CT-guided percutaneous intervention combined with rehabilitation integration treatment for lumbar disc herniation

doi:10.3969/j.issn.2095-4344.2013.48.024

Abstract

Abstract:

BACKGROUND: CT-guided percutaneous intervention and rehabilitation techniques are both classic programs for diagnosis and treatment of lumbar disc herniation. Is the combination of CT-guided percutaneous intervention and rehabilitation techniques preferentially used for treatment of lumbar disc herniation?
OBJECTIVE: To evaluate the curative effect of CT-guided interventional injection combined with rehabilitation integration treatment for lumbar disc herniation and to analyze prognostic factors.
METHODS: Eighty-eight patients with lumbar disc herniation were subjected to CT-guided interventional injection combined with rehabilitation integration treatment from May 2010 to May 2013. Injection medicine consisted of betamethasone, tanshinone Ⅱ A sulfonate, neurotropin, normal saline and iohexol. Rehabilitation integration treatment included traction, manipulation, acupuncture, transcutaneous electrical nerve stimulation and thermal magnon. Macnab criteria and Chinese version of Oswestry low back pain disability questionnaire were used to assess the curative effects in comparison with the 112 patients receiving only CT-guided interventional injection that were reported previously. The prognostic factors, such as age, disease course time and herniation type of target segment were testified by correlation analysis.
RESULTS AND CONCLUSION: Totally 77 patients were completely followed up for 1 year. There were excellent outcomes in 64 cases, while favorable outcomes in 7 cases, fair outcomes in 5 case, poor outcome in 1 case, with a better outcome rate of 92%.There was a significantly decreased trend in Oswestry disability Index scores at 1, 6, 12 months during the follow-ups (P < 0.01). No severe complications occurred in all the included patients. The curative effects were improved in term of better outcomes rate compared with the 112 patients receiving only CT-guided interventional injection, but there was no significant difference (P > 0.05). The young group (≤ 45 years) had better outcomes than the older group (> 45 years; P < 0.01). In addition, disease course time and herniation type of target segment were not statistically significant risk factors predicting clinical results (P > 0.05). These findings indicate that CT-guided interventional injection combined with rehabilitation integration treatment could relieve lower back pain and radical leg pain effectively and decrease life disability level.

Key words: lumbar vertebrae, intervertebral disk displacement, drug therapy, rehabilitation, treatment outcome

CLC Number:

R318

Dai De-chun, Tong Guo-hai, Bian Lian-long, Tang Chun-lin, Zhu Wei-fang, Mei Lin-feng, Shi Chang-gen, Jiang Hao, Hang Fang-jie. CT-guided percutaneous intervention combined with rehabilitation integration treatment for lumbar disc herniation[J]. Chinese Journal of Tissue Engineering Research, 2013, 17(48): 8449-8454.

Figures/Tables 2

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