Radiofrequency Heating of Painful Annular Disruptions

Finch, Philip M.; Price, Leanne; Drummond, Peter D.

doi:10.1097/01.bsd.0000143312.08303.5d

Cited by 60 publications

(38 citation statements)

References 39 publications

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“…7,[17][18][19] Regarding the type of complication, for laser, the literature reports spondylodiscitis as the most common, with an occurrence ranging from 0.24% to 1.2%. 15,16,24 In contrast, this series shows radiculitis as the principal complication. This complication is related to the initial stages of the learning curve, incorrect (too deep) anesthesia protocol, and excessive heat from fibers with low irrigation.…”

Section: Discussionmentioning

confidence: 54%

“…5 The effectiveness of both LS and RF has been reported in several studies, with improvement rates of above 70%. 7,8,11,[13][14][15][16][17][18][19][20][21] Nevertheless, their safety margin and degree of complications continue to create extensive controversies between different surgeons. The purpose of the study was to report and compare the number and grade of major complications present in non-endoscopic thermal discectomy and nucleoplasty, in the treatment of discogenic axial lumbar pain using LS and RF technologies.…”

Section: Introductionmentioning

confidence: 99%

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Complications of Non-Endoscopic Discectomy: A Retrospective Study of Twenty-One Years

León¹,

Ortíz²,

Fonseca³

et al. 2016

Coluna/Columna

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Objective: To report and compare the number and grade of major complications presented with non-endoscopic thermal discectomy and nucleoplasty for the treatment of discogenic axial lumbar pain using laser and radiofrequency. Methods: A 21 years retrospective study was conducted of the clinical charts of patients whose reason for consultation was axial lumbar pain from degenerative disc disease, and who underwent surgery using non-endoscopic discectomy and nucleoplasty (NEDN). Two groups were established; the first, NEDN with laser, and second, NEDN with radiofrequency. The number and types of complications reported in the case-series were counted, and their statistical differences determined. Results: The inclusion criteria were fulfilled by 643 of the medical charts. 26 complications were reported, the most common being radiculitis (n=12). Statistically significant differences were found between the complications occurring in the two groups (p=0.01). Conclusion: The number of complications showed statistically significant difference. The severity of the complications and adverse outcomes provide an argument for choosing one technology over the other. Training and the learning curve stage are important factors to be taken into account, to avoid complications.Keywords: Diskectomy; Pulsed radiofrequency treatment; Laser therapy; Low back pain. RESUMO

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Section: Discussionmentioning

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Complications of Non-Endoscopic Discectomy: A Retrospective Study of Twenty-One Years

León¹,

Ortíz²,

Fonseca³

et al. 2016

Coluna/Columna

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“…Finch et al [32] reported on the use of a flexible radiofrequency electrode (discTRODE; Valleylab, Boulder, CO) in a prospective case-control study to determine the efficacy of radiofrequency heating of painful annular tears. Thirty-one patients underwent the procedure.…”

Section: Percutaneous Intradiscal Radiofrequency Thermocoagulationmentioning

confidence: 98%

Intradiscal electrothermal therapy, percutaneous discectomy, and nucleoplasty: What is the current evidence?

Freeman

Mehdian²

2008

Current Science Inc

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Over the past decade, there has been a surge of minimally invasive techniques aimed at treating both discogenic low back pain (LBP) and radicular pain. This article assesses the current evidence for three such treatments: intradiscal electrothermal therapy (IDET), percutaneous discectomy, and nucleoplasty. An electronic search of the literature carried out using the Cochrane Library database (2007) and Medline (1966-2007) identified 77 references relating to IDET, 363 to percutaneous discectomy, and 36 to nucleoplasty. Two randomized controlled trials (RCTs) assessed the effectiveness of IDET; one demonstrated a positive effect on pain severity only, whereas the other demonstrated no substantial benefit. Other RCTs show that percutaneous intradiscal radiofrequency thermocoagulation is ineffective for the treatment of discogenic LBP. Trials of automated percutaneous discectomy suggest that clinical outcomes after treatment are at best fair and often worse when compared with microdiscectomy. There are no published RCTs assessing Coblation (ArthroCare Spine, Stockholm, Sweden) technology.

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“…1 Newer thermal annular procedures include unipolar radiofrequency annuloplasty and bipolar biacuplasty, with only anecdotal studies reported in the literature. [23][24][25] …”

Section: Annular Proceduresmentioning

confidence: 99%

Percutaneous Discogenic Pain Treatment

Anderson¹,

Vaccaro²

2013

Decision Making in Spinal Care

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Radiofrequency Heating of Painful Annular Disruptions

Abstract: Radiofrequency heating of annular tears can lead to an improvement in the pain of internal disc disruption. The improvement gained by this treatment method is significantly better than that obtained from conservative management.

Cited by 60 publications

References 39 publications

Complications of Non-Endoscopic Discectomy: A Retrospective Study of Twenty-One Years

Complications of Non-Endoscopic Discectomy: A Retrospective Study of Twenty-One Years

Intradiscal electrothermal therapy, percutaneous discectomy, and nucleoplasty: What is the current evidence?

Percutaneous Discogenic Pain Treatment

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