- Anatomy of The Spine
- Back Pain in Children
- Caring for your Spine
- Emerging Spinecare Trends
- Evaluation of Spinal Disorders
- Exercise and The Spine
- Intervention - Spinal Disorders
- Intervertebral Disc
- Non Surgical Options
- Nutrition and Spinecare
- Options for Spine Treatments
- Pregnancy and Back Pain
- Prevalence of Spine Disorders
- Sleep and the Spine
- Spinecare Introduction
- Spinehealth and Disease
- Surgical Interventions
- Treatment with Medications
- Understanding Back Pain
Spinecare Topics
Surgical Interventions
Surgical Interventions
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Surgical Interventions
Intra-Discal Electrothermal Therapy (IDET):
Intra-discal therapy is an alternative form of minimally invasive intervention for individuals with discogenic (pain arising from a disc) when surgical intervention with fusion may not be a good alternative. IDET represents a minimally invasive alternative to surgical fusion. The IDET procedure generally takes less than 30 minutes to perform and requires a very small skin incision overlying the back. After the incision is made a small probe is directed into the spine and positioned into the involved intervertebral disc.
During IDET, the patient lies on a treatment table next to a fluoroscopic C-arm, which is a specialized X-ray unit used to identify and guide the probe (cannula) into the appropriate area of the intervertebral disc. Once the cannula is properly placed, the physician places a thin wire through the cannula and enters it into the disc. The wire is heated up and subsequently heats up the adjacent disc tissue. The working theory behind IDET is that the elevated temperature within the intervertebral disc will result in contraction and thickening of the tissue within the disc, which strengthens the disc rendering it less vulnerable to herniation. IDET is also believed to compromise (denervate) pain-sensitive nerve endings in the outer region of the disc that may be a source of pain. Controlled heating of the strong collagen fibers within the disc tends to shrink the tissue reducing disc volume, potentially diminishing the size of a disc bulge that may result in reduced pain. It has been proposed that heating the disc may result in the development of a rubbery-type seal closing off inter-annular tears within the disc.
The individual undergoing IDET usually receives a local anesthetic rather than being placed under general anesthesia, thus reducing the risks associated with general anesthesia. The risks associated with IDET include but are not limited to nerve injury, disc infection, adjacent bone infection and increased back pain.
The best candidates for an IDET procedure are those individuals who have persistent back pain without leg symptoms who have not responded to more conservative therapeutic approaches. IDET is generally not a good alternative for individuals who have neurological complications resulting from spinal involvement. IDET may provide a relatively quick source of pain relief for well-chosen candidates, although many individuals after IDET still require postural retraining and physical rehabilitation.
Intra-discal therapy is an alternative form of minimally invasive intervention for individuals with discogenic (pain arising from a disc) when surgical intervention with fusion may not be a good alternative. IDET represents a minimally invasive alternative to surgical fusion. The IDET procedure generally takes less than 30 minutes to perform and requires a very small skin incision overlying the back. After the incision is made a small probe is directed into the spine and positioned into the involved intervertebral disc.
During IDET, the patient lies on a treatment table next to a fluoroscopic C-arm, which is a specialized X-ray unit used to identify and guide the probe (cannula) into the appropriate area of the intervertebral disc. Once the cannula is properly placed, the physician places a thin wire through the cannula and enters it into the disc. The wire is heated up and subsequently heats up the adjacent disc tissue. The working theory behind IDET is that the elevated temperature within the intervertebral disc will result in contraction and thickening of the tissue within the disc, which strengthens the disc rendering it less vulnerable to herniation. IDET is also believed to compromise (denervate) pain-sensitive nerve endings in the outer region of the disc that may be a source of pain. Controlled heating of the strong collagen fibers within the disc tends to shrink the tissue reducing disc volume, potentially diminishing the size of a disc bulge that may result in reduced pain. It has been proposed that heating the disc may result in the development of a rubbery-type seal closing off inter-annular tears within the disc.
The individual undergoing IDET usually receives a local anesthetic rather than being placed under general anesthesia, thus reducing the risks associated with general anesthesia. The risks associated with IDET include but are not limited to nerve injury, disc infection, adjacent bone infection and increased back pain.
The best candidates for an IDET procedure are those individuals who have persistent back pain without leg symptoms who have not responded to more conservative therapeutic approaches. IDET is generally not a good alternative for individuals who have neurological complications resulting from spinal involvement. IDET may provide a relatively quick source of pain relief for well-chosen candidates, although many individuals after IDET still require postural retraining and physical rehabilitation.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
