Department of Physical Medicine and Rehabilitation, Korea University Medical Center, Seoul, South Korea.
Pain Med. 2011 Mar;12(3):370-6. doi: 10.1111/j.1526-4637.2011.01064.x. Epub 2011 Feb 18.
An institutional, prospective clinical data analysis.
To evaluate the safety and efficacy of a new navigable percutaneous disc decompression device (L'DISQ) in patients with lumbar disc herniation with radicular pain.
We performed disc decompressions using L'DISQ on 27 patients with persistent disabling back and leg pain for 1 month or longer (average 6.48 months) due to a herniated lumbar intervertebral disc. Baseline data were prospectively gathered before the index procedure and at 1, 4, 12, and 24 weeks post-procedure. Data included pain intensity (visual analog scale [VAS]), measure of disability (Oswestry Disability Index [ODI] and Rolando-Morris Questionnaire [RM]), health-related quality of life (Bodily Pain Scale of Short Form-36 version 2 [SF-36 BP]), and passive straight leg raising test (SLR).
The VAS fell from 7.08±1.22 to 1.84±0.99 scores at 24 weeks post-procedure. At 24 weeks, the ODI had fallen from 41.88±10.61 to 16.66±8.55% and the RM from 11.52±3.91 to 2.68±1.97 points. The SF-36 BP dropped significant improvement from 32.89±5.83 to 49.57±4.96 scales. In the SLR test, the angular change of 24 weeks showed considerable improvement from 60.20±20.02 to 83.00±14.29 degrees. No major complication occurred, although two cases developed a disc reherniation 1 month post-procedure.
The L'DISQ device is specifically designed to remove herniated disc using a wand that can be navigated into a disc protrusion or extrusion. Following decompression, we measured clinically significant pain improvement and decreased disability for patients with both radicular and axial pain caused by protruded and extruded discs.
机构前瞻性临床数据分析。
评估新型导航经皮椎间盘减压装置（L'DISQ）治疗伴有根性疼痛的腰椎间盘突出症患者的安全性和有效性。
我们对 27 例因腰椎间盘突出症导致持续 1 个月以上（平均 6.48 个月）严重腰痛和腿痛的患者使用 L'DISQ 进行椎间盘减压。在索引手术前、术后 1、4、12 和 24 周收集基线数据。数据包括疼痛强度（视觉模拟评分[VAS]）、残疾程度（Oswestry 残疾指数[ODI]和 Rolando-Morris 问卷[RM]）、健康相关生活质量（SF-36 版本 2 身体疼痛量表[SF-36 BP]）和被动直腿抬高试验（SLR）。
术后 24 周 VAS 从 7.08±1.22 降至 1.84±0.99。24 周时，ODI 从 41.88±10.61 降至 16.66±8.55%，RM 从 11.52±3.91 降至 2.68±1.97。SF-36 BP 显著改善，从 32.89±5.83 升至 49.57±4.96。在 SLR 测试中，24 周时的角度变化从 60.20±20.02 明显改善至 83.00±14.29 度。没有发生重大并发症，尽管有 2 例在术后 1 个月发生椎间盘再突出。
L'DISQ 装置专门用于使用可导航到椎间盘突出或脱出的魔杖去除椎间盘突出物。减压后，我们测量了患有突出和脱出椎间盘引起的根性和轴性疼痛的患者的临床显著疼痛改善和残疾程度降低。
