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Intradiscal Electrothermal Therapy

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Current Concepts in Intradiscal Percutaneous Minimally Invasive Procedures for Chronic Low Back Pain.

Ioannis Gelalis, Ioannis Gkiatas, Antonios Spiliotis, Dimitrios Papadopoulos, Emilios Pakos, Marios Vekris, Anastasios Korompilias,

Study Design:A systemic review of thermal annular procedures (TAPs) and percutaneous disk decompression procedures (PDDPs) for the treatment of discogenic chronic low back pain (CLBP) was conducted. Objective:The objective of this review is to evaluate and to compare the effectiveness of TAPs and PDDPs in treating discogenic CLBP and to ... Read more >>

Asian J Neurosurg (Asian journal of neurosurgery)
[2019, 14(3):657-669]

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Kambin's triangle: definition and new classification schema.

Andrew A Fanous, Luis M Tumialán, Michael Y Wang,

Kambin's triangle is an anatomical corridor used to access critical structures in a variety of spinal procedures. It is considered a safe space because it is devoid of vascular and neural structures of importance. Nonetheless, there is currently significant variation in the literature regarding the exact dimensions and anatomical borders ... Read more >>

J Neurosurg Spine (Journal of neurosurgery. Spine)
[2019, :1-9]

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Efficacy of transforaminal laser annuloplasty versus intradiscal radiofrequency annuloplasty for discogenic low back pain.

Chan Hong Park, Kyoung Kyu Lee, Sang Ho Lee,

Background:Discogenic pain is a common cause of disability and is assumed to be a major cause of nonspecific low back pain. Various treatment methods have been used for the treatment of discogenic pain. This study was conducted to compare the therapeutic success of radiofrequency (an intradiscal procedure) and laser annuloplasty ... Read more >>

Korean J Pain (The Korean journal of pain)
[2019, 32(2):113-119]

Cited: 2 times

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"Evidence-Based Interventional Pain Medicine According to Clinical Diagnoses": Update 2018.

Frank Huygen, Jan Willem Kallewaard, Maurits van Tulder, Koen Van Boxem, Kris Vissers, Maarten van Kleef, Jan Van Zundert,

INTRODUCTION:Between 2009 and 2011 a series of 26 articles on evidence-based medicine for interventional pain medicine according to clinical diagnoses were published. The high number of publications since the last literature search justified an update. METHODS:For the update an independent 3rd party, specialized in systematic reviews was asked in 2015 ... Read more >>

Pain Pract (Pain practice : the official journal of World Institute of Pain)
[2019, 19(6):664-675]

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Five-year clinical outcomes with endoscopic transforaminal foraminoplasty for symptomatic degenerative conditions of the lumbar spine: a comparative study of inside-out versus outside-in techniques.

Anthony Yeung, Kai-Uwe Lewandrowski,

Background:Foraminal stenosis is a condition that is underappreciated by traditionally trained surgeons because the entire foraminal zone is not adequately visualized with the translaminar approach unless extensive removal of the facet is performed to expose the extraforaminal zone. Its direct endoscopic visualization is feasible with the inside-out and outside-in endoscopic ... Read more >>

J Spine Surg (Journal of spine surgery (Hong Kong))
[2020, 6(Suppl 1):S66-S83]

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The Chinese Association for the Study of Pain (CASP): Consensus on the Assessment and Management of Chronic Nonspecific Low Back Pain.

Ke Ma, Zhi-Gang Zhuang, Lin Wang, Xian-Guo Liu, Li-Juan Lu, Xiao-Qiu Yang, Yan Lu, Zhi-Jian Fu, Tao Song, Dong Huang, Hui Liu, You-Qing Huang, Bao-Gan Peng, Yan-Qing Liu,

Chronic nonspecific low back pain (CNLBP) is defined as pain or discomfort originating from the waist, which lasts for at least 12 weeks, but no radiculopathy or specific spinal diseases. CNLBP is a complicated medical problem and places a huge burden on healthcare systems. Clinical manifestation of CNLBP includes discogenic ... Read more >>

Pain Res Manag (Pain research & management)
[2019, 2019:8957847]

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A Cost-Effectiveness Analysis of Intradiscal Electrothermal Therapy Compared with Circumferential Lumbar Fusion.

