CT-guided Nucleoplasty With Radiofrequency Energy for the Treatment of Lumbar Disk Herniation

Wu, Shaoling; Xiao, Li; Lin, Caina; Zeng, Weike; Ma, Chao

doi:10.1097/bsd.0000000000000132

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…However, Ogbonnaya et al [ 22 ] reviewed 27 LDH patients treated with nucleoplasty and observed that 14 patients (51.9%) underwent reoperation of an open microdiscectomy due to a lack of significant improvement of clinical outcomes after nucleoplasty. Wu et al [ 23 ] showed that nucleoplasty combined with nerve root injection could significantly improve symptoms of pain and promote patients’ functional level compared with a single nucleoplasty treatment at the early stage after surgery.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Single Level Versus Double Levels Surgery of Percutaneous Disc Nucleoplasty (PDN) Approach in Treating Lumbar Disc Herniation

et al. 2021

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Background Although percutaneous disc nucleoplasty (PDN) has been widely applied in treating lumbar disc herniation (LDH) in recent years, the efficacy of surgical levels for PDN on LDH has been reported in limited studies. This study aimed to explore and compare the efficacy of surgical levels (single level vs double level) of PDN in treating LDH. Material/Methods All patients diagnosed with LDH from January 2012 to December 2014 in our hospital who underwent PDN were included in this study. Patients were divided into a single-level group and double-level group based on the number of discs/surgical treatment levels. The improvement of visual analog scale (VAS) score, patient satisfaction, and reoperation occurrence were compared between the 2 groups. Results Of 105 total patients, 75 patients were treated with single-level treatment and 30 patients with double-level treatment. VAS for leg pain and patient satisfaction scores in the double-level group were worse than those in the single-level group at 6 months after surgery ( P <0.05). Among all 105 patients, the incidence of reoperation was 11.4%. Also, there was a marked difference in reoperation occurrence at 6 months after surgery between the single-level (6.7%) and double-level (23.3%) groups; however, the difference was not statistically significant ( P =0.05). Conclusions PDN is a safe and minimal-invasive approach, which could effectively treat LDH. The number of surgical levels might be an important factor influencing the efficacy of PND. Caution should be exercised to strictly follow the clinical indications for nucleoplasty.

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Section: Discussionmentioning

confidence: 99%

Efficacy of Single Level Versus Double Levels Surgery of Percutaneous Disc Nucleoplasty (PDN) Approach in Treating Lumbar Disc Herniation

et al. 2021

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“…[4][5][6][7] Furthermore, RIN could relieve the symptoms of patients with lumbar disc herniation. 8 Kloth et al 9 reported that RIN could be preferred for treating radicular pain caused by disc herniation. Kumar et al 10 proved that RIN could relieve pain, treat functional disability and improve the quality of life of patients with discogenic low-back pain.…”

Section: Introductionmentioning

confidence: 99%