지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Objective : This is prospective study of clinical outcomes of percutaneous plasma disc coagulation Therapy (PDCT) in patients with herniated lumbar disc disease (HLD) to evaluate the safety and efficacy in its clinical application and usefulness as a reliable alternative to microscopic discectomy. Methods : Forty-six patients were enrolled in this study from April 2006 to June 2010. All patients had one-level HLD. Disc degeneration was graded on routine T2-weighted magnetic resonance Image (MRI) using the Pfirrmann's grading system and all index levels were grade 3 and grade 4. Indications for surgery were radiculopathy caused by disc protrusion with soft consistency. MRI was done at one month after the procedure in all patients to check post-PDCT change. The clinical outcomes were evaluated using Visual Analog Scales (VAS) score and MacNab's criteria. Results : This study was approved by the Institutional Review Board of our institution. The age of the study population ranged from 16 to 59 years with a mean age of 37.2 years. There were 29 males and 17 females in this study. The mean period of clinical follow-up was 21 months. The average preoperative VAS score for radiculopathy was $7.4{\pm}1.4$, while the final follow-up VAS score was $1.4{\pm}0.7$ (p<0.001). In MacNab's criteria, 41 patients (89.1%) had achieved favorable improvement (excellent and good) until later follow-up. There were one patient from infection and two patients who needed to convert to open discectomy. Conclusion : PDCT is a safe and efficient treatment modality in a selective patient with HLD.
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참고문헌 (32)
참고문헌 신청
Bhagia SM / 2006 / Side effects and complications after percutaneous disc decompression using coblation technology / Am J Phys Med Rehabil 85:6~13
Bonaldi G / 2003 / Automated percutaneous lumbar discectomy : technique, indications and clinical follow-up in over 1000 patients / Neuroradiology 45:735~743
Buenaventura RM / 2009 / Systematic review of therapeutic lumbar transforaminal epidural steroid injections / Pain Physician 12:233~251
Castro WH / 1993 / Changes in the lumbar intervertebral disk following use of the Holmium-Yag laser--a biomechanical study / Z Orthop Ihre Grenzgeb 131:610~614
Cesaroni A / 2010 / Plasma disc decompression for contained cervical disc herniation : a randomized, controlled trial / Eur Spine J 19:477~486
Bonaldi G / 2003 / Automated percutaneous lumbar discectomy : technique, indications and clinical follow-up in over 1000 patients / Neuroradiology 45:735~743
Buenaventura RM / 2009 / Systematic review of therapeutic lumbar transforaminal epidural steroid injections / Pain Physician 12:233~251
Castro WH / 1993 / Changes in the lumbar intervertebral disk following use of the Holmium-Yag laser--a biomechanical study / Z Orthop Ihre Grenzgeb 131:610~614
Cesaroni A / 2010 / Plasma disc decompression for contained cervical disc herniation : a randomized, controlled trial / Eur Spine J 19:477~486
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