Medicine:Disc biacuplasty

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Disc biacuplasty
Biacuplasty Isotherm.jpg
Placement of radio frequency-generated heat probes during a disc biacuplasty
Specialtyorthopedic

Disk biacuplasty is a medical procedure that applies heat to the annulus of disks that separate the vertebra of the back with the goal of ablating the neurons that generate pain sensations.[1] The procedure is designed to reduce chronic back pain caused by the intervertebral discs. The procedure is in the early stages of testing[2] with some evidence of efficacy.[3]

As possible advantages to conventional techniques, the developers of the procedure cite its ease of use and a lack of artificial concentric fissures. The procedure may destroy pain nerves without damaging nearby tissues, though evidence for this comes only from studies with cadavers.[1] Testing on pigs suggested it heats the desired area without damaging the dorsal root ganglia or spinal nerve roots, though the cells of the disc demonstrate histological changes.[4]

See also

References

  1. 1.0 1.1 Kapural, Leonardo; Mekhail, N; Kapural, M; Hicks, D. "Histological and temperature studies of a novel transdiscal heating system in human cadaver discs". San Francisco. http://www.asaabstracts.com/strands/asaabstracts/abstract.htm;jsessionid=332A60D7F5D80108146B0A04AA7DDB08?year=2006&index=3&absnum=308. Retrieved 2007-12-06. 
  2. "New radiofrequency technique reduces disc pain with quick recovery time". American College of Radiology. http://www.acr.org/SecondaryMainMenuCategories/NewsPublications/FeaturedCategories/CurrentHealthCareNews/More/NewradiofrequencytechniquereducesdiscpainwithquickrecoverytimeDoc349.aspx. 
  3. "Novel intradiscal biacuplasty (IDB) for the treatment of lumbar discogenic pain". Pain Pract 7 (2): 130–4. 2007. doi:10.1111/j.1533-2500.2007.00120.x. PMID 17559482. 
  4. Petersohn, J; Conquergood, LR; Leung, M (2007-03-09). "Acute histologic effects and thermal distribution profile of disc biacuplasty using a novel water-cooled bipolar electrode system in an in vivo porcine model". Pain Medicine 9 (1): 26–32. doi:10.1111/j.1526-4637.2006.00293.x. PMID 18254764.