Radiofrequency Nucleoplasty for Contained Lumbar Disc Herniation. A Prospective Cohort Clinical Case Study.

Background Data: A number of percutaneous techniques have been used in the management of lumbar disk herniation. Radiofrequency coablation is gaining popularity. Purpose: To define the safety and efficacy of radiofrequency Nucleoplasty in the management of contained lumbar disk herniation, to better...

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Autor principal:	Hossam Taha
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2012
Materias:	Nucleoplasty Coblation radiofrequency contained disc herniation minimally invasive Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/954c1f78c9ed4a01ab3f2711c2f77d51
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spelling	oai:doaj.org-article:954c1f78c9ed4a01ab3f2711c2f77d512021-12-02T06:49:19ZRadiofrequency Nucleoplasty for Contained Lumbar Disc Herniation. A Prospective Cohort Clinical Case Study.DOI:10.21608/ESJ.2012.37972314-89502314-8969https://doaj.org/article/954c1f78c9ed4a01ab3f2711c2f77d512012-10-01T00:00:00Zhttp://esj.journals.ekb.eg/article_3797.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: A number of percutaneous techniques have been used in the management of lumbar disk herniation. Radiofrequency coablation is gaining popularity. Purpose: To define the safety and efficacy of radiofrequency Nucleoplasty in the management of contained lumbar disk herniation, to better define the indications and predictors of a good outcome and to report the clinical results. Study Design: A prospective cohort of patients with contained lumbar disk herniation that have failed conservative treatment will undergo radiofrequency Nucleoplasty. Material and Methods: Thirty four patients with contained lumbar disc herniation underwent radiofrequency Nucleoplasty. These were 23 males and 11 females. Mean age was 36.38 years. The L4/5 level was affected in 59% of patients and 15% had a double level disk herniation. Results: The follow up period was 12 months. This prospective evaluation demonstrated pain relief defined as 2 points or more relief in VAS, in 63% of the patients at 6 months and 50% of the patients at 1 year regarding back pain. Regarding leg pain, relief was in 92.6% of the patients at 6 months and 92.3% of the patients at 1 year. Conclusion: Percutaneous disc decompression using radiofrequency Coblation (Nucleoplasty) is a safe and effective procedure in alleviating discogenic leg pain mainly, with or without back pain. Inclusion criteria for Nucleoplasty have to include patients with contained disc prolapse who are only younger than 40 years old, whose pain has been present no longer than 9 months and are complaining of leg pain mainly. (2012ESJ026)Hossam TahaEgyptian Spine AssociationarticleNucleoplastyCoblationradiofrequencycontained disc herniationminimally invasiveNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 4, Iss 1, Pp 4-10 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Nucleoplasty Coblation radiofrequency contained disc herniation minimally invasive Neurology. Diseases of the nervous system RC346-429
spellingShingle	Nucleoplasty Coblation radiofrequency contained disc herniation minimally invasive Neurology. Diseases of the nervous system RC346-429 Hossam Taha Radiofrequency Nucleoplasty for Contained Lumbar Disc Herniation. A Prospective Cohort Clinical Case Study.
description	Background Data: A number of percutaneous techniques have been used in the management of lumbar disk herniation. Radiofrequency coablation is gaining popularity. Purpose: To define the safety and efficacy of radiofrequency Nucleoplasty in the management of contained lumbar disk herniation, to better define the indications and predictors of a good outcome and to report the clinical results. Study Design: A prospective cohort of patients with contained lumbar disk herniation that have failed conservative treatment will undergo radiofrequency Nucleoplasty. Material and Methods: Thirty four patients with contained lumbar disc herniation underwent radiofrequency Nucleoplasty. These were 23 males and 11 females. Mean age was 36.38 years. The L4/5 level was affected in 59% of patients and 15% had a double level disk herniation. Results: The follow up period was 12 months. This prospective evaluation demonstrated pain relief defined as 2 points or more relief in VAS, in 63% of the patients at 6 months and 50% of the patients at 1 year regarding back pain. Regarding leg pain, relief was in 92.6% of the patients at 6 months and 92.3% of the patients at 1 year. Conclusion: Percutaneous disc decompression using radiofrequency Coblation (Nucleoplasty) is a safe and effective procedure in alleviating discogenic leg pain mainly, with or without back pain. Inclusion criteria for Nucleoplasty have to include patients with contained disc prolapse who are only younger than 40 years old, whose pain has been present no longer than 9 months and are complaining of leg pain mainly. (2012ESJ026)
format	article
author	Hossam Taha
author_facet	Hossam Taha
author_sort	Hossam Taha
title	Radiofrequency Nucleoplasty for Contained Lumbar Disc Herniation. A Prospective Cohort Clinical Case Study.
title_short	Radiofrequency Nucleoplasty for Contained Lumbar Disc Herniation. A Prospective Cohort Clinical Case Study.
title_full	Radiofrequency Nucleoplasty for Contained Lumbar Disc Herniation. A Prospective Cohort Clinical Case Study.
title_fullStr	Radiofrequency Nucleoplasty for Contained Lumbar Disc Herniation. A Prospective Cohort Clinical Case Study.
title_full_unstemmed	Radiofrequency Nucleoplasty for Contained Lumbar Disc Herniation. A Prospective Cohort Clinical Case Study.
title_sort	radiofrequency nucleoplasty for contained lumbar disc herniation. a prospective cohort clinical case study.
publisher	Egyptian Spine Association
publishDate	2012
url	https://doaj.org/article/954c1f78c9ed4a01ab3f2711c2f77d51
work_keys_str_mv	AT hossamtaha radiofrequencynucleoplastyforcontainedlumbardischerniationaprospectivecohortclinicalcasestudy
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Radiofrequency Nucleoplasty for Contained Lumbar Disc Herniation. A Prospective Cohort Clinical Case Study.

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