title: Successful treatment of lumbar discogenic pain using intradiscal biacuplasty in previously discectomized disc.
abstract: Discogenic back pain is frequently present in patients after discectomy. Here, we describe a case of young woman, previously discectomized, who was treated by a novel annuloplasty procedure, intradiscal biacuplasty (IDB). The improvement in functional capacity and pain scores were profound 12 months after the IDB. Visual analog pain scores (0-10) changed from 5 to 3. Oswestry scale showed functional improvement from 52%, or severe disability, to 14%, or minimal disability, and the SF-36 physical function scale score changed from 55 to 95. IDB may be an effective treatment for patients with discogenic pain from previously discectomized discs.
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: Juan P
authors.initials: JP
authors.lastname: Cata
authors.forename: Samer
authors.initials: S
authors.lastname: Narouze
mesh_terms: D004185:Disability Evaluation; D017586:Diskectomy / Q000379:methods; D004599:Electric Stimulation Therapy / Q000379:methods*; D004567:Electrodes, Implanted; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000628:therapy*; D017116:Low Back Pain / Q000628:therapy*; D008159:Lumbar Vertebrae; D010147:Pain Measurement; D055815:Young Adult