Novel Intradiscal Biacuplasty (IDB) for the Treatment of Lumbar Discogenic Pain |
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Authors: | Leonardo Kapural,MD,PhD, Nagy Mekhail,MD,PhD |
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Affiliation: | Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, Ohio, U.S.A. |
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Abstract: | Abstract: Reported here is the treatment of severe axial discogenic pain in a young man utilizing the new minimally invasive transdiscal radiofrequency technique called intradiscal biacuplasty (Baylis Medical Inc., Montreal, Canada). The new procedure is detailed and step-by-step fluoroscopic imaging presented. There were no intra- and postoperative complications, and significant improvements in patient functional capacity, and pain scores were noted. Visual analog scale pain score decreased from 5 to 1 cm at 6-month follow-up, Oswestry disability scores improved from 14 (28% or moderate disability) to 6 points (12% or minimal disability) and SF-36-PF (physical function) score changed from 67 to 82. Potential advantages of cooled, bipolar radiofrequency to heat the posterior annulus are discussed. |
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Keywords: | radiofrequency annuloplasty intervertebral disc degenerative disc disease internal disc disruption discogenic pain intradiscal biacuplasty IDET |
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