Department of Orthopedics, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen 361000, China.
The School of Clinical Medicine, Fujian Medical University, Fuzhou 350122, China.
Medicina (Kaunas). 2023 Jul 13;59(7):1291. doi: 10.3390/medicina59071291.
: Degenerative disk disease is a widespread chronic condition that causes diskogenic pain. Diskogenic pain can be treated with various therapy methods. Disc-FX is a revolutionary, minimally invasive, percutaneous nucleo-annuloplasty method that combines manual diskectomy with nuclear and annular remodeling using radiofrequency ablation to relieve diskogenic pain. In this study, the technical features, clinical outcomes, and complications of Disc-FX are summarized. : A comprehensive literature review was performed. By exploring several databases, we collected studies on Disc-FX for treating diskogenic pain. The outcomes included perioperative data, clinical results, and complications. : In the 15 studies included, data from 570 patients were collected. L4-L5 was the most frequently operated level, and most cases underwent single-level procedures. The follow-up period for these patients ranged from 2 months to 24 months. One study reported a procedure time between 35 and 60 min, whereas the remaining studies reported a procedure time of less than 30 min. The mean visual analog scale score decreased from 7.22 preoperatively to 1.81 at the final follow-up. The mean numerical rating scale score decreased from 6.98 preoperatively to 3.9 at the final follow-up. The mean Japanese Orthopaedic Association score improved from 16.26 preoperatively to 25.88 in the final follow-up. The mean Oswestry Disability Index score decreased from 35.37 preoperatively to 14.66 at the final follow-up. The mean satisfaction rate (based on the Macnab criteria) was 87.6% (range, 78.4-95.2%). The total incidence of postoperative transient pain was 8.77% (50/570) after nucleo-annuloplasty using Disc-FX, and recurrence was 1.58% (9/570). : According to our comprehensive evaluation, using percutaneous nucleo-annuloplasty for treating lumbar diskogenic diseases provided considerable pain alleviation and improved functional outcomes with fewer complications. Disc-FX is a safe and effective procedure that is a good treatment option for patients with diskogenic pain.
退行性椎间盘疾病是一种广泛存在的慢性疾病，可导致椎间盘源性疼痛。椎间盘源性疼痛可以通过各种治疗方法进行治疗。Disc-FX 是一种革命性的微创经皮核-环成形术方法，它结合了手动椎间盘切除术和使用射频消融的核和环重塑，以缓解椎间盘源性疼痛。在本研究中，总结了 Disc-FX 的技术特点、临床结果和并发症。
进行了全面的文献综述。通过探索几个数据库，我们收集了关于使用 Disc-FX 治疗椎间盘源性疼痛的研究。结果包括围手术期数据、临床结果和并发症。
在纳入的 15 项研究中，共收集了 570 名患者的数据。L4-L5 是最常进行手术的水平，大多数病例为单节段手术。这些患者的随访时间从 2 个月到 24 个月不等。一项研究报告手术时间在 35 至 60 分钟之间，而其余研究报告手术时间少于 30 分钟。术前视觉模拟评分从 7.22 降至最终随访时的 1.81。术前数字评分量表评分从 6.98 降至最终随访时的 3.9。最终随访时日本矫形协会评分从术前的 16.26 提高到 25.88。最终随访时 Oswestry 残疾指数评分从术前的 35.37 降至 14.66。基于 Macnab 标准的总体满意度（%）为 87.6%（范围为 78.4-95.2%）。使用 Disc-FX 进行核-环成形术后，总术后一过性疼痛发生率为 8.77%（50/570），复发率为 1.58%（9/570）。
根据我们的综合评估，使用经皮核-环成形术治疗腰椎椎间盘源性疾病可显著缓解疼痛，并改善功能结局，同时并发症较少。Disc-FX 是一种安全有效的手术方法，是椎间盘源性疼痛患者的一种较好的治疗选择。
