open access

Vol 50, No 1 (2016)
Original research articles
Submitted: 2015-07-17
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Plasma disc decompression compared to physiotherapy for symptomatic contained lumbar disc herniation: A prospective randomized controlled trial

Mehdi Nikoobakht, Mir Saeed Yekanineajd, Amir H. Pakpour, Peter C. Gerszten, Richard Kasch
DOI: 10.1016/j.pjnns.2015.11.001
·
Neurol Neurochir Pol 2016;50(1):24-30.

open access

Vol 50, No 1 (2016)
Original research articles
Submitted: 2015-07-17

Abstract

Introduction

To evaluate clinical outcomes with PDD as compared with patients who underwent to standard physiotherapy intervention.

Material and methods

One-hundred-seventy-seven randomly assigned patients with primarily radicular pain associated with a single-level lumbar contained disc herniation were enrolled. Participants received either PDD (89 patients) or conservative physiotherapy care (88 patients).

Results

Patients in the PDD group had significantly greater reduction in leg pain scores and significantly improved VAS (p<0.001), Oswestry Disability Index (p<0.05), and 36-Item Short Form, than those in the physiotherapy group at 12 months. On subset analysis, patients achieved even better outcomes after PPD who: were younger, had a shorter period of radiculopathy, of male gender, and lower BMI. Patients with subacute pain reported better outcomes than those with chronic pain in the PDD group.

Conclusions

Patient selection for PDD over physiotherapy favored younger patients who presented with a shorter period of pain symptoms and who had a more favorable body habitus.

Abstract

Introduction

To evaluate clinical outcomes with PDD as compared with patients who underwent to standard physiotherapy intervention.

Material and methods

One-hundred-seventy-seven randomly assigned patients with primarily radicular pain associated with a single-level lumbar contained disc herniation were enrolled. Participants received either PDD (89 patients) or conservative physiotherapy care (88 patients).

Results

Patients in the PDD group had significantly greater reduction in leg pain scores and significantly improved VAS (p<0.001), Oswestry Disability Index (p<0.05), and 36-Item Short Form, than those in the physiotherapy group at 12 months. On subset analysis, patients achieved even better outcomes after PPD who: were younger, had a shorter period of radiculopathy, of male gender, and lower BMI. Patients with subacute pain reported better outcomes than those with chronic pain in the PDD group.

Conclusions

Patient selection for PDD over physiotherapy favored younger patients who presented with a shorter period of pain symptoms and who had a more favorable body habitus.

Get Citation

Keywords

Contained disc herniation, Disc decompression, Low-back pain, Minimally invasive spine surgery, Plasma disc decompression

About this article
Title

Plasma disc decompression compared to physiotherapy for symptomatic contained lumbar disc herniation: A prospective randomized controlled trial

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 50, No 1 (2016)

Pages

24-30

DOI

10.1016/j.pjnns.2015.11.001

Bibliographic record

Neurol Neurochir Pol 2016;50(1):24-30.

Keywords

Contained disc herniation
Disc decompression
Low-back pain
Minimally invasive spine surgery
Plasma disc decompression

Authors

Mehdi Nikoobakht
Mir Saeed Yekanineajd
Amir H. Pakpour
Peter C. Gerszten
Richard Kasch

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