Introduction. Percutaneous ozone discolysis consists of the intradiscal injection of medical ozone for therapeutic purposes. This is an innovative per cutaneous surgical treatment of which the use is recent in our department. The purpose of this work was to report our experience on this practice in our country where the neurosurgeon is the first and only recourse in case of disc LBR with failure of conservative treatment. Methods. This was a retrospective study from 2016-2021, including all consenting patients in whom the diagnosis of disc LBR with failure of conservative treatment was retained and who benefited from ozone discolysis. These patients were reassessed (VAS, Lasegue sign and neurological examination) at one week, two weeks, one month, three months. Results. Lumbar ozone discolysis was performed in 298 patients or 84.4% of lumbar disc herniation surgeries. This discolysis indication was mainly disabling LBR (68.8%) and hyperalgic LBR (24.8%). Discolysis concerned 1 level (48.0%); 2 levels (43.3%) and 3 levels (8.7%). At 1 week, 2 weeks, 1 month and 3 months there were respectively 61.1%; 79.2%; 90.3% and 93.6% asymptomatic cases. Pending conventional surgery, discolysis was performed in 19 cases (6.4%) of paralyzing LBR resulting in total recovery. No complications were noted. Conclusion. Ozone discolysis was currently the most commonly used treatment for the management of disc LBR after failure of conservative treatment. Patients’ favorable clinical evolution in the short and medium term indicates the efficacy of the treatment.
| Published in | International Journal of Neurosurgery (Volume 7, Issue 1) |
| DOI | 10.11648/j.ijn.20230701.11 |
| Page(s) | 1-6 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Disc Herniation, Ozone Therapy, Percutaneous Surgery, Lumboradiculalgia
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APA Style
Denlewende Sylvain Zabsonre, Wendlassida Joelle Stephanie Tiendrebeogo / Zabsonre, Abdoulaye Sanou, Valentin Bonkoungou, Yakouba Haro, et al. (2023). Percutaneous Ozone Discolysis in the Treatment of Lumboradiculalgia (LBR) by Disc Herniation About a Prospective Study of 298 Cases. International Journal of Neurosurgery, 7(1), 1-6. https://doi.org/10.11648/j.ijn.20230701.11
ACS Style
Denlewende Sylvain Zabsonre; Wendlassida Joelle Stephanie Tiendrebeogo / Zabsonre; Abdoulaye Sanou; Valentin Bonkoungou; Yakouba Haro, et al. Percutaneous Ozone Discolysis in the Treatment of Lumboradiculalgia (LBR) by Disc Herniation About a Prospective Study of 298 Cases. Int. J. Neurosurg. 2023, 7(1), 1-6. doi: 10.11648/j.ijn.20230701.11
AMA Style
Denlewende Sylvain Zabsonre, Wendlassida Joelle Stephanie Tiendrebeogo / Zabsonre, Abdoulaye Sanou, Valentin Bonkoungou, Yakouba Haro, et al. Percutaneous Ozone Discolysis in the Treatment of Lumboradiculalgia (LBR) by Disc Herniation About a Prospective Study of 298 Cases. Int J Neurosurg. 2023;7(1):1-6. doi: 10.11648/j.ijn.20230701.11
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Download@article{10.11648/j.ijn.20230701.11,
author = {Denlewende Sylvain Zabsonre and Wendlassida Joelle Stephanie Tiendrebeogo / Zabsonre and Abdoulaye Sanou and Valentin Bonkoungou and Yakouba Haro and Inoussa Zoungrana and Fulgence Kabore and Lucie Tiziana Maul and Julie Marie Adeline Wendlamita Kyelem and Boureima Kinda and Abel Kabre},
title = {Percutaneous Ozone Discolysis in the Treatment of Lumboradiculalgia (LBR) by Disc Herniation About a Prospective Study of 298 Cases},
journal = {International Journal of Neurosurgery},
volume = {7},
number = {1},
pages = {1-6},
doi = {10.11648/j.ijn.20230701.11},
url = {https://doi.org/10.11648/j.ijn.20230701.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20230701.11},
