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Journals / Şişli Etfal Hastanesi Tıp Bülteni / 2021 / Cilt: 55 - Sayı: 2

Lumbar Intradiscal Ozone Chemonucleolysis Applied Together with the Epidural Steroid Treatment

Mustafa KİLİC
Tülay ERÇALIK
Burak ÖZDEMİR
İlhan YILMAZ
Ali Serdar OĞUZOĞLU
Levent AYDIN
Balkan SAHİN
Adem YILMAZ
Ahmet Murat MÜSLÜMAN
Hacı Mustafa ÖZDEMİR
Pages
203–209
DOI
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AI Summary & Key Takeaways

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

Conclusion: Intradiscal ozone therapy applied together with the epidural steroid treatment, one of the percutaneous application techniques for the treatment of low back pain related to LDDD, has successful outcomes, clinical efficacy, and low rate of side effects, and thus, is one of the methods that should be considered before surgery when appropriate patients

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: Intradiscal ozone treatment is a minimally-invasive method that can be applied to patients who have low back pain and do not respond to conservative treatment.
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Key Findings & Data:This retrospectively designed study aimed to evaluate its clinical efficacy, adverse effects, or complication rates.
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Conclusion & Impact:Conclusion: Intradiscal ozone therapy applied together with the epidural steroid treatment, one of the percutaneous application techniques for the treatment of low back pain related to LDDD, has successful outcomes, clinical efficacy, and low rate of side effects, and thus, is one of the methods that should be considered before surgery when appropriate patients
🔬Design:Research Article
📍Scope:2016 Verileri
⚙️Variables:Domain Parameters

Özet

Objectives: Intradiscal ozone treatment is a minimally-invasive method that can be applied to patients who have low back pain and do not respond to conservative treatment. This retrospectively designed study aimed to evaluate its clinical efficacy, adverse effects, or complication rates. Methods: Patients with lumbar degenerative disc disease (LDDD) who underwent intradiscal O2 -O3 treatment between January 2016 and April 2018 were included in the study. Pain and disability levels were assessed at pre-injection, 1-month and 1-year postinjection periods using visual analog scale (VAS) and Oswestry Disability Index (ODI), respectively. Results: A total of 520 patients (270 males and 250 females) with the mean age of 38.9±5.7 years included in the study. First-month and 1st-year post-injection VAS and ODI scores were significantly lower than pre-injection scores (p<0.001). Remarkable VAS score reduction (more than 50%) was found in 60.2% of patients at 1st month and in 52.9% of patients at the 1st year. No important side effects recorded. Conclusion: Intradiscal ozone therapy applied together with the epidural steroid treatment, one of the percutaneous application techniques for the treatment of low back pain related to LDDD, has successful outcomes, clinical efficacy, and low rate of side effects, and thus, is one of the methods that should be considered before surgery when appropriate patients

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Cite This Article

KİLİC, M., ERÇALIK, T., ÖZDEMİR, B., YILMAZ, İ., OĞUZOĞLU, A. S., AYDIN, L., SAHİN, B., YILMAZ, A., MÜSLÜMAN, A. M., ÖZDEMİR, H. M. (2021). Lumbar Intradiscal Ozone Chemonucleolysis Applied Together with the Epidural Steroid Treatment. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 55 - Sayı: 2, 203–209. https://ajindex.com/articles/418866

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References (12)

  1. Bener A, Dafeeah EE, Alnaqbi K. Prevalence and correlates of low back pain in primary care: what are the contributing factors in a rapidly developing country. Asian Spine J 2014;8:227–36
  2. Goubert L, Crombez G, De Bourdeaudhuij I. Low back pain, disability and back pain myths in a community sample: prevalence and interrelationships. Eur J Pain 2004;8:385–94
  3. Foster NE. Barriers and progress in the treatment of low back pain. BMC Med 2011;9:108
  4. Magalhaes FN, Dotta L, Sasse A, Teixera MJ, Fonoff ET. Ozone therapy as a treatment for low back pain secondary to herniated disc: a systematic review and meta-analysis of randomized controlled trials. Pain Physician 2012;15:E115–29
  5. Steppan J, Meaders T, Muto M, Murphy KJ. A metaanalysis of the effectiveness and safety of ozone treatments for herniated lumbar discs. J Vasc Interv Radiol 2010;21:534–48
  6. Giurazza F, Guarnieri G, Murphy KJ, Muto M. Intradiscal O2O3: rationale, injection technique, short- and long-term outcomes for the treatment of low back pain due to disc herniation. Can Assoc Radiol J 2017;68:171–7
  7. Murphy K, Elias G, Steppan J, Boxley C, Balagurunathan K, Victor X, et al. Percutaneous treatment of herniated lumbar discs with ozone: investigation of the mechanisms of action. J Vasc Interv Radiol 2016;27:1242–50
  8. Buric J, Rigobello L, Hooper D. Five and ten year follow-up on intradiscal ozone injection for disc herniation. Int J Spine Surg 2014;8:17
  9. Gallucci M, Limbucci N, Zugaro L, Barile A, Stavroulis E, Ricci A, et al, Masciocchi C. Sciatica: treatment with intradiscal and intraforaminal injections of steroid and oxygen-ozone versus steroid only. Radiology 2007;242:907–13
  10. Muto M, Ambrosanio G, Guarnieri G, Capobianco E, Piccolo G, Annunziata G, et al. Low back pain and sciatica: treatment with intradiscal-intraforaminal O(2)-O (3) injection. Our experience. Radiol Med 2008;113:695–706 11. Zhang Y, Ma Y, Jiang J, Ding T, Wang J. Treatment of the lumbar disc herniation with intradiscal and intraforaminal injection of oxygen-ozone. J Back Musculoskelet Rehabil 2013;26:317–22
  11. Muto M, Andreula C, Leonardi M. Treatment of herniated lumbar disc by intradiscal and intraforaminal oxygen-ozone (O2 -O3 ) injection. J Neuroradiol 2004;31:183–9
  12. Paoloni M, Di Sante L, Cacchio A, Apuzzo D, Marotta S, Razzano M, et al. Intramuscular oxygen-ozone therapy in the treatment of acute back pain with lumbar disc herniation: a multicenter, randomized, double-blind, clinical trial