Target-oriented Percutaneous Lumbar Annuloplasty in Ambulatory Spine Center: Proctorship Description of Technique
Objective To describe an alternative technique of annuloplasty for treatment of chronic discogenic back pain in an ambulatory setting. Methods A retrospective review of all patients presenting with chronic discogenic low back pain and managed by target-oriented thermal annuloplasty at our institute...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Minimally Invasive Spine Surgery Society
2022-10-01
|
| Series: | Journal of Minimally Invasive Spine Surgery and Technique |
| Subjects: | |
| Online Access: | http://www.jmisst.org/upload/pdf/jmisst-2022-00500.pdf |
| _version_ | 1828062697931931648 |
|---|---|
| author | Sagar B Sharma Jung-Hoon Kim Jin-Sung Kim |
| author_facet | Sagar B Sharma Jung-Hoon Kim Jin-Sung Kim |
| author_sort | Sagar B Sharma |
| collection | DOAJ |
| description | Objective To describe an alternative technique of annuloplasty for treatment of chronic discogenic back pain in an ambulatory setting. Methods A retrospective review of all patients presenting with chronic discogenic low back pain and managed by target-oriented thermal annuloplasty at our institute from May 2015 to June 2019 was performed. The procedure is carried out under local anaesthesia in prone position. The principle of the technique relies on dividing the posterior annulus into nine equal segments on AP-view of the C-arm. The trajectory is through the Kambin’s triangle in a horizontal trajectory as much as possible to target the posterior part of the disc annulus. Each of the nine segments is treated with radio-frequency probe to produce disc alterations required to relieve the pain. Results A total of 9 patients were treated by this method with an average follow-up of 28.1±11.4 months. The average VAS improved from 4.1±1.2 to 2.5±0.4 at final follow-up. The ODI improved from 42±6.7 to 19.98±5.6. None of the patients had any complications. The patient satisfaction rate was 82%, the rate of return to daily life was 100% and recommendation rate to others was 100%. Conclusion Target-oriented lumbar percutaneous nine point annuloplasty may be considered as a viable option for chronic discogenic back pain patients with relatively well-maintained disc heights. A successful outcome depends upon proper patient selection and correct trajectory. |
| first_indexed | 2024-04-10T22:31:01Z |
| format | Article |
| id | doaj.art-bd1d47532cd54a26a5c6490ccfd8848f |
| institution | Directory Open Access Journal |
| issn | 2508-2043 |
| language | English |
| last_indexed | 2024-04-10T22:31:01Z |
| publishDate | 2022-10-01 |
| publisher | Korean Minimally Invasive Spine Surgery Society |
| record_format | Article |
| series | Journal of Minimally Invasive Spine Surgery and Technique |
| spelling | doaj.art-bd1d47532cd54a26a5c6490ccfd8848f2023-01-17T04:46:10ZengKorean Minimally Invasive Spine Surgery SocietyJournal of Minimally Invasive Spine Surgery and Technique2508-20432022-10-017226627310.21182/jmisst.2022.00500157Target-oriented Percutaneous Lumbar Annuloplasty in Ambulatory Spine Center: Proctorship Description of TechniqueSagar B Sharma0Jung-Hoon Kim1Jin-Sung Kim2 Department of Orthopaedics, Smt. Shardaben Municipal General Hospital, Ahmedabad, India Department of Neurosurgery, The Catholic University of Korea, Seoul St. Mary’s Hospital, Seoul, Korea Department of Neurosurgery, The Catholic University of Korea, Seoul St. Mary’s Hospital, Seoul, KoreaObjective To describe an alternative technique of annuloplasty for treatment of chronic discogenic back pain in an ambulatory setting. Methods A retrospective review of all patients presenting with chronic discogenic low back pain and managed by target-oriented thermal annuloplasty at our institute from May 2015 to June 2019 was performed. The procedure is carried out under local anaesthesia in prone position. The principle of the technique relies on dividing the posterior annulus into nine equal segments on AP-view of the C-arm. The trajectory is through the Kambin’s triangle in a horizontal trajectory as much as possible to target the posterior part of the disc annulus. Each of the nine segments is treated with radio-frequency probe to produce disc alterations required to relieve the pain. Results A total of 9 patients were treated by this method with an average follow-up of 28.1±11.4 months. The average VAS improved from 4.1±1.2 to 2.5±0.4 at final follow-up. The ODI improved from 42±6.7 to 19.98±5.6. None of the patients had any complications. The patient satisfaction rate was 82%, the rate of return to daily life was 100% and recommendation rate to others was 100%. Conclusion Target-oriented lumbar percutaneous nine point annuloplasty may be considered as a viable option for chronic discogenic back pain patients with relatively well-maintained disc heights. A successful outcome depends upon proper patient selection and correct trajectory.http://www.jmisst.org/upload/pdf/jmisst-2022-00500.pdflow back painradiofrequency ablationintervertebral disc degenerationintervertebral disc displacement |
| spellingShingle | Sagar B Sharma Jung-Hoon Kim Jin-Sung Kim Target-oriented Percutaneous Lumbar Annuloplasty in Ambulatory Spine Center: Proctorship Description of Technique Journal of Minimally Invasive Spine Surgery and Technique low back pain radiofrequency ablation intervertebral disc degeneration intervertebral disc displacement |
| title | Target-oriented Percutaneous Lumbar Annuloplasty in Ambulatory Spine Center: Proctorship Description of Technique |
| title_full | Target-oriented Percutaneous Lumbar Annuloplasty in Ambulatory Spine Center: Proctorship Description of Technique |
| title_fullStr | Target-oriented Percutaneous Lumbar Annuloplasty in Ambulatory Spine Center: Proctorship Description of Technique |
| title_full_unstemmed | Target-oriented Percutaneous Lumbar Annuloplasty in Ambulatory Spine Center: Proctorship Description of Technique |
| title_short | Target-oriented Percutaneous Lumbar Annuloplasty in Ambulatory Spine Center: Proctorship Description of Technique |
| title_sort | target oriented percutaneous lumbar annuloplasty in ambulatory spine center proctorship description of technique |
| topic | low back pain radiofrequency ablation intervertebral disc degeneration intervertebral disc displacement |
| url | http://www.jmisst.org/upload/pdf/jmisst-2022-00500.pdf |
| work_keys_str_mv | AT sagarbsharma targetorientedpercutaneouslumbarannuloplastyinambulatoryspinecenterproctorshipdescriptionoftechnique AT junghoonkim targetorientedpercutaneouslumbarannuloplastyinambulatoryspinecenterproctorshipdescriptionoftechnique AT jinsungkim targetorientedpercutaneouslumbarannuloplastyinambulatoryspinecenterproctorshipdescriptionoftechnique |