abstract = {Introduction. Percutaneous ozone discolysis consists of the intradiscal injection of medical ozone for therapeutic purposes. This is an innovative per cutaneous surgical treatment of which the use is recent in our department. The purpose of this work was to report our experience on this practice in our country where the neurosurgeon is the first and only recourse in case of disc LBR with failure of conservative treatment. Methods. This was a retrospective study from 2016-2021, including all consenting patients in whom the diagnosis of disc LBR with failure of conservative treatment was retained and who benefited from ozone discolysis. These patients were reassessed (VAS, Lasegue sign and neurological examination) at one week, two weeks, one month, three months. Results. Lumbar ozone discolysis was performed in 298 patients or 84.4% of lumbar disc herniation surgeries. This discolysis indication was mainly disabling LBR (68.8%) and hyperalgic LBR (24.8%). Discolysis concerned 1 level (48.0%); 2 levels (43.3%) and 3 levels (8.7%). At 1 week, 2 weeks, 1 month and 3 months there were respectively 61.1%; 79.2%; 90.3% and 93.6% asymptomatic cases. Pending conventional surgery, discolysis was performed in 19 cases (6.4%) of paralyzing LBR resulting in total recovery. No complications were noted. Conclusion. Ozone discolysis was currently the most commonly used treatment for the management of disc LBR after failure of conservative treatment. Patients’ favorable clinical evolution in the short and medium term indicates the efficacy of the treatment.},
year = {2023}
}
TY - JOUR T1 - Percutaneous Ozone Discolysis in the Treatment of Lumboradiculalgia (LBR) by Disc Herniation About a Prospective Study of 298 Cases AU - Denlewende Sylvain Zabsonre AU - Wendlassida Joelle Stephanie Tiendrebeogo / Zabsonre AU - Abdoulaye Sanou AU - Valentin Bonkoungou AU - Yakouba Haro AU - Inoussa Zoungrana AU - Fulgence Kabore AU - Lucie Tiziana Maul AU - Julie Marie Adeline Wendlamita Kyelem AU - Boureima Kinda AU - Abel Kabre Y1 - 2023/02/28 PY - 2023 N1 - https://doi.org/10.11648/j.ijn.20230701.11 DO - 10.11648/j.ijn.20230701.11 T2 - International Journal of Neurosurgery JF - International Journal of Neurosurgery JO - International Journal of Neurosurgery SP - 1 EP - 6 PB - Science Publishing Group SN - 2640-1959 UR - https://doi.org/10.11648/j.ijn.20230701.11 AB - Introduction. Percutaneous ozone discolysis consists of the intradiscal injection of medical ozone for therapeutic purposes. This is an innovative per cutaneous surgical treatment of which the use is recent in our department. The purpose of this work was to report our experience on this practice in our country where the neurosurgeon is the first and only recourse in case of disc LBR with failure of conservative treatment. Methods. This was a retrospective study from 2016-2021, including all consenting patients in whom the diagnosis of disc LBR with failure of conservative treatment was retained and who benefited from ozone discolysis. These patients were reassessed (VAS, Lasegue sign and neurological examination) at one week, two weeks, one month, three months. Results. Lumbar ozone discolysis was performed in 298 patients or 84.4% of lumbar disc herniation surgeries. This discolysis indication was mainly disabling LBR (68.8%) and hyperalgic LBR (24.8%). Discolysis concerned 1 level (48.0%); 2 levels (43.3%) and 3 levels (8.7%). At 1 week, 2 weeks, 1 month and 3 months there were respectively 61.1%; 79.2%; 90.3% and 93.6% asymptomatic cases. Pending conventional surgery, discolysis was performed in 19 cases (6.4%) of paralyzing LBR resulting in total recovery. No complications were noted. Conclusion. Ozone discolysis was currently the most commonly used treatment for the management of disc LBR after failure of conservative treatment. Patients’ favorable clinical evolution in the short and medium term indicates the efficacy of the treatment. VL - 7 IS - 1 ER -
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