Francesco Somma1, Gianluca Gatta2, Alberto Negro3, Mario Tortora4, Gaetano Rea5, Stefania Tamburrini6, Gianvito Pace3, Giuseppe Maria Ernesto La Tessa3, Ferdinando Caranci2, Vincenzo d'Agostino3. 1. UOC Neuroradiologia, Ospedale del Mare, ASL NA 1 Centro, Via Enrico Russo, 80147, Napoli, Italy. fra1585@hotmail.it. 2. Dipartimento Medicina di Precisione, Università Vanvitelli, Via de Crecchio, 80138, Napoli, Italy. 3. UOC Neuroradiologia, Ospedale del Mare, ASL NA 1 Centro, Via Enrico Russo, 80147, Napoli, Italy. 4. Dipartimento di Scienze Biomediche Avanzate, Università di Napoli Federico II, 80131, Napoli, Italy. 5. UOC Radiologia, Ospedale Monaldi, AO dei Colli, Via Leonardo Bianchi, 80131, Napoli, Italy. 6. UOC Radiologia, Ospedale del Mare, ASL NA 1 Centro, Via Enrico Russo, 80147, Napoli, Italy.
Abstract
PURPOSE: To compare clinical success and operative time for percutaneous intradiscal ozone therapy in patients with lumbar disc herniation using fluoroscopic guidance versus computed tomography (CT). MATERIALS AND METHODS: During the year 2019, 68 percutaneous single-level intradiscal ozone therapies were performed on patients complaining of low back pain and/or sciatica due to lumbar disc herniation, using fluoroscopic or conventional CT guidance, respectively, in 35 and 32 herniated lumbar discs, with at least 1-month follow-up. Oswestry Disability Index (ODI) was used to assess clinical outcome. Total room utilization time and procedure operative time were recorded for both fluoroscopy and CT guidance. RESULTS: Fluoroscopy and CT groups were similar in terms of patient age (p value 0.45) and pre-procedure ODI (p value 0.64). Clinical success was obtained in 87.50% (28/32) patients in fluoroscopic group and 83.33% (30/36) in CT group. Mean total room utilization time was significantly longer for CT guidance (31.38 vs. 50.67 min, p < 0.0001), as well as the procedure operative time (15.94 vs. 27.61 min, p < 0.0001). CONCLUSIONS: Compared to conventional CT guidance, fluoroscopic guidance for percutaneous intradiscal ozone therapy in patients with lumbar disc herniation shows similar clinical success rates at 1-month follow-up, with decreased room utilization time and procedure operative time that implies less time consumption for medical and paramedical operative team.
PURPOSE: To compare clinical success and operative time for percutaneous intradiscal ozone therapy in patients with lumbar disc herniation using fluoroscopic guidance versus computed tomography (CT). MATERIALS AND METHODS: During the year 2019, 68 percutaneous single-level intradiscal ozone therapies were performed on patients complaining of low back pain and/or sciatica due to lumbar disc herniation, using fluoroscopic or conventional CT guidance, respectively, in 35 and 32 herniated lumbar discs, with at least 1-month follow-up. Oswestry Disability Index (ODI) was used to assess clinical outcome. Total room utilization time and procedure operative time were recorded for both fluoroscopy and CT guidance. RESULTS: Fluoroscopy and CT groups were similar in terms of patient age (p value 0.45) and pre-procedure ODI (p value 0.64). Clinical success was obtained in 87.50% (28/32) patients in fluoroscopic group and 83.33% (30/36) in CT group. Mean total room utilization time was significantly longer for CT guidance (31.38 vs. 50.67 min, p < 0.0001), as well as the procedure operative time (15.94 vs. 27.61 min, p < 0.0001). CONCLUSIONS: Compared to conventional CT guidance, fluoroscopic guidance for percutaneous intradiscal ozone therapy in patients with lumbar disc herniation shows similar clinical success rates at 1-month follow-up, with decreased room utilization time and procedure operative time that implies less time consumption for medical and paramedical operative team.
Authors: Cosma F Andreula; Luigi Simonetti; Fabio De Santis; Raffaele Agati; Renata Ricci; Marco Leonardi Journal: AJNR Am J Neuroradiol Date: 2003-05 Impact factor: 3.825
Authors: Mohamed Ezeldin; Marco Leonardi; Ciro Princiotta; Massimo Dall'olio; Mohammed Tharwat; Mohammed Zaki; Mohamed E Abdel-Wanis; Luigi Cirillo Journal: Neuroradiology Date: 2018-09-11 Impact factor: 2.804