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Successful Treatment of Lumbar Discogenic Pain Using Intradiscal Biacuplasty in Previously Discectomized Disc
Authors:Leonardo Kapural,MD,PhD,   Juan P. Cata,MD,   Samer Narouze,MD
Affiliation:Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, Ohio, U.S.A.
Abstract:Discogenic back pain is frequently present in patients after discectomy. Here, we describe a case of young woman, previously discectomized, who was treated by a novel annuloplasty procedure, intradiscal biacuplasty (IDB). The improvement in functional capacity and pain scores were profound 12 months after the IDB. Visual analog pain scores (0–10) changed from 5 to 3. Oswestry scale showed functional improvement from 52%, or severe disability, to 14%, or minimal disability, and the SF-36 physical function scale score changed from 55 to 95. IDB may be an effective treatment for patients with discogenic pain from previously discectomized discs.
Keywords:radiofrequency annuloplasty    intervertebral disc    degenerative disc disease    internal disc disruption    discogenic pain    intradiscal biacuplasty    IDET
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