| Clinical Usefulness of Percutaneous Disc Coagulation Therapy (PDCT) in Eldery Patients |
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Jung Heon Lee , Woo Jin Choe , Young Il Chun , Chang Taek Moon , Sang Keun Chang , Young Cho Koh , Joon Cho |
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Department of Neurosurgery, Konkuk University School of Medicine, Seoul, Korea |
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| Abstract |
Objective
The objective of this study was to evaluate the effectiveness of percutaneous disc coagulation therapy (PDCT) for decompression of contained herniated discs, in retrospective, single site study that evaluated 25 patients with complaints of back pain.
Methods
The author retrospectively analyzed 25 patients who underwent PDCT in Konkuk University Hospital since January, 2009 to January, 2011. All the surgeries were done by one neurosurgeon, and all the patients are currently being followed in the outpatient ward. Clinical outcome was investigated the patients’ perioperative VAS, their VAS at 1 month and 6 months after operation, MacNab’s criteria, incidence of complication and their admission days were analyzed to evaluate the effectiveness of the surgery.
Results
Clinical outcome data was analyzed for 25 patients with contained disc herniation who underwent percutaneous disc decompression procedure using laser coagulation technology. Patients presented with clinical symptoms of discogenic low back pain and/or leg pain and were not considered candidates for open surgery. Patient gender distribution was 56% (14 patients) male, 44% (11 patients) female, with a mean age of 66 years, from 33 to 88 years. Pre-procedure and post-procedure VAS were 7.55 and 2.34. VAS score at post-procedure 1 month and 7momth were 2.25 and 1.74. During follow up period, VAS score was holded persistently. Also average hospitalization period was 2.55 days and 10 patients were discharged the operation day. There were no complications such as operative site pain, infection, etc.
Conclusion
Results indicate that PDCT may be a promising and efficacious minimally invasive procedure for the treatment of symptoms associated with contained herniated discs. |
| Key Words:
Herniated discㆍDiscogenic painㆍPDCT |
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