Trans-Sacral Epiduroscopic Laser Decompression for Symptomatic Lumbar Disc Herniation: A Preliminary Case Series

Photomedicine and Laser Surgery
Sung Ho LeeKang Taek Lim

Abstract

The purpose of this study was to investigate the effect of trans-sacral epiduroscopic laser decompression (SELD) in patients with a herniated lumbar disc. This prospective case series study was designed to determine the outcomes of SELD with regard to reducing pain and improving the functional status in patients with low back pain (LBP) and radiculopathy caused by definitive neural compression confirmed by MRI. A total of 250 patients with LBP and simultaneous radiculopathy underwent SELD by applying a Ho:YAG laser. Clinical outcomes were evaluated using the visual analogue scale (VAS) score for LBP, and radiculopathy and functional status were measured using the Oswestry Disability Index (ODI). At 2 weeks after the procedure, the average VAS score for leg pain decreased to 3.6 from 7.1 (p < 0.01), and the average VAS score for back pain decreased to 4.1 from 5.9 (p < 0.01). At 3 months, the average VAS scores for leg and back pain decreased to 2.6 and 2.7, respectively. The mean ODI improved from 50 to 19 at 2 weeks postoperatively and further decreased to 12 at 3 months postoperatively. The VAS score and ODI significantly improved after SELD in herniated nucleus pulposus (HNP) patients with LBP and radiculopathy. Postoperativ...Continue Reading

References

Jan 1, 1984·Neurosurgical Review·P W Ascher, F Heppner
Feb 26, 2010·World Journal of Urology·Markus J BaderOliver Reich
Oct 4, 2011·Neurosurgical Focus·Namath S Hussain, Mick J Perez-Cruet

❮ Previous
Next ❯

Citations

Jun 2, 2018·Expert Review of Medical Devices·Yong Ahn, Uhn Lee
Oct 5, 2019·Photobiomodulation, Photomedicine, and Laser Surgery·Yeonkyu YuMin Cheol Chang
Aug 29, 2018·Journal of Back and Musculoskeletal Rehabilitation·Aynur DemirelOzlem Ulger
Jun 23, 2020·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Seong SonWoo Kyung Kim
Feb 14, 2019·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Bong Ju MoonDong Ah Shin
May 14, 2020·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Jong Joo LeeDong Ah Shin

❮ Previous
Next ❯

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Assad Qureshi, Philip Sell
Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Jian WangBo Huang
Zhongguo gu shang = China journal of orthopaedics and traumatology
Shu-Wen LiYu-Peng Wang
© 2022 Meta ULC. All rights reserved