ISSN : 2146-3123
E-ISSN : 2146-3131

Effectiveness of Percutaneous Intradiscal Decompression Therapy in Thoracic Disc Herniation
Ayşegül Ceylan1, Güngör Enver Özgencil2, Burak Erken2, İbrahim Aşık2
1Department of Anaesthesiology and Reanimation, University of Health Sciences, Gülhane Training and Research Hospital, Ankara, Turkey
2Department of Anaesthesiology and Reanimation, Ankara University Faculty of Medicine Hospital, Ankara, Turkey
DOI : 10.4274/balkanmedj.2018.0188

Aims: Although there have been many studies about lomber and cervical ablation procedures, very few studies have been performed on the thoracic region. This is a study to evaluate the clinical results of percutaneous disc decompression device in patients with radicular symptoms and/or dorsal pain due to thoracic disc herniation.
Methods: Eleven patients with thoracic disc herniation and/or degenerative discs (all in T10-T11, or T11-T12 levels) who did not respond to conservative treatments were undergo ablation and compression procedure. Pain and radicular symptoms consistent with the thoracolumbar region were confirmed via abnormal magnetic resonans image findings after detailed anamnesis and physical examination. All patients were evaluated before and 1, 3, 6 and 12 months after treatment using the visual analoge scale score. The Patient Satisfaction Scale was used to evaluate the level of patient satisfaction at the end of the treatment at 12 months.
Results: Median visual analoge scale score was 7.00±0.45 points before treatment, and 2.73±0.65 points at 12 month post-procedure were statistically significant (p<0.001). The results of pairwise comparisons using the Bonferroni Corrected Wilcoxon Signed-Rank test showed that there were statistically significant differences. The mean visual analoge scale score at the beginning (7.00±0.45) was significantly higher than the mean score at the other months Postoperative improvement was significant with a 99% confidence interval. No complications that may cause permanent damage occured.
Conclusion: Our results suggest that the percutaneous disc decompression is an effective and safe procedure for the treatment of pain caused by low thoracic intervertebral disc disease which did not respond to conservative treatments.

Keywords : Percutaneous, the navigable percutaneous disc decompression device thoracic disc herniation
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