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Pain Research and Management Volume 2018 ,2018-08-14
Transforaminal Epiduroscopic Basivertebral Nerve Laser Ablation for Chronic Low Back Pain Associated with Modic Changes: A Preliminary Open-Label Study
Research Article
Hyeun Sung Kim 1 Nitin Adsul 1 Farid Yudoyono 2 Byapak Paudel 1 Ki Joon Kim 1 Sung Ho Choi 1 Jeong Hoon Kim 1 Sung Kyun Chung 1 Jeong-Hoon Choi 1 Jee-Soo Jang 1 Il-Tae Jang 3 Seong-Hoon Oh 4
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DOI:10.1155/2018/6857983
Received 2017-12-05, accepted for publication 2018-07-24, Published 2018-07-24
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摘要

Background. Chronic low back pain (CLBP) arising from degenerative disc disease continues to be a challenging clinical and diagnostic problem whether treated with nonsurgical, pain intervention, or motion-preserving stabilization and arthrodesis. Methods. Fourteen patients with CLBP, greater than 6 months, unresponsive to at least 4 months of conservative care were enrolled. All patients were treated successfully following screening using MRI findings of Modic type I or II changes and positive confirmatory provocative discography to determine the affected levels. All patients underwent ablation of the basivertebral nerve (BVN) using 1414 nm Nd:YAG laser-assisted energy guided in a transforaminal epiduroscopic approach. Macnab’s criteria and visual analog scale (VAS) score were collected retrospectively at each follow-up interval. Results. The mean age was 46 ± 9.95 years. The mean symptoms duration was 21.21 ± 21.87 months. The mean follow-up was 15.3 ± 2.67 months. The preoperative VAS score of 7.79 ± 0.97 changed to 1.92 ± 1.38, postoperatively (P<0.01). As per Macnab’s criteria, seven patients (50%) had excellent, six patients (42.85%) had good, and one patient (7.14%) had fair outcomes. Conclusion. The transforaminal epiduroscopic basivertebral nerve laser ablation (TEBLA) appears to be a promising option in carefully selected patients with CLBP associated with the Modic changes.

授权许可

Copyright © 2018 Hyeun Sung Kim et al. 2018
This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

通讯作者

Nitin Adsul.Department of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of Korea, nanoori.co.kr.no1.nitinadsul@gmail.com

推荐引用方式

Hyeun Sung Kim,Nitin Adsul,Farid Yudoyono,Byapak Paudel,Ki Joon Kim,Sung Ho Choi,Jeong Hoon Kim,Sung Kyun Chung,Jeong-Hoon Choi,Jee-Soo Jang,Il-Tae Jang,Seong-Hoon Oh. Transforaminal Epiduroscopic Basivertebral Nerve Laser Ablation for Chronic Low Back Pain Associated with Modic Changes: A Preliminary Open-Label Study. Pain Research and Management ,Vol.2018(2018)

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