Efficacy of lumbar discectomy, radiofrequency ablation and annuloplusty performed with Disc-FX system under guidance of C-arm in treatment of discogenic low back pain
10.3760/cma.j.issn.0254-1416.2013.04.010
- VernacularTitle:C型臂引导下Disc-FX双极射频系统行髓核摘除术、射频消融术和纤维环成形术治疗椎间盘源性腰痛的效果
- Author:
Jun WANG
;
Xuening ZHANG
;
Qinglai XIA
;
Baosen ZHENG
;
Kemei SHI
;
Wenting MA
;
Jingzhi LIU
- Publication Type:Journal Article
- Keywords:
Tomography,X-ray;
Low back pain;
Diskectomy;
Catheter ablation
- From:
Chinese Journal of Anesthesiology
2013;(4):430-432
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of lumbar discectomy,radiofrequency ablation and annuloplusty performed with Disc-FX system under the guidance of C-arm in treatment of discogenic low back pain.Methods Twenty-eight patients with discogenic low back pain,with VAS score greater than 7,aged 27-73 yr,underwent lumbar discectomy,radiofrequency ablation and annuloplusty performed using Disc-FX system under the guidance of C-arm.The patients were followed up for 2 months after surgery and pain was assessed using VAS score.VAS scores were recorded before surgery,and at 7 and 14 days and 1 and 2 months after surgery.The effective analgesia was recorded according to VAS scores.The therapeutic effect was evaluated according to Macnab standard 2 months after surgery.Results VAS scores were significantly lower at each time point after surgery than before surgery (P ＜ 0.05).The rate of effective analgesia was 93 % at 2 months after surgery.The excellent and good rate of the therapeutic effect evaluated was 93 %.One female patient developed injury to lumbar venous plexus,and no patients developed infection of intervertebral disk,nerve root injury or spinal cord injury.Conclusion The excellent and good rate is 93 % when lumbar discectomy,radiofrequency ablation and annuloplusty performed using Disc-FX system is used for treatment of discogenic low back pain under the guidance of C-arm,with fewer side effects.
