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Category: Scientific Publications

Intradiscal Thermal Therapy for Discogenic Low Back Pain

One of the most popular new spine treatments for chronic low back pain in the United States has taken medical communities by storm, in part due to pent up demand from patients suffering from chronic low back pain who have not responded to traditional treatment, and from pain management physicians who have seen the bad results of spine fusion as the accepted treatment for discogenic low back pain.

Percutaneous Endoscopic Lumbar Discectomy for Recurrent Disc Herniation

Study Design

A retrospective study of 43 consecutive patients who underwent percutaneous endoscopic lumbar discectomy for recurrent disc herniation.

Objectives

To evaluate the efficacy of endoscopic discectomy for recurrent disc herniations and to determine the prognostic factors affecting surgical outcome.

Summary of Background Data

Repeated open discectomy with or without fusion has been the most common procedure for a recurrent lumbar disc herniation. There have been no reports published on the feasibility and prognostic factors of the endoscopic discectomy for recurrent disc herniation.

Endoscopic Transforaminal Discectomy for Recurrent Lumbar Disc Herniation

Study Design

A prospective, cohort evaluation of 262 consecutive patients who underwent transforaminal endoscopic excision for recurrent lumbar disc herniation, after previous discectomy.

Objective

To review complications and results of the endoscopic transforaminal discectomy (ETD) for recurrent herniated disc with a 2-year follow-up.

Summary of Background Data

Recurrent herniation is a significant problem, as scar formation and progressive disc degeneration may lead to increased morbidity after traditional posterior reoperation. The studies published until now on recurrent disc herniation concern various operative techniques, mostly the lumbar microdiscectomy, which is still seen as the standard. The advantage of ETD could be that there is no need to go through the old scar tissue and the procedure can be performed in local anesthesia. The disadvantage may be a long learning curve for the surgeon.

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