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Transforaminal Endoscopic Lumbar Discectomy versus Coblation Nucleoplasty Combined with Collagenase Chemonucleolysis for Lumbar Disc Herniation with Grade I Degenerative Spondylolisthesis.
Pain Ther
November 2024
Department of Pain Medicine, The First Affiliated Hospital of AnHui Medical University, HeFei, China.
Introduction: To investigate the short-term clinical effect of transforaminal endoscopic lumbar discectomy (TELD) versus coblation nucleoplasty (CN) combined with collagenase chemonucleolysis (CCNL) in the treatment of lumbar disc herniation (LDH) with grade I degenerative spondylolisthesis.
Methods: From January 2019 to December 2020, 60 patients who had LDH with grade I degenerative spondylolisthesis were divided into two groups. Group A adopted TELD while Group B adopted CN combined with CCNL.
Intradiscal oxygen-ozone chemonucleolysis versus microdiscectomy for lumbar disc herniation radiculopathy: a non-inferiority randomized control trial.
Spine J
June 2022
Casa di Cura San Camillo, Forte dei Marmi, Lucca 55042, Italy.
Background Context: Low back pain with or without radicular leg pain is an extremely common health condition significantly impacting patient's activities and quality of life. When conservative management fails, epidural injections providing only temporary relief, are frequently utilized. Intradiscal oxygen-ozone may offer an alternative to epidural injections and further reduce the need for microdiscectomy.
View Article and Find Full Text PDFComparison of open surgical discectomy versus plasma-laser nucleoplasty in patients with single lumbar disc herniation.
J Res Med Sci
December 2015
Departmentt of Epidemiology, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Article Synopsis
- Intervertebral disc herniation is a common cause of low back pain, and various treatment options exist, but there's a need for less invasive yet effective methods.
- A randomized trial with 200 patients compared the outcomes of open surgery versus nucleoplasty for treating single lumbar disc herniation.
- Results showed that both treatments significantly reduced pain, but there was no major difference between the two methods in terms of effectiveness, although pain improved over time for both groups.
Indications and efficacy of O2-O3 intradiscal versus steroid intraforaminal injection in different types of disco vertebral pathologies: a prospective randomized double-blind trial with 517 patients.
Radiol Med
June 2016
S Salvatore Hospital, Coppito, 67100, L'Aquila, Italy.
Objective: The aim of this study was to prospectively evaluate the clinical efficacy of perigangliar steroid and local anesthetic with intradiscal O2-O3 injection versus steroid and local anesthetic intraforaminal injection in different types of herniation and grade of disc degeneration.
Materials And Methods: A total of 517 patients were randomly assigned to two groups. Control Group (159 men, 101 women; age range 25-89 years) underwent steroid and local anesthetic intraforaminal injection.
Cohort study of lumbar percutaneous chemonucleolysis using ethanol gel in sciatica refractory to conservative treatment.
Eur Radiol
November 2015
Radiologie Ostéo-Articulaire, Hôpital Lariboisière, AP-HP, 2 rue Ambroise Paré, 75475, Paris Cedex 10, France.
Purpose: To investigate the efficacy of percutaneous chemonucleolysis using ethanol gel (PCEG) in alleviating radicular pain due to disc herniation after failure of conservative treatment.
Materials And Methods: After failure of conservative treatment, PCEG was performed under fluoroscopic guidance in 42 patients with sciatica >4/10 on a Visual Analog Scale (VAS) for at least 6 weeks and consistent disc herniation on MRI or CT <3 months. The VAS pain score was determined at baseline, then after 1 and 3 months.
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