Format

Send to

Choose Destination
Pain Res Manag. 2018 Aug 14;2018:6857983. doi: 10.1155/2018/6857983. eCollection 2018.

Transforaminal Epiduroscopic Basivertebral Nerve Laser Ablation for Chronic Low Back Pain Associated with Modic Changes: A Preliminary Open-Label Study.

Author information

1
Department of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of Korea.
2
Department of Neurosurgery, Hasan Sadikin Hospital, College of Medicine, Universitas Padjadjaran, Bandung, Jawa Barat, Indonesia.
3
Department of Neurosurgery, Nanoori Hospital, Seoul, Republic of Korea.
4
Department of Neurosurgery, Nanoori Incheon Hospital, Incheon, Republic of Korea.

Abstract

Background:

Chronic low back pain (CLBP) arising from degenerative disc disease continues to be a challenging clinical and diagnostic problem whether treated with nonsurgical, pain intervention, or motion-preserving stabilization and arthrodesis.

Methods:

Fourteen patients with CLBP, greater than 6 months, unresponsive to at least 4 months of conservative care were enrolled. All patients were treated successfully following screening using MRI findings of Modic type I or II changes and positive confirmatory provocative discography to determine the affected levels. All patients underwent ablation of the basivertebral nerve (BVN) using 1414 nm Nd:YAG laser-assisted energy guided in a transforaminal epiduroscopic approach. Macnab's criteria and visual analog scale (VAS) score were collected retrospectively at each follow-up interval.

Results:

The mean age was 46 ± 9.95 years. The mean symptoms duration was 21.21 ± 21.87 months. The mean follow-up was 15.3 ± 2.67 months. The preoperative VAS score of 7.79 ± 0.97 changed to 1.92 ± 1.38, postoperatively (P < 0.01). As per Macnab's criteria, seven patients (50%) had excellent, six patients (42.85%) had good, and one patient (7.14%) had fair outcomes.

Conclusion:

The transforaminal epiduroscopic basivertebral nerve laser ablation (TEBLA) appears to be a promising option in carefully selected patients with CLBP associated with the Modic changes.

PMID:
30186540
PMCID:
PMC6112211
DOI:
10.1155/2018/6857983
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Hindawi Limited Icon for PubMed Central
Loading ...
Support Center