Article Sidebar

pdf
Date Published: 14/07/2024
Abstract Views: 586
Views pdf: 196
DOI: https://doi.org/10.51298/vmj.v540i2.10327
Issue
Vol. 540 No. 2 (2024)
Section
Các bài báo
How to Cite
Đỗ, M. H., & Nguyễn, H. L. (2024). RESULTS OF CHRONIC LOW BACK PAIN TREATMENT CAUSED BY LUMBAR DISC DEGENERATION THROUGH INTRADISCAL ELECTROTHERMAL THERAPY AT VIET DUC HOSPITAL. Vietnam Medical Journal, 540(2). https://doi.org/10.51298/vmj.v540i2.10327

RESULTS OF CHRONIC LOW BACK PAIN TREATMENT CAUSED BY LUMBAR DISC DEGENERATION THROUGH INTRADISCAL ELECTROTHERMAL THERAPY AT VIET DUC HOSPITAL

Mạnh Hùng Đỗ, Hoàng Long Nguyễn

Main Article Content

Abstract

Objectives: To evaluate the outcomes of treating chronic low back pain caused by disc degeneration using intradiscal electrothermal therapy (IDET). Objects and Methods: A prospective longitudinal descriptive study was conducted on 34 patients with chronic low back pain due to disc degeneration treated with intradiscal electrothermal therapy at Viet Duc Hospital from January 2017 to December 2019. Results: Among the 34 patients studied, the male-to-female ratio was 1.6:1, with a mean age of 37.5±9.1 years. All patients experienced lumbar spine pain, with 50% experiencing radiating pain down the legs along nerve roots, and none experiencing bilateral leg weakness. According to Pfirrman classification on MRI, most patients had moderate disc degeneration, with the L4-L5 disc level being the most affected (66.7%). The most common site of annular tear was the lateral side (61.5%), and the majority of patients (85.3%) had only one affected disc level. The average surgical duration was 36 ± 17.6 minutes, with only 7 patients experiencing postoperative soreness at the site. The average hospital stay was 2 days for the majority (64.7%) of patients. Both VAS and ODI scores showed significant improvement postoperatively with p<0.001. Conclusion: Intradiscal electrothermal therapy (IDET) is a minimally invasive intervention for treating chronic low back pain caused by disc degeneration, known for its relatively safe profile with few complications.

Article Details

Keywords

lumbar disc herniation, chronic low back pain, intradiscal electrothermal therapy

References

1. Bộ Y tế (2016), Hướng dẫn chẩn đoán và điều trị các bệnh cơ xương khớp, Nhà xuất bản Y học, Hà Nội
2. Pai S, Sundaram LJ. Low back pain: an economic assessment in the United States. Orthopedic Clinics of Noth America. 2004;35(1):1-5.
3. Zhang Y gang, Gou T mao, Guo X, Wu S xun. Clinical diagnosis for discogenic low back pain. Int J Biol Sci. 2009:647-658.
4. Kloth DS, Fenton DS, Andersson GBJ, Block JE. Intradiscal electrothermal therapy (IDET) for treatment of discogenic low back pain: Patient selection and indications for use. Pain Physician:10.
5. Haid RW, Dickman CA. Instrumentation and fusion for discogenic disease of lumbosacral spine. Neurosurg Chin N Am. 1993;4(1): 135-148
6. Schwartzer AC, Aprill CN, Derby R, Fortin J, Kine G, Bogduk N. The prevalence and clinical features of internal disc disruption in patients with chronic low back pain. Spine. 1995;20:1878–1883.
7. Hsi-Kai Tsou, Shao-Ching Chao, Ting-Hsien Kao. Intradiscal electrothermal therapy in the treatment of chronic low back pain: Experience with 93 patients. Surg Neurol Int. 2010; 1;37.
8. Si-Young Park, Seong-Hwan Moon, Moon Soo Park. Intradiscal electrothermal treatment for chronic lower back pain patients with internal disc disruption. Yonsei Med J. 2005 Aug 31; 46(4): 539-545.
9. Saal JS, Saal JA. Management of chronic discogenic low back pain with a thermal intradiscal catheter: a preliminary report. Spine. 2000;25:382–8. [PubMed] [Google Scholar]
10. Shah RV, Lutz GE, Lee J, Doty SB, Rodeo S. Intradiscal electrothermal therapy: a preliminary histologic study. Arch Phys Med Rehabil. 2001;82:1230–7. [PubMed] [Google Scholar]