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Efficacy and durability of radiopaque gelified ethanol in management of herniated discs Cover

Efficacy and durability of radiopaque gelified ethanol in management of herniated discs

Open Access
|Jun 2019

Figures & Tables

Figure 1

MR of lumbosacral spine showing herniation on level L5–S1.
MR of lumbosacral spine showing herniation on level L5–S1.

Figure 2

Fluoroscopic image during DiscoGel® application on level L5–S1.
Fluoroscopic image during DiscoGel® application on level L5–S1.

Figure 3

MR control 27 months after application of DiscoGel® showing marked reduction of herniation on level L5–S1.
MR control 27 months after application of DiscoGel® showing marked reduction of herniation on level L5–S1.

Figure 4

Reduction of VAS score during observational period- the difference is statistically significant already 1 month after treatment (p < 0,001).m = month(s),
Reduction of VAS score during observational period- the difference is statistically significant already 1 month after treatment (p < 0,001).m = month(s),

Mean physical activity

Serious limitationsModerate limitationsMild limitationsNo limitations
Prior to therapy38/59 (64.4%)19/59 (32.2%)2/59 (3.4%)0
6 months after3/59 (5.1%)22/59 (37.3%)26/59(44.1%)8/59 (13.5%)
After 1 year2/59 (3.4%)15/59 (25.4%)32/59(54.2%)10/59 (16.9%)

Satisfaction with the treatment

Extremely satisfiedVery satisfiedModerately satisfiedNot satisfied
35/59 (59.3%)16/59 (27.1%)5/59 (8.5%)3/59 (5.1%)

The distribution of most commonly affected spine segments

Lumbar spineL4–L5 (45 pts; 67.2%)L5–S1 (30 pts, 44.8%)
Cervical spineC5–C6 (11 pts, 69%)C3–C4/ C6–C7 (5 pts, 31%)

Willingness to repeat the treatment- cervical

Very willingPotentially willingNot willing
9/13 (69.2%)1/13 (7.7%)3/13 (23.1%)

Willingness to repeat the treatment in all patients

Very willingPotentially willingNot willing
45/59 (76.3%)8/59 (13.5%)6/59 (10.2%)

Mean VAS reduction (radicular pain in parenthesis)

CERVICAL SPINELUMBAR SPINE
Prior to therapy8.6 (8,0)8,5 (8,0)
After 1 month4.1 ( no data)4,5 (3,7)
After 6 months3,8 (6,3)3,7 (3,3)
After 1 year3,9 (7,3)2.8 (2,6)
After 2 years3,7 (6,8)2.6 (2,4)
After 3 years3,9 (7,3)2,4 (2,1)

The use of analgesics after the treatment

Lesser usageEqual usageMore usage
46/59 (78%)10/59 (16.9%)3/59 (5.1%)

The No_ of levels treated in patients with herniated discs

Single levelTwo levelsThree levelsFour levels
46 pts (55.5%)27 pts (32.5%)9 pts (10.8%)1 pt (1.2%)
(C -10 pts/ L-36 pts)(C- 3 pts/ L-24 pts)(C- 3 pts/ L-6 pts)(L- 1 pt)
DOI: https://doi.org/10.2478/raon-2019-0026 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 187 - 193
Submitted on: Feb 21, 2019
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Accepted on: Apr 25, 2019
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Published on: Jun 1, 2019
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2019 Dimitrij Kuhelj, Anita Dobrovolec, Igor Jozef Kocijancic, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.