title: Rational approach, technique and selection criteria treating lumbar disk herniations by oxygen-ozone therapy.
abstract: Radicular lumbar back pain is an important public health problem not yet benefiting from a unequivocal treatment approach. Medical and physical therapies represent the first solution; however, when these fail, the second therapeutic step is still controversial and mini-invasive treatments 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 describe the rationale of oxygen-ozone therapy for the treatment of lumbar disk herniations, propose an effective procedural technique and clarify patient selection criteria; furthermore, complications and follow-up management are also considered.
authors.affiliation: Cardarelli Hospital, Neuroradiology Department, Naples, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Muto
authors.affiliation: Cardarelli Hospital, Neuroradiology Department, Naples, Italy francescogiurazza@hotmail.it.|Università Campus Bio-Medico di Roma, Radiology Department, Rome, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Giurazza
authors.affiliation: Garcia de Orta Hospital, Neuroradiology Department, Almada, Portugal.
authors.forename: Ricardo Pimentel
authors.initials: RP
authors.lastname: Silva
authors.affiliation: Cardarelli Hospital, Neuroradiology Department, Naples, Italy.
authors.forename: Gianluigi
authors.initials: G
authors.lastname: Guarnieri
mesh_terms: D005260:Female; D006801:Humans; D007404:Intervertebral Disc Chemolysis / Q000009:adverse effects / Q000379:methods*; D007405:Intervertebral Disc Displacement / Q000628:therapy*; D017116:Low Back Pain / Q000209:etiology / Q000628:therapy; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000009:adverse effects / Q000627:therapeutic use*; D010126:Ozone / Q000009:adverse effects / Q000627:therapeutic use*; D018579:Patient Selection; D025321:Surgery, Computer-Assisted; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D010126:Ozone; D010100:Oxygen
keywords: Lumbar pain; fluoro- and CT-guidance; herniated disk; oxygen–ozone therapy; selection criteria