Eugena Stamuli, Withawin Kesornsak, Michael P Grevitt, John Posnett, Karl Claxton,

STUDY DESIGN:Cost-effectiveness analysis. OBJECTIVE:To evaluate the cost-effectiveness of intradiscal electrothermal therapy (IDET) relative to circumferential lumbar fusion with femoral ring allograft (FRA) in the United Kingdom. SUMMARY OF BACKGROUND DATA:Circumferential lumbar fusion is an established treatment for discogenic low back pain. However, IDET could be a cost-effective treatment alternative as ... Read more >>

Pain Pract (Pain practice : the official journal of World Institute of Pain)
[2018, 18(4):515-522]

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Thermal Annuloplasty Using Percutaneous Endoscopic Discectomy for Elite Athletes with Discogenic Low Back Pain.

Hiroaki Manabe, Kazuta Yamashita, Fumitake Tezuka, Yoichiro Takata, Toshinori Sakai, Toru Maeda, Koichi Sairyo,

The purpose of this study was to assess the usefulness of radiofrequency thermal annuloplasty (TA) using percutaneous endoscopic discectomy/TA (PED/TA) in elite athletes with discogenic low back pain. Twelve patients (11 men, 1 woman; mean age 27.9 years) underwent PED/TA under local anesthesia. Clinical data for these patients (17 affected ... Read more >>

Neurol. Med. Chir. (Tokyo) (Neurologia medico-chirurgica)
[2019, 59(2):48-53]

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Nosocomial spondylodiscitis after intradiscal electrothermal therapy: Case series.

Vuslat Kecik Bosnak, Ilkay Karaoglan, Ibrahim Erkutlu, Mustafa Namiduru,

Intradiscal electrothermal therapy (IDET) is a method applied for treatment of pain caused by the disc and involves reaching spinal disc through a catheter under fluoroscopy and solidifying disc interior by heating. We retrospectively evaluated ten patients treated and followed up with diagnosis of nosocomial spondylodiscitis after IDET. Ten patients, ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2017, 67(8):1290-1292]

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Technology advancements in spinal endoscopy for staged management of painful spine conditions.

Friedrich Tieber, Kai-Uwe Lewandrowski,

J Spine Surg (Journal of spine surgery (Hong Kong))
[2020, 6(Suppl 1):S19-S28]

Cited: 0 times

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Platelet-rich plasma injections: an emerging therapy for chronic discogenic low back pain.

Suja Mohammed, James Yu,

Autologous platelet-rich plasma (PRP) injections have been investigated in recent years as an emerging therapy for various musculoskeletal conditions, including lumbar degenerative disc disease. Although PRP has received increasing attention from medical science experts, comprehensive clinical reports of its efficacy are limited to those treating knee osteoarthritis and epicondylitis. Use ... Read more >>

J Spine Surg (Journal of spine surgery (Hong Kong))
[2018, 4(1):115-122]

Cited: 1 time

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Lumbar Degenerative Disease Part 1: Anatomy and Pathophysiology of Intervertebral Discogenic Pain and Radiofrequency Ablation of Basivertebral and Sinuvertebral Nerve Treatment for Chronic Discogenic Back Pain: A Prospective Case Series and Review of Literature.

Hyeun Sung Kim, Pang Hung Wu, Il-Tae Jang,

Degenerative disc disease is a leading cause of chronic back pain in the aging population in the world. Sinuvertebral nerve and basivertebral nerve are postulated to be associated with the pain pathway as a result of neurotization. Our goal is to perform a prospective study using radiofrequency ablation on sinuvertebral ... Read more >>

Int J Mol Sci (International journal of molecular sciences)
[2020, 21(4):]

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Thermal-Induced Osteonecrosis of Adjacent Vertebra after Intradiscal Electrothermal Therapy.

