Top

International Orthopaedics

Published in:

01-04-2018 | Original Paper

Comprehensive comparison of therapeutic efficacy of radiofrequency target disc decompression and nucleoplasty for lumbar disc herniation: a five year follow-up

Authors: Hui-yong Nie, Ya-bin Qi, Na Li, Suo-liang Wang, Yong-xiao Cao

Published in: International Orthopaedics | Issue 4/2018

Abstract

Purpose

To compare the therapeutic efficacy of radiofrequency target disc decompression(TDD) and nucleoplasty for lumbar disc herniation.

Methods

Two hundred sixty patients with lumbar disc herniation were divided into two groups: target disc decompression group (group T, n = 147) and nucleoplasty group (group N, n = 113). Visual analogue scale (VAS) and functional rating index (FRI) were measured at one, three, six, 12, 24, and 60 months after the surgery. Hospitalization time, operation time, complications, and recurrence/invalid were compared between the two groups.

Results

Compared with the pre-operation, the VAS and FRI in both groups were significantly decreased in post-operation(P < 0.01). The VAS and FRI in group T have no significant difference compared to those in group N. The hospitalization and operation time of group T were significantly longer than those in group N. There was no significant difference of the occurrence of complications and disease recurrence/invalid during the follow-up between the two groups. Logstic regression analysis showed that operation time was an independent factor in the prognosis. Operation time affects the treatment effect. Shorter operation time leads to better therapeutic efficacy, and longer operation time leads to poor therapeutic efficacy.

Conclusions

Both TDD and nucleoplasty can reduce pain in patients with lumbar disc herniation and improve quality of life. Group N had shorter hospitalization and operation time than group T.

Lew S, Mehalic T, Fagone K (2001) Transforaminal percutaneous endoscopic discectomy in the treatment of far-lateral and foraminal lumbar disc herniations. J Neurosurg 94(2 Suppl):216–220. https://doi.org/10.3171/spi.2001.94.2.0216 PubMed

Annen M, Peterson C, Leemann S et al (2016) Comparison of outcomes in MRI confirmed lumbar disc herniation patients with and without modic changes treated with high velocity, low amplitude spinal manipulation. J Manip Physiol Ther 39(3):200–209. https://doi.org/10.1016/j.jmpt.2016.02.012 CrossRef

Pan Z, Ha Y, Yi S et al (2016) Efficacy of transforaminal endoscopic spine system (TESSYS) technique in treating lumbar disc herniation. Med Sci Monit 22:530–539. https://doi.org/10.12659/MSM.894870 CrossRefPubMedPubMedCentral

Shin JS, Lee J, Lee YJ et al (1976) Long-term course of alternative and integrative therapy for lumbar disc herniation and risk factors for surgery: a prospective observational 5-year follow-up study. Spine 41(16):955–963. https://doi.org/10.1097/BRS.0000000000001494 CrossRef

Hong J, Ball PA (2016) Images in clinical medicine. Resolution of lumbar disk herniation without surgery. N Engl J Med 374(16):1564. https://doi.org/10.1056/NEJMicm1511194 CrossRefPubMed

Mamuti M, Fan S, Liu J et al (1976) Mini-open anterior lumbar interbody fusion for recurrent lumbar disc herniation following posterior instrumentation. Spine 41(18):1104–1114. https://doi.org/10.1097/BRS.0000000000001569 CrossRef

Du J, Tang X, Jing X, Li N, Wang Y, Zhang X (2016) Outcomes of percutaneous endoscopic lumbar discectomy via a translaminar approach, especially for soft, highly down-migrated lumbar disc herniation. Int Orthop 40(6):1247–1252. https://doi.org/10.1007/s00264-016-3177-4 CrossRefPubMed

Zhang D, Zhang Y, Wang Z, Zhang X, Sheng M (2015) Target radiofrequency combined with collagenase chemonucleolysis in the treatment of lumbar intervertebral disc herniation. Int J Clin Exp Med 8(1):526–532PubMedPubMedCentral

Dabo X, Ziqiang C, Yinchuan Z et al (2016) The clinical results of percutaneous endoscopic interlaminar discectomy (peid) in the treatment of calcified lumbar disc herniation: a case-control study. Pain Physician. 19(2):69–76PubMed

10.

Leon JF, Ortiz JG, Fonseca EO, Martinez CR, Cuellar GO (2016) Radiofrequency neurolysis for lumbar pain using a variation of the original technique. Pain Physician. 19(3):155–161PubMed

11.

