title: Novel intradiscal biacuplasty (IDB) for the treatment of lumbar discogenic pain.
abstract: Reported here is the treatment of severe axial discogenic pain in a young man utilizing the new minimally invasive transdiscal radiofrequency technique called intradiscal biacuplasty (Baylis Medical Inc., Montreal, Canada). The new procedure is detailed and step-by-step fluoroscopic imaging presented. There were no intra- and postoperative complications, and significant improvements in patient functional capacity, and pain scores were noted. Visual analog scale pain score decreased from 5 to 1 cm at 6-month follow-up, Oswestry disability scores improved from 14 (28% or moderate disability) to 6 points (12% or minimal disability) and SF-36-PF (physical function) score changed from 67 to 82. Potential advantages of cooled, bipolar radiofrequency to heat the posterior annulus are discussed.
authors.affiliation: Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. Kapural@ccf.org
authors.forename: Leonardo
authors.initials: L
authors.lastname: Kapural
authors.forename: Nagy
authors.initials: N
authors.lastname: Mekhail
mesh_terms: D000328:Adult; D002818:Cordotomy / Q000379:methods*; D017587:Diskectomy, Percutaneous / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000601:surgery*; D017116:Low Back Pain / Q000209:etiology / Q000601:surgery*; D008159:Lumbar Vertebrae; D008297:Male; D013123:Spinal Fusion / Q000379:methods*