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Transforaminal Epiduroscopic Basivertebral Nerve Laser Ablation for Chronic Low Back Pain Associated with Modic Changes: A Preliminary Open-Label Study
- Source :
- Pain Research & Management, Pain Research and Management, Vol 2018 (2018)
- Publication Year :
- 2018
- Publisher :
- Hindawi Limited, 2018.
-
Abstract
- 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.
- Subjects :
- Adult
Epidural Space
Male
medicine.medical_specialty
Article Subject
Visual analogue scale
medicine.medical_treatment
Arthrodesis
Degenerative disc disease
03 medical and health sciences
0302 clinical medicine
Open label study
medicine
Humans
Pain Measurement
lcsh:R5-920
030222 orthopedics
Lumbar Vertebrae
medicine.diagnostic_test
business.industry
Magnetic resonance imaging
Modic changes
Middle Aged
medicine.disease
Ablation
Magnetic Resonance Imaging
Surgery
Chronic low back pain
Treatment Outcome
Anesthesiology and Pain Medicine
Neurology
Female
Laser Therapy
Chronic Pain
lcsh:Medicine (General)
business
Low Back Pain
030217 neurology & neurosurgery
Follow-Up Studies
Research Article
Subjects
Details
- ISSN :
- 19181523 and 12036765
- Volume :
- 2018
- Database :
- OpenAIRE
- Journal :
- Pain Research and Management
- Accession number :
- edsair.doi.dedup.....e2a41860fc2bdfb8d499837755dfaf39