The Internet Journal of Minimally Invasive Spinal Technology™ ISSN: 1937-8254

The Internet Journal of Minimally Invasive Spinal Technology is the official online journal of ISMISS/SICOT (International Society of Minimally Invasive Spinal Surgery, affiliate of SICOT) and AAMISMS (American Academy of Minimally Invasive Spine Surgery and Medicine)

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Intradiscal Therapies

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Serdar Erdine MD, FIPP
Department of Algology
Medical Faculty of Istanbul

Citation: S. Erdine : Intradiscal Therapies. The Internet Journal of Minimally Invasive Spinal Technology. 2009 Supplement II - to IJMIST Vol III No 4

Abstract

The pathological basis for some low back pain may be due to internally disrupted intervertebral discs and in particular, sensitized annular tears. Besides surgical interventions like total disc excision and arthrodesis, percutaneous intradiscal therapies may also be considered. These intradiscal techniques are 1. annuloplasty a. intradiscal electrothermal therapy (IDET) b. Radiofrequency posterior annuloplasty (RFA) c. Biaculoplasty 2. Percutaneous disc decompression a. Laser discectomy b. Radiofrequency coblation c. Mechanical disc decompression (decompressor) d. Manual percutaneous lumbar discectomy (PLD) 3. Endoscopic percutaneous discectomy.
Most of these intradiscal therapies are in application more than a decade and long tem follow ups with each technique are emerging in the literature. These therapies attempt to reduce pain rather than repair the degenerated disc. Despite anecdotal statements of success, long term results thus far have found their use to be of little direct benefit. In this lecture , long term results of these techniques will be presented and discussed.

This article was last modified on Fri, 03 Jul 09 14:16:47 -0500

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	The Internet Journal of Minimally Invasive Spinal Technology™ ISSN: 1937-8254 \| Home \| Editors \| Current Issue \| Archives \| Instructions for Authors \| Disclaimer \| Share with others \| The Internet Journal of Minimally Invasive Spinal Technology is the official online journal of ISMISS/SICOT (International Society of Minimally Invasive Spinal Surgery, affiliate of SICOT) and AAMISMS (American Academy of Minimally Invasive Spine Surgery and Medicine) Intradiscal Therapies Read printer friendly Subscribe in a reader Share with others Serdar Erdine MD, FIPP Department of Algology Medical Faculty of Istanbul Citation: S. Erdine : Intradiscal Therapies. The Internet Journal of Minimally Invasive Spinal Technology. 2009 Supplement II - to IJMIST Vol III No 4 Abstract The pathological basis for some low back pain may be due to internally disrupted intervertebral discs and in particular, sensitized annular tears. Besides surgical interventions like total disc excision and arthrodesis, percutaneous intradiscal therapies may also be considered. These intradiscal techniques are 1. annuloplasty a. intradiscal electrothermal therapy (IDET) b. Radiofrequency posterior annuloplasty (RFA) c. Biaculoplasty 2. Percutaneous disc decompression a. Laser discectomy b. Radiofrequency coblation c. Mechanical disc decompression (decompressor) d. Manual percutaneous lumbar discectomy (PLD) 3. Endoscopic percutaneous discectomy. Most of these intradiscal therapies are in application more than a decade and long tem follow ups with each technique are emerging in the literature. These therapies attempt to reduce pain rather than repair the degenerated disc. Despite anecdotal statements of success, long term results thus far have found their use to be of little direct benefit. In this lecture , long term results of these techniques will be presented and discussed. This article was last modified on Fri, 03 Jul 09 14:16:47 -0500 This page was generated on Fri, 20 Nov 09 20:51:04 -0600, and may be cached.
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