Journal of Anesthesia & Surgery

ISSN: 2473-2184

Impact Factor: 0.643

VOLUME: 1 ISSUE: 1

Page No: 4-6

Non-operative management of Discogenic Back Pain by Intradiscal Interventions: an evidence based review


Citation

Dr Ashok Jadon, Non-operative management of Discogenic Back Pain by Intradiscal Interventions: an evidence based review(2016)SDRP Journal Of Anesthesia & Surgery 1(1)

Abstract

Intervertebral disc is an important pain generator and contributes about 26%-42% in etiology of chronic back pain. The common causes are either annular tears or prolapsed nucleus pulposus. Non-surgical treatment is aimed at either repair of annulus or removal of part of nucleus to reduce the pressure on the nerves. New evidence are groing to support the favourable outcome and safety of such interventions. This brief review has highlighted the various treatment modelities and evidences to support their use.

References

  1. Karaman H, T?fek A, Kavak G?, Kaya S, Yildirim ZB, Uysal E, Celik F. 6-month results of TransDiscal Biacuplasty on patients with discogenic low back pain: preliminary findings. Int J Med Sci. 2010;8:1-8. PMid:21197258 PMCid:PMC3005544

    View Article      PubMed/NCBI     
  2. Kapural L, Nq A, Mascha E, etal.Intervertebral disc biaculoplasty for the treatment of lumbar discogenic pain: results of a six-month follow-up. Pain Med 2008;9:60-7. PMid:18254768

    View Article      PubMed/NCBI     
  3. Andersson GB, Mekhail NA, Block JE.Treatment of intractable discogenic low back pain. A systematic review of spinal fusion and intradiscal electrothermal therapy (IDET). Pain Physician. 2006;9:237-48. PMid:16886032

    PubMed/NCBI     
  4. Tsou HK etal.Intradiscal electrothermal therapy in the treatment of chronic low back pain: experience with 93 patients. SurgNeurol Int. 2010:1:37. PMid:20847918 PMCid:PMC2940097

    View Article      PubMed/NCBI     
  5. Appleby D, Andersson G, TottaM.Meta-analysis of the efficacy and safety of intradiscal electrothermal therapy (IDET). Pain Med. 2006;7:308-16. PMid:16898940

    View Article      PubMed/NCBI     
  6. Freeman BJ.IDET: a critical appraisal of the evidence. Eur Spine J. 2006;15:448-57. PMid:16868786 PMCid:PMC2335390

    View Article      PubMed/NCBI     
  7. Manchikanti L, Singh V, Calodney AK, Helm S 2nd, Deer TR, Benyamin RM, Falco FJ, Hirsch JA. Percutaneous lumbar mechanical disc decompression utilizing Dekompressor?: an update of current evidence. Pain Physician 2013;16:1-24.

  8. Choy DS. Percutaneous laser disc decompression: a 17-year experience.Photomed Laser Surg 2004; 22:407-10. PMid:15671713

    View Article      PubMed/NCBI     
  9. Singh V, Manchikanti L, Calodney AK, Staats PS, Falco FJ, Caraway DL, Hirsch JA, Cohen SP. Percutaneous lumbar laser disc decompression: an update of current evidence. Pain Physician. 2013;16:229-60.

  10. Azzazi A, AlMekawi S, ZeinM.Lumbar disc nucleoplasty using coblation technology: clinical outcome. J Neurointerv Surg. 2011;3:288-92. PMid:21990844

    View Article      PubMed/NCBI     
  11. NardiPV,Cabezas D, CesaroniAPercutaneous cervical nucleoplasty using coblation technology. Clinical results in fifty consecutive cases. Acta Neurochir2005;92:73-8.

  12. Birnbaum K. Percutaneous cervical disc decompression. SurgRadiolAnat 2009; 31:379-87.

    View Article           
  13. Manchikanti L, Falco FJ, Benyamin RM, Caraway DL, Deer TR, Singh V, Hameed H, Hirsch JA.An update of the systematic assessment of mechanical lumbar disc decompression with nucleoplasty. Pain Physician. 2013;16l:25-54.

  14. Gibson JN, Cowie JG,Iprenburg M. Transforaminal endoscopic spinal surgery: the future 'gold standard'for discectomy ? ?A review. Surgeon 2012;10:290-6. PMid:22705355

    View Article      PubMed/NCBI     
  15. Peng B, Pang X, Wu Y, Zhao C, Song X. A randomized placebo-controlled trial of intradiscal methylene blue injectionfor the treatment of chronic discogenic low back pain. Pain 2010; 149: 124-29. PMid:20167430

    View Article      PubMed/NCBI     
  16. Wang et al.Enhancing intervertebral disc repair and regeneration through biology: platelet-rich plasma as an alternativestrategy. Arthritis Research & Therapy 2013;15:220. PMid:24165687 PMCid:PMC3978730

    View Article      PubMed/NCBI     
  17. Orozco L, Soler R, Morera C, Alberca M, S?nchez A,Garc?a-Sancho J. Intervertebral disc repair by autologousmesenchymal bone arrow cells: a pilot study. Transplantation2011; 92: 822-28. PMid:21792091

    View Article      PubMed/NCBI     

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