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A New Role for Epidurography: A Simple Method for Assessing the Adequacy of Decompression during Percutaneous Plasma Disc Decompression

Percutaneous plasma disc decompression (PPDD) is a minimally invasive treatment for discogenic low back pain and herniated disc-related symptoms. However, there are no known outcome predictive variables during the procedure. The purpose of this study was to evaluate and validate epidurography as an...

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Autores principales: Gil, Ho Young, Seo, Wonseok, Choi, Gyu Bin, Ha, Eunji, Kim, Taekwang, Ryu, Jungyul, Kim, Jae Hyung, Choi, Jong Bum
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9741216/
https://www.ncbi.nlm.nih.gov/pubmed/36498718
http://dx.doi.org/10.3390/jcm11237144
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author Gil, Ho Young
Seo, Wonseok
Choi, Gyu Bin
Ha, Eunji
Kim, Taekwang
Ryu, Jungyul
Kim, Jae Hyung
Choi, Jong Bum
author_facet Gil, Ho Young
Seo, Wonseok
Choi, Gyu Bin
Ha, Eunji
Kim, Taekwang
Ryu, Jungyul
Kim, Jae Hyung
Choi, Jong Bum
author_sort Gil, Ho Young
collection PubMed
description Percutaneous plasma disc decompression (PPDD) is a minimally invasive treatment for discogenic low back pain and herniated disc-related symptoms. However, there are no known outcome predictive variables during the procedure. The purpose of this study was to evaluate and validate epidurography as an intra-procedure outcome predictor. We retrospectively enrolled 60 consecutive patients who did not respond to conventional treatments. In the next stage of treatment, PPDD was performed, and the epidurography was conducted before and after the PPDD. We analyzed the relationship between epidurographic improvement and the success rate. The Numerical Rating Scale and the Oswestry Disability Index were used to assess pain and functional capacity, respectively, before the procedure and 1 month after the procedure. The pain reduction and the success rate in the epidurographic improvement group were significantly higher than in the epidurographic non-improvement group. Both the Numerical Rating Scale and the Oswestry Disability Index scores were significantly reduced in both groups, but there was no significant difference in Oswestry Disability Index scores. This study’s results showed that PPDD is an effective treatment method. We also suggested that epidurography may be a potential outcome predictor for ensuring successful outcomes and determining the endpoint of the procedure.
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spelling pubmed-97412162022-12-11 A New Role for Epidurography: A Simple Method for Assessing the Adequacy of Decompression during Percutaneous Plasma Disc Decompression Gil, Ho Young Seo, Wonseok Choi, Gyu Bin Ha, Eunji Kim, Taekwang Ryu, Jungyul Kim, Jae Hyung Choi, Jong Bum J Clin Med Article Percutaneous plasma disc decompression (PPDD) is a minimally invasive treatment for discogenic low back pain and herniated disc-related symptoms. However, there are no known outcome predictive variables during the procedure. The purpose of this study was to evaluate and validate epidurography as an intra-procedure outcome predictor. We retrospectively enrolled 60 consecutive patients who did not respond to conventional treatments. In the next stage of treatment, PPDD was performed, and the epidurography was conducted before and after the PPDD. We analyzed the relationship between epidurographic improvement and the success rate. The Numerical Rating Scale and the Oswestry Disability Index were used to assess pain and functional capacity, respectively, before the procedure and 1 month after the procedure. The pain reduction and the success rate in the epidurographic improvement group were significantly higher than in the epidurographic non-improvement group. Both the Numerical Rating Scale and the Oswestry Disability Index scores were significantly reduced in both groups, but there was no significant difference in Oswestry Disability Index scores. This study’s results showed that PPDD is an effective treatment method. We also suggested that epidurography may be a potential outcome predictor for ensuring successful outcomes and determining the endpoint of the procedure. MDPI 2022-12-01 /pmc/articles/PMC9741216/ /pubmed/36498718 http://dx.doi.org/10.3390/jcm11237144 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gil, Ho Young
Seo, Wonseok
Choi, Gyu Bin
Ha, Eunji
Kim, Taekwang
Ryu, Jungyul
Kim, Jae Hyung
Choi, Jong Bum
A New Role for Epidurography: A Simple Method for Assessing the Adequacy of Decompression during Percutaneous Plasma Disc Decompression
title A New Role for Epidurography: A Simple Method for Assessing the Adequacy of Decompression during Percutaneous Plasma Disc Decompression
title_full A New Role for Epidurography: A Simple Method for Assessing the Adequacy of Decompression during Percutaneous Plasma Disc Decompression
title_fullStr A New Role for Epidurography: A Simple Method for Assessing the Adequacy of Decompression during Percutaneous Plasma Disc Decompression
title_full_unstemmed A New Role for Epidurography: A Simple Method for Assessing the Adequacy of Decompression during Percutaneous Plasma Disc Decompression
title_short A New Role for Epidurography: A Simple Method for Assessing the Adequacy of Decompression during Percutaneous Plasma Disc Decompression
title_sort new role for epidurography: a simple method for assessing the adequacy of decompression during percutaneous plasma disc decompression
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9741216/
https://www.ncbi.nlm.nih.gov/pubmed/36498718
http://dx.doi.org/10.3390/jcm11237144
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