Spinal balloon nucleoplasty: A hypothetical minimally invasive treatment for herniated nucleus pulposus

Başaran, Ahmet; Topatan, Sena

doi:10.1016/j.mehy.2007.09.018

Cited by 8 publications

(4 citation statements)

References 20 publications

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“…It has also been shown that the formation of edema in the spinal nerve root is more pronounced after rapid inflation, increased pressure, and increased duration of compression [13]. Therefore, the balloon pressure has to be slowly increased and the procedure has to be limited to less than 2 hours [14]. To ensure patient safety, we slowly inflated the balloon and limited each inflation session to 5 seconds.…”

Section: Discussionmentioning

confidence: 99%

Clinical experiences of performing transforaminal balloon adhesiolysis in patients with failed back surgery syndrome: two cases report

Hwang

Suh

et al. 2014

Korean J Anesthesiol

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Epidural fibrosis is a contributing factor to the persistent pain that is associated with failed back surgery syndrome (FBSS) and other pathophysiologies, particularly as it inhibits the passage of regional medications to areas responsible for pain. Therefore, effective mechanical detachment of epidural fibrosis can contribute to pain reduction and improve function in FBSS patients. In this report, we describe the successful treatment of FBSS patients with epidural adhesiolysis using a Fogarty catheter via the transforaminal approach.

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Section: Discussionmentioning

confidence: 99%

Clinical experiences of performing transforaminal balloon adhesiolysis in patients with failed back surgery syndrome: two cases report

Hwang

Suh

et al. 2014

Korean J Anesthesiol

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“…Increasing pressure and its duration have been found to induce more pronounced effects such as intraneural edema [16]. The safe limits of nerve compression in vivo have not been established, however, transforaminal balloon decompression would be regarded as safe if the balloon pressure is increased slowly and the procedure is limited to less than 2-4 h [17,18]. …”

Section: Discussionmentioning

confidence: 99%

Clinical Experiences of Transforaminal Balloon Decompression for Patients with Spinal Stenosis

et al. 2012

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Lumbar spinal stenosis is a commonly treated with epidural injections of local anesthetics and corticosteroids, however, these therapies may relieve leg pain for weeks to months but do not influence functional status. Furthermore, the majority of patients report no substantial symptom change over the repeated treatment. Utilizing balloon catheters, we successfully treated with three patients who complained persistent symptoms despite repeated conventional steroid injections. Our results suggest that transforaminal decompression using a balloon catheter may have potential in the nonsurgical treatment of spinal stenosis by modifying the underlying pathophysiology.

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“…Low back pain is one of the most common causes of referral to a physician and at the same time is among the costliest health problems in developed societies [1]. Chronic low back pain (CLBP) is the most common cause of disability in people under the age of 45 years old, the third most common cause of surgery, and the fifth cause of hospitalization in developed countries like United States [2]. In 1986, about $20 billion was spent on back pain in this country [3].…”

Section: Introductionmentioning

confidence: 99%

Investigating a Possible Link between MRI Findings of Lumbar Disc Degeneration and Modic Changes in the Patients with Chronic Low Back Pain

Omidi-Kashani¹

2018

OPROJ

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Background: In the patients with chronic low back pain (CLBP), a variety of Magnetic Resonance Imaging (MRI) abnormalities may be present that may not be necessarily associated with clinical complaints. We aim to investigate the relationship between MRI findings of lumbar disc degeneration and Modic changes in the patients with CLBP. Materials and Methods:We carried out a cross-sectional study on MRI scanning of 60 cases with CLBP. We used Pfirrmann classification and Modic changes (MC) for grading of lumbar disc degeneration and vertebral endplate signal changes, respectively. We studied these two indices in three lower lumbar intervertebral disc and adjacent endplates in cooperation with an expert radiologist and at the last, we analyzed and compared their relationships with each other.Results: Our patients had equal sex distribution and mean age of 50.8±13.6-year-old and Body Mass Index (BMI) of 27.3±4.7. MC type II was the most common change throughout lumbar region. We found a positive effect of age on disc degeneration (not MC) in all three levels. In our study, BMI had no significant effect on these two indices. There was also significant correlation between these two indices in especially two lower lumbosacral spaces. Conclusion:We found that age was a determinant factor for lumbar disc degeneration. A significant positive correlation was also found between disc degeneration and MC especially in two lower lumbosacral disc spaces. In other words, these two variables may in fact be a manifestation of a single degenerative process.

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Spinal balloon nucleoplasty: A hypothetical minimally invasive treatment for herniated nucleus pulposus

Cited by 8 publications

References 20 publications

Clinical experiences of performing transforaminal balloon adhesiolysis in patients with failed back surgery syndrome: two cases report

Clinical experiences of performing transforaminal balloon adhesiolysis in patients with failed back surgery syndrome: two cases report

Clinical Experiences of Transforaminal Balloon Decompression for Patients with Spinal Stenosis

Investigating a Possible Link between MRI Findings of Lumbar Disc Degeneration and Modic Changes in the Patients with Chronic Low Back Pain

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