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Keywords:
Outcomes, Inflammation, Hernia, Treatment effects, Technical aspects, Outcomes analysis, Percutaneous, CT, Musculoskeletal spine, Interventional non-vascular
Authors:
G. Michelini, L. Sacchetti, C. Marsecano, M. Perri, A. Gennarelli, V. Felli, A. Splendiani, M. Gallucci, C. Masciocchi; L'Aquila/IT
DOI:
10.1594/ecr2015/C-1818
Aims and objectives
About 80% of adults suffer from low back or leg pain during their lifetime1.
In primary care,
4% of patients with this condition have a lumbar disk herniation2,
with L5 and S1 nerve roots involved in approximately 95% of cases3-4.
However the herniated portion of the disk tends to regress with time,
after conservative therapy,
with partial or complete resolution in two thirds of cases after 11 months5.
Oxygen-ozone(O2-O3) discolysis is a good alternative to surgical treatment for lumbar disk herniation for patients failing to respond to conservative treatment,
with a successful percentage of 70- 80% without complications6-7.
The basic principle of action of intradiscal injection of oxygen-ozone(O2-O3) mixture,
is the reduction of proteoglicans8,
consequent dehydration and shrinkage of the disk.
M.
Muto et al9 and Gallucci et al10 in their experience of sciatica treatment due to discovertebral pathology report results of pain reduction,
respectively in 18 and 6 months of follow-up between 74 and 75%.
However,
no study has been published on the possible relationship between the various types of discovertebral pathology and response to oxygen-ozone therapy.
Therefore in our prospective analysis we aim to evaluate the different responses to the treatment of different discovertebral pathologies.