Transforaminal Epiduroscopic Basivertebral Nerve Laser Ablation for Chronic Low Back Pain Associated with Modic Changes: A Preliminary Open-Label Study
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...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2018/6857983 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Hyeun Sung Kim |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-756d6c30ec5e4b98ab8b19fde956f333 |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-756d6c30ec5e4b98ab8b19fde956f3332025-02-03T06:11:25ZengWileyPain Research and Management1203-67651918-15232018-01-01201810.1155/2018/68579836857983Transforaminal Epiduroscopic Basivertebral Nerve Laser Ablation for Chronic Low Back Pain Associated with Modic Changes: A Preliminary Open-Label StudyHyeun Sung Kim0Nitin Adsul1Farid Yudoyono2Byapak Paudel3Ki Joon Kim4Sung Ho Choi5Jeong Hoon Kim6Sung Kyun Chung7Jeong-Hoon Choi8Jee-Soo Jang9Il-Tae Jang10Seong-Hoon Oh11Department of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of KoreaDepartment of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of KoreaDepartment of Neurosurgery, Hasan Sadikin Hospital, College of Medicine, Universitas Padjadjaran, Bandung, Jawa Barat, IndonesiaDepartment of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of KoreaDepartment of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of KoreaDepartment of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of KoreaDepartment of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of KoreaDepartment of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of KoreaDepartment of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of KoreaDepartment of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of KoreaDepartment of Neurosurgery, Nanoori Hospital, Seoul, Republic of KoreaDepartment of Neurosurgery, Nanoori Incheon Hospital, Incheon, Republic of KoreaBackground. 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.http://dx.doi.org/10.1155/2018/6857983 |
| spellingShingle | 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 |
| title | Transforaminal Epiduroscopic Basivertebral Nerve Laser Ablation for Chronic Low Back Pain Associated with Modic Changes: A Preliminary Open-Label Study |
| title_full | Transforaminal Epiduroscopic Basivertebral Nerve Laser Ablation for Chronic Low Back Pain Associated with Modic Changes: A Preliminary Open-Label Study |
| title_fullStr | Transforaminal Epiduroscopic Basivertebral Nerve Laser Ablation for Chronic Low Back Pain Associated with Modic Changes: A Preliminary Open-Label Study |
| title_full_unstemmed | Transforaminal Epiduroscopic Basivertebral Nerve Laser Ablation for Chronic Low Back Pain Associated with Modic Changes: A Preliminary Open-Label Study |
| title_short | Transforaminal Epiduroscopic Basivertebral Nerve Laser Ablation for Chronic Low Back Pain Associated with Modic Changes: A Preliminary Open-Label Study |
| title_sort | transforaminal epiduroscopic basivertebral nerve laser ablation for chronic low back pain associated with modic changes a preliminary open label study |
| url | http://dx.doi.org/10.1155/2018/6857983 |
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