Korean J Anesthesiol Search


Korean J Anesthesiol > Volume 40(4); 2001 > Article
Korean Journal of Anesthesiology 2001;40(4):551-556.
DOI: https://doi.org/10.4097/kjae.2001.40.4.551   
Intradiscal Electrothermal Annuloplasty in Chronic Discogenic Low Back Pain.
Wan Soo Oh, Ho Jeong Kang, Kwang Min Kim
Pain Management Center, Department of Anesthesiology, College of Medicine, Hallym University, Seoul, Korea.
Chronic discogenic low back pain remains a difficult treatment challenge. Also, Internal disc derangement in the lumbar spine is a common yet difficult clinical condition to treat. The reported prevalence of chronic low back pain due to intrinsic disc mediated pain is at least 40%. Internal disc derangement has characteristics such as degeneration of the collagen of the disc annulus, fissures, global disc degeneration, and herniation with or without root compression. The common treatment for chronic discogenic low back pain has been conservative, including physical therapy and pharmacological management but the effectiveness remians controversial. Surgical fusion offers modest results at best, but often fails, and is associated with complications and postoperative continued pain. The intradiscal electrothermal annuloplasty has become known as a safe and effective treatment for patients suffering from discogenic pain and offers the advantage of potentially repairing the damaged disc while maintaining normal disc function. We applied a navigable catheter with a temperature controlled thermal resistive coil, deployed intradiscally through a percutaneous extrapedicular approach under two plane fluoroscopic guidance in chronic low back patients. The authors experienced two cases of chronic discogenic pain that had failed to respond to any kind of conservative treatment but which was successfully relieved by the intradiscal electrothermal annuloplasty.
Key Words: Pain: chronic low back pain; discogenic; Surgery: intradiscal electrothermal annuloplasty
Share :
Facebook Twitter Linked In Line it
METRICS Graph View
  • 0 Crossref
  • 774 View
  • 5 Download


Browse all articles >

Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail: journal@anesthesia.or.kr                

Copyright © 2022 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next