Treatment of large lumbar disc herniation with percutaneous ozone injection via the posterior-lateral route and inner margin of the facet joint

doi:10.4329/wjr.v2.i3.109

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World Journal of Radiology

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1949-8470

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Radiol. Mar 28, 2010; 2(3): 109-112
Published online Mar 28, 2010. doi: 10.4329/wjr.v2.i3.109

Treatment of large lumbar disc herniation with percutaneous ozone injection via the posterior-lateral route and inner margin of the facet joint

Wei Lu, Yan-Hao Li, Xiao-Feng He

Wei Lu, Yan-Hao Li, Xiao-Feng He, Department of Interventional Radiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong Province, China

Author contributions: Lu W, Li YH and He XF designed the study, analyzed the data and prepared the paper.

Supported by The National Natural Science Foundation of China, No. 30670612

Correspondence to: Wei Lu, MD, PhD, Associated Professor, Department of Interventional Radiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong Province, China. luwei6702@126.com

Telephone: +86-20-61642084 Fax: +86-20-87281634

Received: January 13, 2010
Revised: March 8, 2010
Accepted: March 16, 2010
Published online: March 28, 2010

Abstract

AIM: To evaluate the effects of percutaneous ozone injection via the posterior-lateral route and inner margin of the facet joint in the treatment of large lumbar disc herniation.

METHODS: Fifty-eight patients with large lumbar disc herniation were treated with percutaneous injection of ozone via the posterior-lateral route and inner margin of the facet joint under digital subtraction angiography. Second injections were performed 5 d after the initial injection. All patients were followed up for 6-18 mo. A modified Macnab method was used for assessing clinical outcomes after oxygen-ozone therapy.

RESULTS: Successful puncture was obtained in all patients. The overall efficacy was 91.4%; the outcome was the excellent in 37 cases (63.8%), good in 16 cases (27.6%) and fair/poor in 5 cases (8.6%) according to the Macnab criteria. No severe complications were found throughout this study.

CONCLUSION: Percutaneous intradiscal ozone injection via the posterior-lateral route and inner margin of the facet joint is effective and safe for treatment of large lumbar disc herniation.

Keywords: Lumbar vertebrae, Herniated disc, Facet joint, Zygapophysial joint, Ozone