dc.contributor.author | Kircelli, Atilla | |
dc.contributor.author | Coven, Ilker | |
dc.contributor.author | Cansever, Tufan | |
dc.contributor.author | Sonmez, Erkin | |
dc.contributor.author | Yilmaz, Cem | |
dc.date.accessioned | 2019-06-11T16:46:25Z | |
dc.date.available | 2019-06-11T16:46:25Z | |
dc.date.issued | 2017 | |
dc.identifier.issn | 1019-5149 | |
dc.identifier.uri | http://turkishneurosurgery.org.tr/pdf/pdf_JTN_1883.pdf | |
dc.identifier.uri | http://hdl.handle.net/11727/3470 | |
dc.description.abstract | AIM: Intervertebral disc degeneration can cause severe low back pain. Intradiscal electrothermal therapy (IDET) is a minimally invasive treatment option for patients with symptomatic internal disc disruption unresponsive to conservative medical care. We aimed to evaluate 12-month pain and functional outcomes and predictors of clinical success in patients with discogenic back pain treated with IDET with respect to the Dallas Discogram Scale (DDS).
MATERIAL and METHODS: This was a retrospective analysis of patients undergoing IDET for low back pain from 2009 through 2014 at Baskent University, Department of Neurosurgery. A total number of 120 consecutive patients data were collected retrospectively. The degree of disc degeneration was graded using the DDS during discography, and the presence of a high intensity zone (HIZ) on magnetic resonance (MR) imaging was noted. The primary outcome measure was assessment of back pain severity based on the Visual Analogue Scale (VAS); function was assessed by the Oswestry Disability Index (ODI). Follow-up examinations for ODI and VAS scores were assessed at 1, 6, and 12 months post-treatment. Outcomes were discussed with respect to morphological changes in intervertebral discs on discogram.
RESULTS: There was an average 57.39% and 47.16% improvement in VAS and ODI scores, respectively, between pretreatment and 12 months follow-up (p<0.0001 for both comparisons). Predictors of 12-month clinical success was depended on DDS (p< 0.0001), a HIZ on MR imaging (p<0.0001).
CONCLUSION: Durable clinical improvements can be realized after IDET in select surgical candidates with mild disc degeneration and HIZ, discography, and low-grade DDS, with more effective treatment results. | en_US |
dc.language.iso | eng | en_US |
dc.relation.isversionof | 10.5137/1019-5149.JTN.16572-15.1 | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Intradiscal electrothermal therapy | en_US |
dc.subject | Discogenic back pain | en_US |
dc.subject | Dallas discogram | en_US |
dc.subject | High intensity zone | en_US |
dc.title | Patient Selection and Efficacy of Intradiscal Electrothermal Therapy with Respect to the Dallas Discogram Score | en_US |
dc.type | article | en_US |
dc.relation.journal | TURKISH NEUROSURGERY | en_US |
dc.identifier.volume | 27 | en_US |
dc.identifier.issue | 4 | en_US |
dc.identifier.startpage | 623 | en_US |
dc.identifier.endpage | 630 | en_US |
dc.identifier.wos | 000406170300018 | en_US |
dc.identifier.scopus | 2-s2.0-85021320898 | en_US |
dc.contributor.pubmedID | 27593796 | en_US |
dc.contributor.orcID | 0000-0002-2353-8044 | en_US |
dc.contributor.orcID | 0000-0002-5693-3542 | en_US |
dc.contributor.orcID | 0000-0003-2109-1274 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi | en_US |
dc.contributor.researcherID | AAK-2948-2021 | en_US |
dc.contributor.researcherID | AAI-8820-2021 | en_US |