Background: Lumbar disc herniation (LDH) is the most common cause of back and leg pain. We developed a specially designed needle and a minimally invasive interventional procedure to treat LDH.
Objectives: Assess outcomes of procedure and describe our methodology and clinical application.
Design: Case series.
Setting: A chronic pain management center.
Patients And Methods: Patients with LDH underwent fluoroscopically guided interventional interlaminar needling using a specially designed curved round needle. The outcome measures were evaluated three times: before the intervention and at 6 and 12 months after the intervention.
Main Outcome Measures: Visual analog scale (VAS) pain score, Oswestry Disability Index (ODI).
Sample Size: 43 patients.
Results: Six months after the intervention, the VAS pain score decreased by 5.1 (2.2) points and the ODI decreased by 30.7% (16.6%) compared to baseline. Twelve months after the intervention, the VAS pain score decreased by 6.2 (1.7) points and the ODI decreased by 36.9% (15.2%) compared to baseline.
Conclusions: This study suggests that fluoroscopically guided interventional interlaminar needling has clinical significance in managing pain resulting from LDH.
Limitations: This was an exploratory case series study. Additional studies and randomized clinical trials are needed to evaluate the efficacy of the technique compared to other treatments.
Conflict Of Interest: None.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6894450 | PMC |
| http://dx.doi.org/10.5144/0256-4947.2019.417 | DOI Listing |
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