Nucleoplasty is Effective in Reducing Both Mechanical and Radicular Low Back Pain

Shabat, Shay; David, Rami; Folman, Yoram

doi:10.1097/bsd.0b013e318220dbe9

Cited by 12 publications

(17 citation statements)

References 20 publications

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“…Three recent prospective observational studies by Karaman et al., Shabat el al., and Azzazi et al . again showed that there were good short‐term and long‐term results for nucleoplasty, even up to 2 years.…”

Section: Resultsmentioning

confidence: 91%

See 1 more Smart Citation

Percutaneous Disc Decompression for Lumbar Radicular Pain: A Review Article

Ong

Chua²,

Vissers

2014

Pain Practice

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Section: Resultsmentioning

confidence: 91%

“…Three recent prospective observational studies by Karaman et al, Shabat el al., and Azzazi et al [45][46][47] again showed that there were good short-term and longterm results for nucleoplasty, even up to 2 years. A study by Ogbonnaya et al 48 was the only recent study showing poor results for nucleoplasty.…”

Section: Nucleoplastymentioning

confidence: 98%

Percutaneous Disc Decompression for Lumbar Radicular Pain: A Review Article

Ong

Chua²,

Vissers

2014

Pain Practice

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“…Later, the efficacy data of cobation nucleopalsty in treating contained disc herniation with associated symptoms were reported by a series of clinical studies. 19 – 23 However, the efficacy data of nucleoplasty for lumbar discogenic pain was rare. 24 , 25 …”

Section: Discussionmentioning

confidence: 99%

Efficacy of Coblation Annuloplasty in Discogenic Low Back Pain

Tang

et al. 2015

Medicine

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In degenerative disc, the innervated outer annulus is confirmed to the major origin resulted in discogenic pain. To alleviate the discogenic pain, annuloplasty with electrothermal technology was proved to be effective, which mainly involves the thermal heating of the annulus to denature collagen fibers and denervate posterior annular nerve fibers. However, little is known that efficacy of annuloplasty with coblation technology in treating discogenic pain through directly interrupting nerves in outer annulus.The purpose of this study was to evaluate the clinical outcomes of coblation annuloplasty for the treatment of discogenic low back pain.In a clinical prospective observational study, 17 consecutive patients with discogenic low back pain underwent coblation annuloplasty under local anesthesia. Pain visual analogue scale (VAS) scores, patient responses stating significant (≥50%) pain relief, and modified MacNab criteria were adopted to evaluate the pain intensity, degree of pain relief, and functional status after 6 months of follow-up.The preoperative pain VAS score was 6.5 ± 0.8(95% confidence interval [CI] 6.1–6.9) and the pain VAS score decreased to 2.9 ± 1.6 (95% CI 2.1–3.8), 2.9 ± 1.7 (95% CI 2.1–3.8), 3.2 ± 1.6 (95% CI 2.4–4.1), 3.2 ± 1.7 (95% CI 2.4–4.2) at 1 week and 1, 3 and 6 month postoperatively, respectively. 12 (70.6%), 11 (64.7%), 10 (58.8%) and 10 (58.8%) of patients reported significant pain relief at 1 week and 1, 3 and 6 months postoperatively. At 1, 3, and 6 months postoperatively, the numbers of patients with “excellent” or “good” ratings were 13 (76.5%), 11 (64.7%), and 10 (58.8%) according to the modified MacNab criteria. No serious complications were observed.The finds show that coblation annuloplasty is an effective, safe, and less uncomfortable procedure in managing discogenic low back pain.

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“…6 The clinical effectiveness of disk decompression using plasma energy such as nucleoplasty and L'DISQ (U&I Corp., Uijeongbu, South Korea) has been proven in many studies. [7][8][9] However, experimental data supporting the effectiveness of tissue removal and safety of plasma ablation are insufficient. In clinical settings, major variables in the plasma procedure such as voltage of electrical output and speed of procedure tip movement largely rely on the surgeon's personal or collective experience.…”

Section: Introductionmentioning

confidence: 99%