SavedAdd your journal

Journals / Journal of Turkish Spinal Surgery / 2013 / Cilt: 24 - Sayı: 2

An alternative method for the treatment of the lumbar discogenic pain: Intradiscal electrothermal therapy (idet)

Lomber diskojenik ağrı tedavisinde alternatif yöntem: Disk içi elektrotermal tedavi (ıdet - Intradıscal electrothermal therapy)

SELÇUK ÖZDOĞAN
Ali Haluk DÜZKALIR
İsmail İŞTEMEN
Pages
131–134
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Intradiscal Electrothermal Therapy could be a serious minimal invasive treatment for who not indicated for surgery and could not heal with conservative options.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: Musculoskeletal system diseases are the main cause of loss of work.
📊
Key Findings & Data:Materials and Methods: We observed 21 patients who were treated by Intradiscal Electrothermal Therapy retrospectively.
💡
Conclusion & Impact:Conclusion: Intradiscal Electrothermal Therapy could be a serious minimal invasive treatment for who not indicated for surgery and could not heal with conservative options.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Introduction: Musculoskeletal system diseases are the main cause of loss of work. The most seen part of disease is lumbosacral pathologies. Discogenic pain is responsible of some cases. Besides the conservative and surgical treatments, intradiscal electrothermal therapy could be an alternative minimal invasive treatment option. Materials and Methods: We observed 21 patients who were treated by Intradiscal Electrothermal Therapy retrospectively. They aware scored by visual analog scale before the operation. They were recalled 1 month later and scored again. The diff erences between the scores are calculated for pain release. Results: At 1 month of follow up, patient’s pain decreases 77.8 % according to visual analog scale scores. Conclusion: Intradiscal Electrothermal Therapy could be a serious minimal invasive treatment for who not indicated for surgery and could not heal with conservative options.

Özet

Giriş: Günümüzde en çok iş kaybına sebep olan hastalık grubu kas-iskelet sistemi hastalıklarıdır. Bu hastalıkların da en sık görülen bulgularından biri bel ağrısıdır. Bel ağrısının sebepleri arasında lomber diskojenik ağrı yer almaktadır. Tedavide konservatif ve spinal cerrahinin yanısıra lomber diskopati seviyesine uygulanabilen elektrotermal terapi yöntemi de göz ardı edilmemelidir. Materyal-Metot: Yapılan retrospektif araştırmamızda disk içi elektrotermal tedavi uygulanmış 21 hasta incelenmiştir. Hastaların işlem öncesi ağrı skorlaması vizüel analog skala kullanılarak alınmıştır. Hastalar işlem sonrası 1 ay takip edilmiş ve tekrar kontrole çağrılmıştır. Tekrar vizüel analog skorları alınmış, skorlar arasındaki fark hesaplanmış ve ağrı azalma yüzdeleri bulunmuştur. Sonuçlar: Hastaların 1 aylık takipleri sonucu vizüel analog skala değerlerine göre şikayetlerinin % 77.6 oranında azaldığı görülmüştür. Çıkarım: Disk içi elektrotermal terapi, konservatif yöntemlerden fayda görmeyen ve kesin cerrahi endikasyonu konulmamış hastalar için minimal invaziv ciddi bir tedavi seçeneği olarak göze çarpmaktadır.

🔖

Cite This Article

ÖZDOĞAN, S., DÜZKALIR, A. H., İŞTEMEN, İ. (2013). An alternative method for the treatment of the lumbar discogenic pain: Intradiscal electrothermal therapy (idet). Journal of Turkish Spinal Surgery, Cilt: 24 - Sayı: 2, 131–134. https://ajindex.com/articles/215048

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Assietti R, Morosi M, Block J. Intradiscal Electrothermal Th erapy for Symptomatic Internal Disc Disruption: 24-month Results and Predictors of Clinical Success. J Neurosurg Spine 2010; 12: 320–326
  2. Appleby D, Andersson G, Totta M. Meta-Analysis of the Eff icacy and Safety of Intradiscal Electrothermal Th erapy (IDET). Pain Medicine 2006; 7:4 308-316
  3. Bogduk N. Th e lumbar disc and low back pain. Neurosurg Clin N Am 1991; 2: 791–806
  4. Boswell MV, Trescot AM, Datta S, Schultz DM, Hansen HC, Abdi S, Sehgal N, Shah RV, Singh V, Benyamin RM, Patel VB, Buenaventura RM, Colson JD, Cordner HJ, Epter RS, Jasper JF, Dunbar EE, Atluri SL, Bowman RC, Deer TR, Hansen HC, Staats PS, Smith HS, Burton AW, Kloth DS, Giordano J, Manchikanti L. Interventional techniques: evidence-based practice guidelines in the management of chronic spinal pain. Pain Physician 2007; 10: 7–11
  5. Derby R, Lee SH, MD, Seo KS, Kazala K, Jo Kim B, Kim MJ. Eff icacy of IDET for Relief of Leg Pain Associated with Discogenic Low Back Pain. Pain Practice, 2004; 4: 281–285
  6. Ergün R, Sekerci Z, Bulut H, Dolgun H. Intradiscal electrothermal treatment for chronic discogenic low back pain: a prospective outcome study of 39 patients with the Oswestry dis- ability index at 18 month follow-up. Neurol Res 2008; 30: 411–416
  7. Freeman BJ, Fraser RD, Cain CM, Hall DJ, Chapple DC. A randomized, double blind, controlled trial: intradiscal electrothermal therapy versus placebo for the treatment of chronic discogenic low back pain. Spine 2005; 30: 2369–2377
  8. Kapural L, Mekhail N, Korunda Z, Basali A. Intradiscal thermal annuloplasty for the treatment of lumbar discogenic pain in patients with multilevel degenerative disc disease. Anesth Analg 2004; 99: 472– 476
  9. Levin JH. Prospective, double-blind, randomized placebo-controlled trials in interventional spine: what the highest quality literature tells us. Spine J 2009; 9: 690–703
  10. Maurer P, Block JE, Squillante D. Intradiscal electrothermal therapy (IDET) provides eff ective symptom relief in patients with discogenic low back pain. J Spinal Disord Tech 2008; 21: 55-62
  11. Nunley PD, Jawahar A, Brandao SM, Wilkinson KM. Intradiscal electrothermal therapy (IDET) for low back pain in worker’s compensation patients: Can it provide a potential answer? Long-term results. J Spinal Disord Tech 2008; 21: 11-18
  12. Ohnmeiss DD, Vanharanta H, Ekholm J. Degree of disc disruption and lower extremity pain. Spine 1997; 22: 1600–1605
  13. Osti OL, Vern