Perri M, Grattacaso G, Di Tunno V et al (2015) MRI DWI/ADC signal predicts shrinkage of lumbar disc herniation after O2-O3 discolysis. Neuroradiol J 28(2):198–204. https://doi.org/10.1177/1971400915576658 CrossRefPubMedPubMedCentral

12.

Adakli B, Cakar Turhan KS, Asik I (2015) The comparison of the efficacy of radiofrequency nucleoplasty and targeted disc decompression in lumbar radiculopathy. Bosn J Basic Med Sci 15(2):57–61. 10.17305/bjbms.2015.427 CrossRefPubMedPubMedCentral

13.

Stienen MN, Joswig H, Smoll NR et al (2016) Short- and long-term effects of smoking on pain and health-related quality of life after non-instrumented lumbar spine surgery. Clin Neurol Neurosurg 142:87–92. https://doi.org/10.1016/j.clineuro.2016.01.024 CrossRefPubMed

14.

Martins DE, Astur N, Kanas M, Ferretti M, Lenza M, Wajchenberg M (2016) Quality assessment of systematic reviews for surgical treatment of low back pain: an overview. Spine J 16(5):667–675. https://doi.org/10.1016/j.spinee.2016.01.185 CrossRefPubMed

15.

Feise RJ, Michael Menke J (1976) Functional rating index: a new valid and reliable instrument to measure the magnitude of clinical change in spinal conditions. Spine 26(1):78–86. https://doi.org/10.1097/00007632-200101010-00015 CrossRef

16.

Kapural L, Vrooman B, Sarwar S et al (2015) Radiofrequency intradiscal biacuplasty for treatment of discogenic lower back pain: a 12-month follow-up. Pain Med 16(3):425–431. https://doi.org/10.1111/pme.12595 CrossRefPubMed

17.

Moon BJ, Lee HY, Kim KN et al (2015) Experimental evaluation of percutaneous lumbar laser disc decompression using a 1414 nm Nd:YAG laser. Pain Physician 18(6):E1091–E1099PubMed

18.

Beyaz SG, Inanmaz ME, Zengin ES, Ulgen AM (2016) Combined use of high radiofrequency disk ablation, annulus modulation, and manual nucleotomy in a patient with extruded disk herniation. Pain Pract 16(5):74–80. https://doi.org/10.1111/papr.12426 CrossRef

19.

Hellinger S (2014) Treatment of contained lumbar disc herniations using radiofrequency assisted micro-tubular decompression and nucleotomy: four year prospective study results. Int J Spine Surg 8:24. 10.14444/1024 CrossRefPubMedCentral

20.

Manchikanti L, Falco FJ, Benyamin RM et al (2013) An update of the systematic assessment of mechanical lumbar disc decompression with nucleoplasty. Pain Physician 16(2 Suppl):SE25–SE54PubMed

21.

Ogbonnaya S, Kaliaperumal C, Qassim A, O’Sullivan M (2013) Outcome of nucleoplasty in patients with radicular pain due to lumbar intervertebral disc herniation. J Nat Sci Biol Med 4(1):187–190. https://doi.org/10.4103/0976-9668.107288 CrossRefPubMedPubMedCentral

Title: Comprehensive comparison of therapeutic efficacy of radiofrequency target disc decompression and nucleoplasty for lumbar disc herniation: a five year follow-up
Authors: Hui-yong Nie
Ya-bin Qi
Na Li
Suo-liang Wang
Yong-xiao Cao
Publication date: 01-04-2018
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 4/2018
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-017-3661-5

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Comprehensive comparison of therapeutic efficacy of radiofrequency target disc decompression and nucleoplasty for lumbar disc herniation: a five year follow-up

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 4/2018

Bone morphogenic protein-2 use in revision total hip arthroplasty with acetabular defects

Cyclic mechanical stretch enhances BMP9-induced osteogenic differentiation of mesenchymal stem cells

Pulseless supracondylar humeral fractures in children: vascular complications in a ten year series

Anatomical reconstruction to treat acromion fractures following reverse shoulder arthroplasty

A retrospective study on the relationship between altered native acetabular angle and vertical implant malpositioning

Reconstruction for chronic Achilles tendinopathy: comparison of flexor hallucis longus (FHL) transfer versus V-Y advancement