Risk Factors for Failure and Complications of Intradiscal Electrothermal Therapy: A Pilot Study

Cohen, Steven P.; Larkin, Thomas M.; Abdi, Salahadin; Chang, Audrey S.; Stojanovic, M.

doi:10.1097/01.brs.0000067269.31377.6a

Cited by 76 publications

(73 citation statements)

References 12 publications

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“…Unknown (no studies were found on this issue) Safety Some complications have been reported: burning sensations in the legs, which resolved after several weeks; herniation of a disc treated with the procedure and development of radicular pain, numbness and paresis, which resolved after several weeks (Cohen et al 2003); and discitis (Davis et al 2004).…”

Section: Cost/effectivenessmentioning

confidence: 99%

Chapter 4 European guidelines for the management of chronic nonspecific low back pain

Airaksinen¹,

Brox²,

Cedraschi³

et al. 2006

Eur Spine J

2,266

1,673

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Section: Cost/effectivenessmentioning

confidence: 99%

Chapter 4 European guidelines for the management of chronic nonspecific low back pain

Airaksinen¹,

Brox²,

Cedraschi³

et al. 2006

Eur Spine J

2,266

1,673

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“…Several low-quality retrospective studies were reported in the literature; results were positive [12] and negative [13][14][15]. Webster et al [16] investigated the outcome of workers' compensation claimants after IDET.…”

Section: Idetmentioning

confidence: 97%

“…According to the literature, complications that occur after IDET include dural puncture, headaches [14], catheter breakage [22,23], nerve root injury, disc herniation [23,24], cauda equina syndrome [25][26][27], vertebral body osteonecrosis [28,29], and discitis [15].…”

Section: Safety Issuesmentioning

confidence: 99%

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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“…Cohen et al [7] in a research including 79 patients assessed IDET complications and success. While 41 of the 79 patients obtained negative results, the IDET technique was positive for 38 patients.…”

Section: Discussionmentioning

confidence: 99%

“…Three research articles including case series are Freedman et al [5] with 31 patients, Endres et al [6] with 54 patients and Cohen et al [7] with a total of 79 patients. Freedman et al [5] in a study of soldiers with chronic discogenic low back pain included 31 cases with 2 year follow-up from a total of 41 patients who underwent IDET.…”

Section: Discussionmentioning

confidence: 99%

The effect of intradiscal electrothermal therapy to quality of life and satisfaction of patients in discogenic low back pain

Ilhan

Öztürk

2017

EJMO

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Objectives: Intradiscal electrothermal therapy (IDET) is an intervention option for discogenic low back pain treatment. The aim of this study was to research the pain level, quality of life, and satisfaction of patients who underwent IDET. Methods: This study was performed retrospectively with 50 patients treated with IDET for low back pain between April 1, 2014 and November 20, 2014. Age, weight, sex, body mass index, pain spread, location of intervention, 36-Item Short Form Survey (SF-36) score, visual analogue score (VAS), and satisfaction level of the patients were recorded from data in the files. The satisfaction level of the patients was 70% (40% "benefitted" and 30% "fully recovered"). Results: Of the 50 patients included in the analysis, the male/female ratio was 31/19, the mean age was 43.2±2 years, and the mean weight was 72.2±9 kg. There was a statistically significant difference in SF-36 physical function result, pain score, and VAS between mean pretreatment results and 3 months after treatment (p<0.05). Conclusion:There was a significant difference in VAS, the SF-36 subscale of physical function, and pain points before treatment and after treatment with IDET, and the post-treatment satisfaction level of the patients was high.

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Risk Factors for Failure and Complications of Intradiscal Electrothermal Therapy: A Pilot Study

Abstract: The only risk factor found to be associated with IDET outcome was obesity, which was a strong predictor of failure. Obesity should be considered a relative contraindication to performing IDET.

Cited by 76 publications

References 12 publications

Chapter 4 European guidelines for the management of chronic nonspecific low back pain

Chapter 4 European guidelines for the management of chronic nonspecific low back pain

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

The effect of intradiscal electrothermal therapy to quality of life and satisfaction of patients in discogenic low back pain

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