A nonoperative spinal decompression system combined with foramen injections to treat lumbar intervertebral disc herniation
10.3760/cma.j.issn.0254-1424.2018.12.012
- VernacularTitle:非手术脊柱减压联合椎间孔注射治疗腰椎间盘突出症的疗效观察
- Author:
Rong TAO
1
;
Jing WANG
;
Lingjie XIA
;
Haiqin LI
;
Lin LIU
;
Songhe MA
Author Information
1. 河南省人民医院(郑州大学人民医院)疼痛科
- Keywords:
Lumbar disc herniation;
Spinal decompression systems;
Foramen;
Inflammation;
Pain
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2018;40(12):923-927
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy and safety of non-surgical spinal decompression com-bined with intervertebral foramen injection in the treatment of lumbar intervertebral disc herniation. Methods Nine-ty-six patients were randomly divided into a control group, a decompression group, an injection group and a combined group. All of the subjects were given loxoprofen sodium and chestnut seed extract. The decompression group was trea-ted with non-operative spinal decompression. The injection group received intervertebral foramen injections. The com-bined group received both treatments. Pain perceptions, quality of life perceptions and lumbar dysfunction were ob-served before the treatment, and 2 days, 1 month, 6 months and 12 months afterward. Results There were no sig-nificant differences among the groups in average pain perceptions quantified using a visual analogue scale ( VAS) be-fore the treatment. The average scores on a 36-item short-form health survey, the Oswestry disability index and a Jap-anese Orthopedic Association instrument also were not significantly different. All of those indicators had improved sig-nificantly in the decompression, injection and combined groups at 1, 6 and 12 months after the treatment, but the combined group′s average indicators were all significantly better than the other groups′ averages at the same time points. All of the significant improvements in the combined group′s averages occurred in the first month after the com-bined treatment. Conclusion Non-operative spinal decompression has a synergistic effect with intervertebral fora-men injection in treating patients with lumbar disc herniation. Their combined effect is better than either treatment a-lone. Their combined effect is lasting, safe and has few complication risks. It is worthy of clinical application.
