Journal of Spine & NeurosurgeryISSN: 2325-9701

Research Article, J Spine Neurosurg Vol: 4 Issue: 2

Effectiveness of Manual and Radiofrequency Assisted Posterolateral Microtubular Decompressive Nucleotomy (Disc-Fx) in Patients with Chronic Discogenic Low Back Pain

Shamov AT1*, Rousseff RT2, Ivanov I3, Al-Hadjiu W1 and Eftimov T3
1Consultant Neurosurgeon, Armed forces hospital “Jaber Al Ahmed”, city, Kuwait
2Department of clinical neurophysiology, Ibn Sina hospital-city, Kuwait
3Department of Neurosurgery Military Medical Academy-Sofia, Bulgaria
Corresponding author : Todor Shamov
Consultant Neurosurgeon, Armed forces hospital “Jaber Al Ahmed”, city, Kuwait
Tel: +965 658 98 192, +359 898 667 552
E-mail: [email protected]
Received: November 03, 2014 Accepted: December 19, 2014 Published: December 24, 2014
Citation: Shamov A, Rousseff RT, Ivanov I, Al-Hadjiu W, Eftimov T, et al. (2014) Effectiveness of Manual and Radiofrequency - Assisted Posterolateral Microtubular Decompressive Nucleotomy (Disc-Fx) in Patients with Chronic Discogenic Low Back Pain. J Spine Neurosurg 4:2 doi:10.4172/2325-9701.1000181

Abstract

Effectiveness of Manual and Radiofrequency – Assisted Posterolateral Microtubular Decompressive Nucleotomy (Disc-Fx) in Patients with Chronic Discogenic Low Back Pain

Objective: To evaluate the effectiveness of manual and radiofrequencyassisted posterolateral Microtubular decompressive nucleotomy (Disc-FX) in patients with chronic discogenic low back pain (CDLBP).

Material and Methods: Fifty-eight patients diagnosed with CDLBP were divided into two groups: twenty-eight patients were operated by Disc- FX and thirty patients (control group) were treated conservatively. The pain- determined disability in both groups was assessed over 6 months by Oswestry Low Back Pain Disability Questionnaire (OLBPDQ).

Results: Statistically significant differences between the two patient groups were observed on the first week after the intervention (31.2 SD ± 8.8 versus 37.7 SD ± 14.8, p=0.049), on the first month (24.2 SD ± 6.4 versus 31.6 SD ± 11.1, ?=0.003) and on the third month (12.2 SD ± 5.7 versus 17.4 SD ± 9.2, ?=0.013). There was not statistically significant difference between the two groups on the sixth month.

Conclusion: Our study confirms the short-term effectiveness of Disc-Fx procedure in patients with chronic low back pain. Further studies on its longterm results seem appropriate.

Keywords: Chronic discogenic low back pain; Disc-FX, Automated percutaneusnucleotomy; Nucleoplasty; Annuloplasty; Radiofrequency intradiscal procedures; Discography

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