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Lumbar Intradiscal Ozone Chemonucleolysis Applied Together with the Epidural Steroid Treatment
2021
Journal:  
Şişli Etfal Hastanesi Tıp Bülteni
Author:  
Abstract:

Objectives: Intradiscal ozone treatment is a minimally-invasive method that can be applied to patients who have low back pain and do not respond to conservative treatment. This retrospectively designed study aimed to evaluate its clinical efficacy, adverse effects, or complication rates. Methods: Patients with lumbar degenerative disc disease (LDDD) who underwent intradiscal O2-O3 treatment between January 2016 and April 2018 were included in the study. Pain and disability levels were assessed at pre-injection, 1-month and 1-year post-injection periods using visual analog scale (VAS) and Oswestry Disability Index (ODI), respectively. Results: A total of 520 patients (270 males and 250 females) with the mean age of 38.9±5.7 years included in the study. First-month and 1st-year post-injection VAS and ODI scores were significantly lower than pre-injection scores (p<0.001). Remarkable VAS score reduction (more than 50%) was found in 60.2% of patients at 1st month and in 52.9% of patients at the 1st year. No important side effects recorded. Conclusion: Intradiscal ozone therapy applied together with the epidural steroid treatment, one of the percutaneous application techniques for the treatment of low back pain related to LDDD, has successful outcomes, clinical efficacy, and low rate of side effects, and thus, is one of the methods that should be considered before surgery when appropriate patients.

Keywords:

Ozon Chemonucleolysis Within Applied Epidural Steroid
2021
Author:  
Abstract:

Interracial ozon therapy is a minimal invasive method that can be applied to patients with back pain and who do not respond to conservative treatment. This retrospective study aimed at evaluating clinical effectiveness, side effects and complication rates. The study included patients with lombal degenerative disk disease (LDDD) and intradiskal O2-O3 treatment between January 2016 and April 2018. Pain and work negligence levels were assessed using the Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) in pre-injection, post-injection, postoperative periods of one month and one year. A total of 520 patients (270 men and 250 women) with an average age of 38.9 ± 5.7 years were included in the study. The first month after the injection and the first year after the injection, the VAS and ODI scores were significantly lower than the pre-injection scores (p <0.001). A decrease in the VAS score (more than 50%) was found in 60.2 percent of patients in the first month and 52.9 percent of patients in the first year. No significant side effects were recorded. Results: Intradiskal ozon therapy, which is one of the techniques of application of percutaneous for the treatment of back pain associated with LDDD, in conjunction with epidural steroid therapy, has successful results, clinical effectiveness and low side effects. It is one of the methods that should be considered before surgery in appropriate patients. (SETB-2020-05-074)

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2021
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Şişli Etfal Hastanesi Tıp Bülteni

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

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Şişli Etfal Hastanesi Tıp Bülteni