Kapural Leonardo, Cata Juan P, Narouze Samer
Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Pain Pract. 2009 Mar-Apr;9(2):130-4. doi: 10.1111/j.1533-2500.2009.00261.x. Epub 2009 Feb 5.
Discogenic back pain is frequently present in patients after discectomy. Here, we describe a case of young woman, previously discectomized, who was treated by a novel annuloplasty procedure, intradiscal biacuplasty (IDB). The improvement in functional capacity and pain scores were profound 12 months after the IDB. Visual analog pain scores (0-10) changed from 5 to 3. Oswestry scale showed functional improvement from 52%, or severe disability, to 14%, or minimal disability, and the SF-36 physical function scale score changed from 55 to 95. IDB may be an effective treatment for patients with discogenic pain from previously discectomized discs.
椎间盘源性背痛在椎间盘切除术后的患者中很常见。在此，我们描述了一例曾接受椎间盘切除术的年轻女性患者，她接受了一种新型的纤维环成形术——椎间盘内双极射频成形术（IDB）治疗。IDB治疗12个月后，功能能力和疼痛评分有显著改善。视觉模拟疼痛评分（0 - 10分）从5分降至3分。Oswestry功能障碍指数显示功能改善，从严重残疾的52%提升至轻度残疾的14%，并且SF - 36身体功能量表评分从55分变为95分。IDB可能是治疗既往已行椎间盘切除术的椎间盘源性疼痛患者的一种有效方法。
