Cargando…

Percutaneous laser disc decompression for thoracic disc disease: report of 10 cases

Background: Discogenic pain or herniation causing neural impingement of the thoracic vertebrae is less common than that in the cervical or lumbar regions. Treatment of thoracic discogenic pain usually involves conservative measures. If this fails, conventional fusion or discectomy can be considered,...

Descripción completa

Detalles Bibliográficos
Autores principales: Haufe, Scott M.W., Mork, Anthony R., Pyne, Morgan, Baker, Ryan A.
Formato: Texto
Lenguaje:English
Publicado: Ivyspring International Publisher 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2880844/
https://www.ncbi.nlm.nih.gov/pubmed/20567616
_version_ 1782182056016478208
author Haufe, Scott M.W.
Mork, Anthony R.
Pyne, Morgan
Baker, Ryan A.
author_facet Haufe, Scott M.W.
Mork, Anthony R.
Pyne, Morgan
Baker, Ryan A.
author_sort Haufe, Scott M.W.
collection PubMed
description Background: Discogenic pain or herniation causing neural impingement of the thoracic vertebrae is less common than that in the cervical or lumbar regions. Treatment of thoracic discogenic pain usually involves conservative measures. If this fails, conventional fusion or discectomy can be considered, but these procedures carry significant risk. Objectives: To assess the efficacy and safety of percutaneous laser disc decompression (PLDD) for the treatment of thoracic disc disease. Methods: Ten patients with thoracic discogenic pain who were unresponsive to conservative intervention underwent the PLDD procedure. Thoracic pain was assessed using the Visual Analog Scale (VAS) scores preoperatively and at 6-month intervals with a minimum of 18-months follow-up. Patients were diagnosed and chosen for enrollment based on abnormal MRI findings and positive provocative discograms. Patients with gross herniations were not included. Results: Length of follow-up ranged from 18 to 31 months (mean: 24.2 mo). Median pretreatment thoracic VAS score was 8.5 (range: 5-10) and median VAS score at final follow-up was 3.8 (range: 0-9). Postoperative improvement was significant with a 99% confidence interval. Of interest, patients generally fell into two groups, those with significant pain reduction and those with little to no improvement. Although complications such as pneumothorax, discitis, or nerve damage were possible, no adverse events occurred during the procedures. Limitations: The study is limited by its small size and lack of a sham group. Larger controlled studies are warranted. Conclusions: With further clinical evidence, PLDD could be considered a viable option with a low risk of complication for the treatment of thoracic discogenic pain that does not resolve with conservative treatment.
format Text
id pubmed-2880844
institution National Center for Biotechnology Information
language English
publishDate 2010
publisher Ivyspring International Publisher
record_format MEDLINE/PubMed
spelling pubmed-28808442010-06-21 Percutaneous laser disc decompression for thoracic disc disease: report of 10 cases Haufe, Scott M.W. Mork, Anthony R. Pyne, Morgan Baker, Ryan A. Int J Med Sci Research Paper Background: Discogenic pain or herniation causing neural impingement of the thoracic vertebrae is less common than that in the cervical or lumbar regions. Treatment of thoracic discogenic pain usually involves conservative measures. If this fails, conventional fusion or discectomy can be considered, but these procedures carry significant risk. Objectives: To assess the efficacy and safety of percutaneous laser disc decompression (PLDD) for the treatment of thoracic disc disease. Methods: Ten patients with thoracic discogenic pain who were unresponsive to conservative intervention underwent the PLDD procedure. Thoracic pain was assessed using the Visual Analog Scale (VAS) scores preoperatively and at 6-month intervals with a minimum of 18-months follow-up. Patients were diagnosed and chosen for enrollment based on abnormal MRI findings and positive provocative discograms. Patients with gross herniations were not included. Results: Length of follow-up ranged from 18 to 31 months (mean: 24.2 mo). Median pretreatment thoracic VAS score was 8.5 (range: 5-10) and median VAS score at final follow-up was 3.8 (range: 0-9). Postoperative improvement was significant with a 99% confidence interval. Of interest, patients generally fell into two groups, those with significant pain reduction and those with little to no improvement. Although complications such as pneumothorax, discitis, or nerve damage were possible, no adverse events occurred during the procedures. Limitations: The study is limited by its small size and lack of a sham group. Larger controlled studies are warranted. Conclusions: With further clinical evidence, PLDD could be considered a viable option with a low risk of complication for the treatment of thoracic discogenic pain that does not resolve with conservative treatment. Ivyspring International Publisher 2010-06-01 /pmc/articles/PMC2880844/ /pubmed/20567616 Text en © Ivyspring International Publisher. This is an open-access article distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Reproduction is permitted for personal, noncommercial use, provided that the article is in whole, unmodified, and properly cited.
spellingShingle Research Paper
Haufe, Scott M.W.
Mork, Anthony R.
Pyne, Morgan
Baker, Ryan A.
Percutaneous laser disc decompression for thoracic disc disease: report of 10 cases
title Percutaneous laser disc decompression for thoracic disc disease: report of 10 cases
title_full Percutaneous laser disc decompression for thoracic disc disease: report of 10 cases
title_fullStr Percutaneous laser disc decompression for thoracic disc disease: report of 10 cases
title_full_unstemmed Percutaneous laser disc decompression for thoracic disc disease: report of 10 cases
title_short Percutaneous laser disc decompression for thoracic disc disease: report of 10 cases
title_sort percutaneous laser disc decompression for thoracic disc disease: report of 10 cases
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2880844/
https://www.ncbi.nlm.nih.gov/pubmed/20567616
work_keys_str_mv AT haufescottmw percutaneouslaserdiscdecompressionforthoracicdiscdiseasereportof10cases
AT morkanthonyr percutaneouslaserdiscdecompressionforthoracicdiscdiseasereportof10cases
AT pynemorgan percutaneouslaserdiscdecompressionforthoracicdiscdiseasereportof10cases
AT bakerryana percutaneouslaserdiscdecompressionforthoracicdiscdiseasereportof10cases