Naslov
Intradiscal Biacuplasty (IDB) for the treatment of Thoracic Discogenic Pain

Autori
Kapural, Leonardo ; Šakić, Katarina ; Boutwell, Kaylea Boutwell

Izvornik
Clinical journal of pain (0749-8047) 26 (2010), 4; 354-357

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
radiofrequency annuloplasty; intervertebral disc; degenerative disc disease; internal disc disruption; thoracic discogenic pain; intradiscal biacuplasty; IDET

Sažetak
Discogenic pain in the thoracic region is a challenging condition characterized by refractoriness to conservative treatments. Unlike lumbar discogenic pain there is a lack of effective surgical options. Reported here is the treatment of thoracic discogenic pain in 3 patients using a new minimally invasive procedure named intradiscal biacuplasty. The procedure is detailed and step-by-step fluoroscopic imaging is presented. No intraoperative and postoperative complications were reported. Improvements in functional capacity and pain scores were noted in 2 patients. Visual analog scale pain scores changed from 10 to 2 cm and 7 to 3 cm in 2 patients who claimed improvements at 12 months follow-up. In patient 1 visual analog scale went from 7 to 8 cm claiming no improvements after the procedure. In patients 1 and 3, Oswestry improved from 24 to 8 and 10 points, respectively, and SF-36 physical function score changed from 55 to 80 and 45 to 82, respectively. The patient 2 showed no improvements with Oswestry (28 to 32) and SF-36 physical function score (50 to 45) at 12 months after intradiscal biacuplasty. Patient 1 stopped using his oxycodone/acetaminophen 5/325mg that he used previously at 6 tablets a day, patient 3 decreased use of his duragesic patch from 75 mg/h to 25 mg/h.Patient 2 continued with significant use of opioids (100 mg/h of transdermal fentanyl). Cooled, bipolar radiofrequency may be an effective and readily available treatment for thoracic discogenic pain if future comparison studies show benefits of such procedure.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA