Clinical and imaging selection criteria treating lumbar disc herniations by oxygen-ozone therapy, corticosteroid and local anaesthetic.
DOI:
https://doi.org/10.7203/jo3t.4.5.2020.18124Parole chiave:
lumbar pain, herniated disk, oxygen-ozone therapy, fluoro- and CT-guidance, selection criteriaAbstract
Radicular lumbar back pain is an important public health problem not already provided with a unequivocal treatment approach. Medical and physical therapies represent the first solution, however when these are not successful, the second therapeutic step is still controversial and mini-invasive treatment may play an important role. In these cases oxygen-ozone therapy has been proved to be a very safe and effective option that is widely used with different modalities. This paper, by reviewing oxygen-ozone therapy literature data, aims to propose an effective procedural technique and to clarify patient’s selection criteria; furthermore complications and follow-up management are also considered.Downloads
Riferimenti bibliografici
DeOliveira Magalhaes F, Dotta L, Sasse A, Teixeira MJ, Fonoff ET. Ozone Therapy as a Treatment for Low Back Pain Secondary to Herniated Disc: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Pain Physician. 2012 Mar-Apr;15(2):E115-E129.
Apuzzo D, Giotti C, Pasqualetti C, Ferrazza P, Soldati P, Zucco G. An observational retrospective/horizontal study to compare oxygen-ozone therapy and/or global postural re-education in complicated chronic low back pain. Funct Neurol. 2014 Jan-Mar; 29(1):31-39.
Crockett MT, Moynagh M, Long N, Kilcoyne A, Dicker P, Synnott K, Eustace SJ. Ozone-augmented percutaneous discectomy: A novel treatment option for refractory discogenic sciatica. Clin Radiol. 2014;69:1280-1286.
Buric J, Rigobello L, Hooper D. Five and Ten Year Follow-up on Intradiscal Ozone Injection for Disc Herniation. Int J Spine Surg. 2014;8:17.
Li B, Xu X, Du Y, Yang HF, Li Y, Zhang Q, Huang YY, Meng J. CT-Guided Chemonucleolysis Combined with Psoas Compartment Block in Lumbar Disc Herniation: A Randomized Controlled Study. Pain Medicine. 2014;15(9):1470–1476.
Murphy K, Muto M, Steppan J, Meaders T, Boxley C. Treatment of contained herniated lumbar discs with ozone and corticosteroids: a pilot clinical study. CAR Journal. 2015;66(4):337-384.
Splendiani A, Perri M, Conchiglia A, Fasano F, DiEgidio G, Masciocchi C, Gallucci M. MR Assessment of Lumbar Disk Herniation Treated with Oxygen-Ozone Discolysis: The Role of DWI and Related ADC versus Intervertebral Disk Volumetric Analysis for Detecting Treatment Respons. Neuroradiol J. 2013 Jun;26(3):347-356.
Vanni D, Galzio R, Kazakova A, Pantalone A, Sparvieri A, Salini V, Magliani V. Intraforaminal ozone therapy and particular side effects: preliminary results and early warning. Acta Neurochir. 2015 Aug 21 (Epub ahead of print).
Lehnert T, Naguib N, Wutzler S, Nour-Eldin A., Bauer RF, Kerl JM, Vogl TJ, Balzer JO. Analysis of Disk Volume before and after CT-guided Intradiscal and Periganglionic Ozone–Oxygen Injection for the Treatment of Lumbar Disk Herniation. J Vasc Interv Radiol. 2012;23:1430–1436.
Rahimi-Movaghar V, Eslami V. The Major Efficient Mechanisms of Ozone Therapy are Obtained in Intradiscal Procedures. Pain Physician. 2012;15(6):E1007-E1010.
Borrelli E. Mechanism of action of oxygen ozone therapy in the treatment of disc herniation and low back pain. Acta Neurochir Suppl. 2011;108:123-125.
Niu XK, Bhetuwal A, Yang HF. Diffusion-Weighted Imaging for Pretreatment Evaluation and Prediction of Treatment Effect in Patients Undergoing CT-Guided Injection for Lumbar Disc Herniation. Korean J Radiol. 2015 Jul;16(4):874-880.
Dall’Olio M, Princiotta C, Cirillo L, Budai C, De Santis F, Bartolini S, Serchi E, Leonardi M. Oxygen-Ozone Therapy for Herniated Lumbar Disc in Patients with Subacute Partial Motor Weakness Due to Nerve Root Compression. Intervent. Neuroradiol. 2014 Oct;20(5):547-554.
Lu W, Li YH, He X.Treatment of large lumbar disc herniation with percutaneous ozone injection via the posterior-lateral route and inner margin of the facet joint. World J Radiol. 2010 March 28;2(3):109-112.
Zhang Y, Ma Y, Jiang J, Ding T, Wang J. Treatment of the lumbar disc herniation with intradiscal and intraforaminal injection of oxygen-ozone. J Back Musculoskelet Rehabil. 2013;26(3):317–322.
Perri M, Grattacaso G, Di Tunno V, Marsecano C, Di Cesare C, Splendiani G and Gallucci M. MRI DWI/ADC signal predicts shrinkage of lumbar disc herniation after O2–O3 discolysis. Neuroradiol J. 2015 Apr;28(2):198–204.
Perri M, Grattacaso G, Di Tunno V, Marsecano C, Gennarelli A, Splendiani A, Di Cesare E, Masciocchi C, Gallucci M. T2 shine through phenomena in diffusion weighted MR imaging of lumbar discs after oxygen–ozone discolysis: a randomized, double blind trial with steroid and O2–O3 discolysis versus steroid only. Radiol Med. 2015;120(10):941-950.
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