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Plasma disc decompression compared to physiotherapy for symptomatic contained lumbar disc herniation: A prospective randomized controlled trial
Affiliations- Department of Neurosurgery, Iran University of Medical Sciences, Tehran
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran
- Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
- Department of Public Health, Qazvin University of Medical Sciences, Qazvin
- Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh
- Clinic and Outpatient Clinic for Orthopedics and Orthopedic Surgery, University Medicine Greifswald, Greifswald, Germany
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Abstract
To evaluate clinical outcomes with PDD as compared with patients who underwent to standard physiotherapy intervention.
Material and methodsOne-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).
ResultsPatients 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.
ConclusionsPatient 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
To evaluate clinical outcomes with PDD as compared with patients who underwent to standard physiotherapy intervention.
Material and methodsOne-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).
ResultsPatients 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.
ConclusionsPatient 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.
Keywords
Contained disc herniation, Disc decompression, Low-back pain, Minimally invasive spine surgery, Plasma disc decompression
About this articleTitle
Plasma disc decompression compared to physiotherapy for symptomatic contained lumbar disc herniation: A prospective randomized controlled trial
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
24-30
Page views
722
Article views/downloads
1183
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
