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Nucleolisi percutanea con ozono nell’ernia del disco lombare INTERVENTIONAL NEURORADIOLOGY

Percutaneous ozone nucleolysis for lumbar disc herniation

Mohamed Ezeldin1,2 & Marco Leonardi2,3 & Ciro Princiotta2 & Massimo Dall’olio2 & Mohammed Tharwat1 & Mohammed Zaki1 & Mohamed E. Abdel-Wanis4 & Luigi Cirillo2,3

Received: 30 January 2018 / Accepted: 16 August 2018 / Published online: 11 September 2018 # The Author(s) 2018


Purpose All percutaneous minimally invasive disc treatments are typically indicated to contained disc herniations. Our study’s aim is to evaluate prospectively the efficacy of ozone nucleolysis in the treatment of either contained or uncontained lumbar disc herniations.
Methods Fifty-two patients, aged 27–87 years, with symptomatic herniated lumbar discs, without migration, sequestration, or severe degenerative disc changes, who failed conservative treatment, were included in our study. The patients underwent fluoroscopic-guided intradiscal oxygen-ozone mixture injection (5 ml) at a concentration of 27–30 μg/ml and periradicular injection of the same O2-O3 mixture (10 ml), steroid (1 ml), and local anesthetic (1 ml). Clinical outcomes were evaluated, based on the Oswestry Disability Index (ODI) and pain intensity (0–5) scale results, obtained initially and at 2- and 6-month controls. Our results were analyzed by ANOVA and chi-squared (χ2) tests.

Results Our initial results obtained at 2-month control were promising, indicating a significant decrease in pain disability and intensity in 74% (37) and 76% (38) of the patients respectively, and minimally increased to 76% (38) and 78% (39) at 6-month control (P < 0.001 and CI 99.9%). The mean preprocedure ODI and pain intensity scores were 35 ± 14.36 and 2.38 ± 0.90, respectively, which were reduced to 19.36 ± 13.12 and 1.04 ± 0.92 at 6-month control. Our failure had been mostly related to long symptoms duration of more than 1 year. No complications were recorded.

Conclusion Ozone nucleolysis is a safe cost-effective minimally invasive technique for treatment of contained and uncontained lumbar disc herniations.

Keywords Ozone . Lumbar disc herniation . Pain . Oswestry Disability Index

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