Effectiveness of a New Navigable Percutaneous Disc Decompression Device (L'DISQ) in Patients with Lumbar Discogenic Pain

Sang Heon Lee, Richard Derby, Dong Geun Sul, Young Ki Hong, Kang Wook Ha, Dongwon Suh, Hyung Suk Yoon, Seung Han Yoo, Seok Jun Lee, Hyeun Jun Park, Yong Jin Jung, Jeong Eun Lee, Nack Hwan Kim

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

This study is a pilot study to assess the clinical outcomes of percutaneous disc decompression using the L'DISQ in patients with lumbar discogenic pain. Study Design: An institutional, prospective clinical data analysis. Methods: We ablated the torn annulus using L'DISQ on 20 patients with axial low back pain for at least 3 months (average 29 months) unresponsive to conservative management. Before the therapeutic procedure, all the patients had been diagnosed with lumbar discogenic pain through provocation discography, which had confirmed the level of painful discs. The torn annulus was identified through lumbosacral magnetic resonance image and computed tomographic discogram. Baseline data were prospectively gathered before the procedure and at 1, 4, 12, 24, and 48 weeks post-procedure. Data included pain intensity (visual analog scale [VAS]), measure of disability (Oswestry Disability Index [ODI] and Rolando-Morris Disability Questionnaire [RM]), and health-related quality of life (Bodily Pain Scale of Short Form-36 version 2 [SF-36 BP]). Results: At 48 weeks, the VAS fell from 7.55±1.28 to 3.60±2.28 scores, the ODI and RM had decreased significantly, and the SF-36 BP showed significant improvement (P<0.05). The success rates of procedure were 55.0% at 48 weeks. There were no complications with the exception of a minor venous bleeding at the site of needle puncture. Conclusions: The L'DISQ device is specifically designed to ablate adjacent disc tissue using a wand that can be navigated into a torn annulus. Following ablation, we measured clinically significant pain improvement and decreased disability for patients with axial low back pain.

Original languageEnglish
Pages (from-to)266-273
Number of pages8
JournalPain Medicine (United States)
Volume16
Issue number2
DOIs
Publication statusPublished - 2015 Feb 1

Fingerprint

Decompression
Pain
Equipment and Supplies
Low Back Pain
Pain Measurement
Visual Analog Scale
Punctures
Needles
Magnetic Resonance Spectroscopy
Quality of Life
Hemorrhage
Therapeutics

Keywords

  • Discogenic Pain
  • Low Back Pain
  • Percutaneous Decompression

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

Effectiveness of a New Navigable Percutaneous Disc Decompression Device (L'DISQ) in Patients with Lumbar Discogenic Pain. / Lee, Sang Heon; Derby, Richard; Sul, Dong Geun; Hong, Young Ki; Ha, Kang Wook; Suh, Dongwon; Yoon, Hyung Suk; Yoo, Seung Han; Lee, Seok Jun; Park, Hyeun Jun; Jung, Yong Jin; Lee, Jeong Eun; Kim, Nack Hwan.

In: Pain Medicine (United States), Vol. 16, No. 2, 01.02.2015, p. 266-273.

Research output: Contribution to journalArticle

Lee, SH, Derby, R, Sul, DG, Hong, YK, Ha, KW, Suh, D, Yoon, HS, Yoo, SH, Lee, SJ, Park, HJ, Jung, YJ, Lee, JE & Kim, NH 2015, 'Effectiveness of a New Navigable Percutaneous Disc Decompression Device (L'DISQ) in Patients with Lumbar Discogenic Pain', Pain Medicine (United States), vol. 16, no. 2, pp. 266-273. https://doi.org/10.1111/pme.12603
Lee, Sang Heon ; Derby, Richard ; Sul, Dong Geun ; Hong, Young Ki ; Ha, Kang Wook ; Suh, Dongwon ; Yoon, Hyung Suk ; Yoo, Seung Han ; Lee, Seok Jun ; Park, Hyeun Jun ; Jung, Yong Jin ; Lee, Jeong Eun ; Kim, Nack Hwan. / Effectiveness of a New Navigable Percutaneous Disc Decompression Device (L'DISQ) in Patients with Lumbar Discogenic Pain. In: Pain Medicine (United States). 2015 ; Vol. 16, No. 2. pp. 266-273.
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