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Characteristics in patients with very early therapeutic response of condoliase chemonucleolysis for lumbar disc herniation.
Neurosurg Rev
August 2024
Department of Orthopedic Surgery, Toyonaka Municipal Hospital, Toyonaka, Osaka, Japan.
Article Synopsis
- - The study investigated the effectiveness of condoliase chemonucleolysis (CC) for patients with lumbar disc herniation (LDH), focusing on identifying factors that predict early pain relief after treatment.
- - Out of 52 patients, 75% experienced significant leg pain relief just one day post-treatment, while those with a smaller baseline straight leg raising (SLR) angle were more likely to be early responders.
- - The findings suggest that patients with lower pretreatment SLR angles are more likely to achieve early and sustained relief from leg pain following CC, regardless of the characteristics of their disc herniation.
Psychological Factors Can Affect the Clinical Outcome of Chemonucleolysis with Condoliase in Patients with Lumbar Disk Herniation.
Spine Surg Relat Res
March 2024
Department of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Introduction: Condoliase-based chemonucleolysis is a minimally invasive intermediate treatment option between conservative approaches and surgical interventions for lumbar disk herniation (LDH). In this study, the effects of psychological factors on the clinical outcomes of condoliase therapy for LDH were assessed.
Methods: This study involved patients with LDH who received condoliase injections over a 1-year follow-up period.
Foot drop after percutaneous treatment with radiopaque gelified ethanol (Discogel®).
Neurocirugia (Astur : Engl Ed)
April 2021
Neurosurgery Department, Hospital Universitari Son Espases, Palma de Mallorca, Illes Balears, Spain.
Sciatica due to a lumbar disc herniation is a frequent symptom, between 13% and 40% of the general population will experience an episode of sciatica during their lives. Different techniques exist to treat this condition. Among them the percutaneous intradiscal Discogel®.
View Article and Find Full Text PDFCurrent Evidence of Minimally Invasive Spine Surgery in the Treatment of Lumbar Disc Herniations.
Bull Hosp Jt Dis (2013)
March 2016
With the advent of new instrumentation and better imaging techniques that allowed less tissue trauma compared with traditional open procedures, while providing adequate or enhanced visualization of the pathologic site and based upon the successful experience of outpatient spine surgery to assist early ambulation, the trend and evolution toward ''minimal access'' or minimally invasive spine surgery began to develop with greater intensity. Many surgical techniques have flourished with the promise of delivering a safe and efficient alternative, including chemonucleolysis, manual percutaneous discectomy (MPD), automated percutaneous lumbar discectomy (APLD), and percutaneous lumbar laser discectomy (PLLD). Unfortunately, most of these techniques have been demonstrated to be inefficient with high complication rates.
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