Soonjoon Kim, Sun-Ho Lee, Eun-Sang Kim, Whan Eoh,

A 42-year-old man was admitted to our hospital with complaints of low back pain and intermittent right thigh pain. Twelve weeks before admission, the patient received intradiscal electrothermal therapy (IDET) at a local hospital. The patient still reported low back pain after the procedure that was managed with narcotic analgesics. ... Read more >>

J Korean Neurosurg Soc (Journal of Korean Neurosurgical Society)
[2017, 60(1):114-117]

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Effectiveness of Thermal Annular Procedures in Treating Discogenic Low Back Pain.

Standiford Helm Ii, Thomas T Simopoulos, Milan Stojanovic, Salahadin Abdi, Mohamed Ahamed El Terany,

Discogenic low back is a distinct clinic entity characterized by pain arising from a damaged disc. The diagnosis is clouded by the controversy surrounding discography. The treatment options are limited, with unsatisfactory results from both conservative treatment and surgery. Multiple interventional therapies have been developed to treat discogenic pain, but ... Read more >>

Pain Physician (Pain physician)
[2017, 20(6):447-470]

Cited: 4 times

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Patient Selection and Efficacy of Intradiscal Electrothermal Therapy with Respect to the Dallas Discogram Score.

Atilla Kircelli, Ilker Coven, Tufan Cansever, Erkin Sonmez, Cem Yilmaz,

Intervertebral disc degeneration can cause severe low back pain. Intradiscal electrothermal therapy (IDET) is a minimally invasive treatment option for patients with symptomatic internal disc disruption unresponsive to conservative medical care. We aimed to evaluate 12-month pain and functional outcomes and predictors of clinical success in patients with discogenic back ... Read more >>

Turk Neurosurg (Turkish neurosurgery)
[2017, 27(4):623-630]

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Cardiopulmonary Arrest and Pneumoencephaly Developing after Epidural Oxygen-ozone Mixture Therapy.

Serbülent Gökhan Beyaz, Cafer Altaş, Havva Sayhan,

Pain treatment can comprise a combination of pharmacological, interventional, surgical, physical, psycological methods. Interventional procedures, particularly minimally invasive percutaneous therapies, have been widely used in recent years. Corticosteroid, hyperbaric saline or oxygen-ozone therapy is a safe procedure for patients in whom pain cannot be relieved by epidural adhesiolysis or other ... Read more >>

Anesth Essays Res (Anesthesia, essays and researches)
[2018, 12(1):285-287]

Cited: 1 time

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Unique aspects of clinical trials of invasive therapies for chronic pain.

Steven P Cohen, Mark Wallace, Richard L Rauck, Brett R Stacey,

Nearly all who review the literature conclude that the role of invasive procedures to treat chronic pain is poorly characterized because of the lack of "definitive" studies. The overt nature of invasive treatments, along with the risks, technical skills, and costs involved create challenges to study them. However, these challenges ... Read more >>

Pain Rep (Pain reports)
[2019, 4(3):e687]

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A comprehensive review of pulsed radiofrequency in the treatment of pain associated with different spinal conditions.

Giancarlo Facchini, Paolo Spinnato, Giuseppe Guglielmi, Ugo Albisinni, Alberto Bazzocchi,

The objective of this review was to evaluate the efficacy of pulsed radiofrequency (PRF) treatment of pain associated with different spinal conditions. The mechanisms of action and biological effects are shortly discussed to provide the scientific basis for this radiofrequency modality.We systematically searched for clinical studies on spinal clinical conditions ... Read more >>

Br J Radiol (The British journal of radiology)
[2017, 90(1073):20150406]

Cited: 3 times

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Discogenic Back Pain: Literature Review of Definition, Diagnosis, and Treatment.

