestry Disability Index (ODI) scores were recorded at the beginning and at the 1st, 3rd, 6th, and 12th months after treatment. Patient satisfaction was evaluated at the 12th month by a patient satisfaction scale (PSS). Results: When compared to initial values, VAS and ODI scores showed statistically significant improvement at the 1st, 3rd, 6th, and 12th months (P < 0.001). Mean VAS scores were 7.28 and 3.03 points (P < 0.001) while mean ODI scores were 32.46 and 20.48 points (P < 0.001) at the beginning and at the 12th month, respectively. Satisfaction rate of all patients was 81%. We also attempted to treat the existing annular fissure using an ablation method and we believe that treating the herniated disc together with the fissure in the same session increased our success rate. Conclusion: With clinical evidence, we suggest that L-Disq may be considered as an appropriate option with a low risk of complications in pain management in cases of lumbar disc herniation that are resistant to conservative methods.

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“…Lumbar radicular pain due to a herniated nucleus pulposus (HNP) causes significant morbidity [ 1 ]. Lumbar HNP compresses nerve roots and its mechanical and inflammatory mechanisms play a role in causing pain [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

The Factors Associated With the Successful Outcomes of Percutaneous Disc Decompression in Patients With Lumbar Herniated Nucleus Pulposus

et al. 2015

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ObjectiveTo determine clinical and radiological factors that predict the successful outcome of percutaneous disc decompression (PDD) in patients with lumbar herniated nucleus pulposus (HNP).MethodsWe retrospectively reviewed the clinical and radiological features of patients who underwent lumbar PDD from April 2009 to March 2013. Sixty-nine patients with lumbar HNP were studied. Clinical outcome was assessed by the visual analogue scale (VAS) and the Oswestry Disability Index (ODI). Multivariate logistic regression analysis was performed to assess relationship among clinical and radiological factors and the successful outcome of the PDD.ResultsThe VAS and the ODI decreased significantly at 1 year follow-up (p<0.01). One year after PDD, the reduction of the VAS (ΔVAS) was significantly greater in the patients with pain for <6 months (p=0.03) and subarticular HNP (p=0.015). The reduction of the ODI (ΔODI) was significantly greater in the patients with high intensity zone (p=0.04). Multivariate logistic regression analysis revealed the following 5 factors that were associated with the successful outcome after PDD: pain duration for <6 months (odds ratio [OR]=14.036; p=0.006), positive straight leg raising test (OR=8.425, p=0.014), the extruded HNP (OR=0.106, p=0.04), the sequestrated HNP (OR=0.037, p=0.026), and the subarticular HNP (OR=10.876, p=0.012).ConclusionPDD provided significant improvement of pain and disability of patients. The results of the analysis indicated that the duration of pain <6 months, positive straight leg raising test, the subarticular HNP, and the protruded HNP were predicting factors associated with the successful response of PDD in patients with lumbar HNP.

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Percutaneous Disc Decompression for Lumbar Radicular Pain: A Review Article

Cited by 27 publications

References 63 publications

Markers of inflammation and fibrinolysis in relation to outcome after surgery for lumbar disc herniation. A prospective study on 177 patients

Markers of inflammation and fibrinolysis in relation to outcome after surgery for lumbar disc herniation. A prospective study on 177 patients

Percutaneous navigable intradiscal decompression in treatment of lumbar disc herniation: a single-center experience

The Factors Associated With the Successful Outcomes of Percutaneous Disc Decompression in Patients With Lumbar Herniated Nucleus Pulposus

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