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Safety and Effectiveness of Transforaminal Epiduroscopic Laser Ablation in Single Level Disc Disease: A Case-Control Study
DC Field | Value | Language |
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dc.contributor.author | 신동아 | - |
dc.date.accessioned | 2019-09-20T07:25:12Z | - |
dc.date.available | 2019-09-20T07:25:12Z | - |
dc.date.issued | 2018 | - |
dc.identifier.issn | 1533-3159 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/170884 | - |
dc.description.abstract | BACKGROUND: The non-operative treatment of herniated intervertebral discs has long been a fundamental challenge. A novel technique of laser ablation to ablate the nucleus pulposus under a transforaminal epiduroscope (TELA system, Lutronics, Seoul, Republic of Korea) was recently developed. OBJECTIVE: The purpose of this study was to evaluate the safety and effectiveness of transforaminal epiduroscopic laser ablation (TELA) for selective ablation of the nucleus pulposus in single-level disc disease. STUDY DESIGN: Prospective case control studySETTING: Multicenter studyMETHODS: This study included a group of 56 patients who underwent transforaminal epiduroscopic laser ablation (TELA) and 56 patients who underwent selective transforaminal epidural block (STEB) for single-level disc disease. Visual analog scale (VAS), Oswestry Disability Index (ODI), and SF-12 were assessed at admission and at 1, 3, 6, and 12 months postoperatively. RESULTS: The mean VAS of back pain was lower for the TELA group than for the STEB group 12 months postoperative (P < 0.05). The mean ODI was lower in the TELA group than in the STEB group at 12 months postoperatively (P < 0.05). There were no major complications related to the TELA and STEB procedures. LIMITATIONS: The primary limitation is a small sample size. The control group was created from a database which was prospectively collected in a different time line. CONCLUSIONS: The TELA procedure is superior to the STEB procedure in terms of patients reporting less pain and better quality of life over a year. TELA may be a reasonable alternative to conventional interventions or open surgery in single-level disc disease. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | American Society of Interventional Pain Physicians | - |
dc.relation.isPartOf | Pain Physician | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Back Pain/etiology | - |
dc.subject.MESH | Back Pain/surgery | - |
dc.subject.MESH | Case-Control Studies | - |
dc.subject.MESH | Decompression, Surgical/methods | - |
dc.subject.MESH | Endoscopy/methods | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Intervertebral Disc Degeneration/complications | - |
dc.subject.MESH | Intervertebral Disc Degeneration/surgery* | - |
dc.subject.MESH | Intervertebral Disc Displacement/complications | - |
dc.subject.MESH | Intervertebral Disc Displacement/surgery* | - |
dc.subject.MESH | Laser Therapy/adverse effects | - |
dc.subject.MESH | Laser Therapy/instrumentation | - |
dc.subject.MESH | Laser Therapy/methods* | - |
dc.subject.MESH | Lasers, Solid-State | - |
dc.subject.MESH | Lumbar Vertebrae/surgery | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Neurosurgical Procedures | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Quality of Life | - |
dc.subject.MESH | Republic of Korea | - |
dc.title | Safety and Effectiveness of Transforaminal Epiduroscopic Laser Ablation in Single Level Disc Disease: A Case-Control Study | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학교실) | - |
dc.contributor.googleauthor | Gyu Yeol Ji | - |
dc.contributor.googleauthor | Jongsun Lee | - |
dc.contributor.googleauthor | Sang Won Lee | - |
dc.contributor.googleauthor | Bo Young Cho | - |
dc.contributor.googleauthor | Dong Won Ha | - |
dc.contributor.googleauthor | Young Mok Park | - |
dc.contributor.googleauthor | Dong Ah Shin | - |
dc.contributor.localId | A02092 | - |
dc.relation.journalcode | J02460 | - |
dc.identifier.eissn | 2150-1149 | - |
dc.identifier.pmid | 30508995 | - |
dc.subject.keyword | Laser-assisted spinal endoscopy | - |
dc.subject.keyword | disc decompression | - |
dc.subject.keyword | Nd:YAG laser | - |
dc.subject.keyword | laser ablation | - |
dc.subject.keyword | intervertebral disc disease | - |
dc.subject.keyword | lumbar spine | - |
dc.contributor.alternativeName | Shin, Dong A | - |
dc.contributor.affiliatedAuthor | 신동아 | - |
dc.citation.volume | 21 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | E643 | - |
dc.citation.endPage | E650 | - |
dc.identifier.bibliographicCitation | Pain Physician, Vol.21(6) : E643-E650, 2018 | - |
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