Kengo Fujii, Masashi Yamazaki, James D Kang, Makarand V Risbud, Samuel K Cho, Sheeraz A Qureshi, Andrew C Hecht, James C Iatridis,

Discogenic back pain is multifactorial; hence, physicians often struggle to identify the underlying source of the pain. As a result, discogenic back pain is often hard to treat-even more so when clinical treatment strategies are of questionable efficacy. Based on a broad literature review, our aim was to define discogenic ... Read more >>

JBMR Plus (JBMR plus)
[2019, 3(5):e10180]

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A comprehensive review of the sinuvertebral nerve with clinical applications.

Brian Shayota, T L Wong, Donald Fru, Glen David, Joe Iwanaga, Marios Loukas, R Shane Tubbs,

The anatomy and clinical significance of the sinuvertebral nerve is a topic of considerable interest among anatomists and clinicians, particularly its role in discogenic pain. It has required decades of research to appreciate its role, but not until recently could these studies be compiled to establish a more complete description ... Read more >>

Anat Cell Biol (Anatomy & cell biology)
[2019, 52(2):128-133]

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Clinical and Radiological Improvement Following Ozone Disc Nucleolysis: A Case Report.

Sharad Ghatge, Pranav D Modi, Dhaval B Modi,

The results of traditional open surgery for herniated intervertebral disc are often limited by complications and failed back surgery syndrome (FBSS). Over the past few decades, a considerable amount of research has been done in the field of minimally invasive procedures as a treatment option for herniated intervertebral disc disease. Ozone disc ... Read more >>

Cureus (Cureus)
[2017, 9(4):e1162]

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The impact of orthopaedic research evidence on health financing in Australia.

Martin Hua, Daniel Myers, Lachlan Host,

BACKGROUND:In Australia, approval by the Medical Services Advisory Committee (MSAC) is an important step in the implementation of new health technologies. The MSAC considers health technology assessments (HTA) when submitting a recommendation to the Minister of Health on a new technology's suitability for public funding. Despite being such a critical ... Read more >>

Health Res Policy Syst (Health research policy and systems)
[2018, 16(1):36]

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Placebo effects in trials evaluating 12 selected minimally invasive interventions: a systematic review and meta-analysis.

Robin Holtedahl, Jens Ivar Brox, Ole Tjomsland,

OBJECTIVES:To analyse the impact of placebo effects on outcome in trials of selected minimally invasive procedures and to assess reported adverse events in both trial arms. DESIGN:A systematic review and meta-analysis. DATA SOURCES AND STUDY SELECTION:We searched MEDLINE and Cochrane library to identify systematic reviews of musculoskeletal, neurological and cardiac ... Read more >>

BMJ Open (BMJ open)
[2015, 5(1):e007331]

Cited: 9 times

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Clinical Outcomes of Total Disc Replacement Versus Anterior Lumbar Interbody Fusion for Surgical Treatment of Lumbar Degenerative Disc Disease.

Tobias A Mattei, Jennifer Beer, Alisson R Teles, Azeem A Rehman, Jean Aldag, Dzung Dinh,

The authors performed a retrospective controlled study of patients diagnosed with lumbar degenerative disc disease who received surgical intervention (either total disc replacement [TDR]/Activ-L or anterior lumbar interbody fusion [ALIF]) at a single tertiary-care hospital from 2007-2010.To investigate the clinical outcomes after TDR in comparison with ALIF for surgical treatment ... Read more >>

Global Spine J (Global spine journal)
[2017, 7(5):452-459]

Cited: 2 times

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Nonoperative management of discogenic back pain: a systematic review.

Young Lu, Javier Z Guzman, Devina Purmessur, James C Iatridis, Andrew C Hecht, Sheeraz A Qureshi, Samuel K Cho,

STUDY DESIGN:Systematic review of the literature. OBJECTIVE:A systematic evaluation of the literature was performed to investigate current nonoperative management of the treatment of discogenic low back pain. SUMMARY OF BACKGROUND DATA:Back pain is a major health care concern with up to 39% being discogenic in origin according to one study. ... Read more >>

Spine (Spine)
[2014, 39(16):1314-1324]

Cited: 17 times

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