Patient selection and efficacy of intradiscal electrothermal therapy with respect to dallas discogram score

Kircelli, Atilla; Çöven, İlker; Cansever, Tufan; Sonmez, Erkin; Yilmaz, Cem

doi:10.5137/1019-5149.jtn.16572-15.1

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…A previous study on IDET showed that clinical improvements could be realized after IDET in select surgical candidates with mild disc degeneration and HIZ on MRI, discography, and lowgrade Dallas Discogram Scale, with more effective treatment results. [47] On the other hand, the presence of disc herniation on MRI showed a more successful outcome in our study and showed no significant relationship with HIZ on MRI. This might be due to the disc decompression effect of the intradiscal treatment.…”

Section: Clinical Factorscontrasting

confidence: 48%

Percutaneous nucleoplasty and intradiscal electrothermal therapy in the management of lumbar discogenic pain: A retrospective comparative study

Yoo,

Bae,

Kim

et al. 2024

Medicine

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Percutaneous lumbar nucleoplasty (PLN) and intradiscal electrothermal therapy (IDET) are effective treatment options for discogenic low back pain (D-LBP). We evaluated the effectiveness of PLN and IDET and the positive predictive factors associated with intradiscal procedures. We reviewed the medical records of 205 patients who underwent IDET or PLN in patients with D-LBP followed by positive provocation discography. A successful outcome was defined as ≥ 50% pain relief on the numerical rating scale (NRS) pain score at the 6-month follow-up visit. The relationship between the outcome of the intradiscal procedure and clinical variables was investigated using multivariate analyses. Of the 142 patients (89 with PLN and 53 with IDET), 86 (60.5%) experienced a successful outcome, which was more substantial in PLN (n = 61, 68.5%) than in IDET (n = 25, 47.2%; P = .010). The high-grade Modified Dallas Discogram Scale in provocation discography and a procedure at the L3/L4 spinal level were independent positive predictors of successful outcomes (P = .023 and .010, respectively). Coexisting psychiatric disorders, such as depression and anxiety, were negative predictors of successful treatment (P = .007). No serious complications related to the intradiscal procedures were reported during the 6-month follow-up period. PLN and IDET might be effective for managing low back pain (LBP) from internal disc disruption (IDD). The high-grade Modified Dallas Discogram, a procedure at the L3/4 spinal level, and the absence of neuropsychiatric disorders could be positive factors for the successful outcome of the intradiscal procedure.

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Section: Clinical Factorscontrasting

confidence: 48%

Percutaneous nucleoplasty and intradiscal electrothermal therapy in the management of lumbar discogenic pain: A retrospective comparative study

Yoo,

Bae,

Kim

et al. 2024

Medicine

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“…Once the catheter's tip is in the posterior region of the fibrous annulus, it is heated up to 90°C (194°F), destroying the nociceptor terminations [8]. It last approximately 15 minutes and is an outpatient procedure [18].…”

Section: Intradiscal Electrothermal Therapy (Idet)mentioning

confidence: 99%

Management of Discogenic Lumbar Pain with Intradiscal Electrothermal Therapy (IDET)

Murcia¹

2019

Intern Med

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Aim: Evaluate the effectiveness of intradiscal electrothermal therapy in treating discogenic low back pain. Methods: Using three data bases (PubMed, Cochrane and Scopus) we searched for clinical studies evaluating non-operative methods of treating discogenic back pain that were published between 2004-2012. Only systematic reviews and meta-analysis were included. Inclusion criteria: included if they met the following inclusion criteria: patients were at least 18 years of age; they were written in English and involved patients with chronic non-malignant pain who had never been surgical managed, after removal of duplicate citations only 4 articles were selected. Results: The two systematic reviews and two meta-analyzes whose objective were to establish the IDET roll in the improvement of discogenic pain, did not find statistically significant evidence to recommend this treatment. Only one study established a possible improvement of discogenic pain at 6 months with acceptable evidence quality. Conclusion: The current studies provide contradictory evidence of it benefit and it remains unclear whether these interventions confer stable long-term benefit. Thus, physicians must exercise caution in recommending this treatment for patients with discogenic chronic back pain.

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Patient selection and efficacy of intradiscal electrothermal therapy with respect to dallas discogram score

Cited by 2 publications

References 19 publications

Percutaneous nucleoplasty and intradiscal electrothermal therapy in the management of lumbar discogenic pain: A retrospective comparative study

Percutaneous nucleoplasty and intradiscal electrothermal therapy in the management of lumbar discogenic pain: A retrospective comparative study

Management of Discogenic Lumbar Pain with Intradiscal Electrothermal Therapy (IDET)

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