{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T12:11:13Z","timestamp":1763035873491},"reference-count":12,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2004,6,2]],"date-time":"2004-06-02T00:00:00Z","timestamp":1086134400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2004,6]]},"abstract":"<jats:title>Abstract:<\/jats:title><jats:p><jats:bold>Objectives:\u2002<\/jats:bold> Published studies of intradiscal thermal annuloplasty (IDTA) have shown at most 50% pain relief as an improved outcome with little focus on functional improvement in the treatment of discogenic pain. Previous studies have used a number of criteria for patient selection including low back pain unresponsive to conservative care, no compressive radiculopathy, positive provocative discography and absence of previous surgery at the same symptomatic level. The purpose of present study is to examine the hypothesis that additional inclusion criteria for patient selection such as disc height, absence of degenerative disc disease (DDD) in untreated discs, absence of herniated nucleus pulposus or lumbar canal stenosis may improve the outcome of treatment.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> In this prospective case\u2010series study additional criteria of patient selection were introduced, namely disc height of at least 50%, no lumbar canal stenosis, one or two levels of DDD, no evidence of nucleus pulposus herniation on magnetic resonance image. Thirty\u2010four patients were enrolled in the study and 32 of them were followed over a period of 12\u2003months. The visual analog scale (VAS) pain score and seven activities of daily living (ADLs) were followed and reported on a scale from 0 to 10.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> Sustained decrease of the VAS pain scores was observed from 3 to 12\u2003months following IDTA. ADLs improved in all patients between 3 and 12\u2003months post\u2010treatment. Patients in the Bureau of Workers Compensation (BWC) group had a higher VAS score but showed the same level of improvement in ADLs as compared to commercial insurance or self\u2010pay patients. In the non\u2010BWC patient group an average VAS pain score decrease of more than 6 points on a 10\u2010point scale was reported at 6 to 12\u2003months following IDTA.<\/jats:p><jats:p><jats:bold>Conclusions:\u2002<\/jats:bold> We found dramatic improvement of pain scores and ADLs following IDTA when strict patient selection was applied. We believe that IDTA is an effective, minimally invasive treatment for discogenic pain in properly selected patients.<\/jats:p>","DOI":"10.1111\/j.1533-2500.2004.04203.x","type":"journal-article","created":{"date-parts":[[2004,6,2]],"date-time":"2004-06-02T13:54:37Z","timestamp":1086184477000},"page":"84-90","source":"Crossref","is-referenced-by-count":31,"title":["Intradiscal Thermal Annuloplasty for Discogenic Pain: An Outcome Study"],"prefix":"10.1111","volume":"4","author":[{"given":"Nagy","family":"Mekhail","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo","family":"Kapural","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,6,2]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199509000-00007"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200010150-00010"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200010150-00013"},{"key":"e_1_2_5_5_2","unstructured":"SaalJS SaalJA WetzelFT ThompsonK MaurerP HillJ.IDET related complications: a Multi\u2010center study of 1675 treated patients with a review of the FDA MDR data base.NASS Proceedings of 16th Annual Meeting. Seattle WA;2001:187\u2013189."},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1403.2000.00082.x"},{"key":"e_1_2_5_7_2","unstructured":"MaurerP SquillanteD.Is IDET effective treatment for discogenic low back pain. A prospective cohort outcome study (1\u20132 year follow\u2010up). Identifying successful patient selection criteria.NASS Proceedings of 16th Annual Meeting. Seattle WA;2001:127\u2013128."},{"key":"e_1_2_5_8_2","unstructured":"ThompsonKJ EckelTE.Two years results from the intradiscal electrothermal therapy (IDET) nationwide registry.NASS Proceedings of 16th Annual Meeting. Seattle WA;2001:27\u201328."},{"key":"e_1_2_5_9_2","unstructured":"WetzelFD AnderssonGBJ PelozaJH et al.IDET to treat discogenic lower back pain: two years results of a multi\u2010center prospective cohort study.NASS Proceedings of 16th Annual Meeting. Seattle WA;2001:28\u201330."},{"key":"e_1_2_5_10_2","doi-asserted-by":"crossref","first-page":"367","DOI":"10.36076\/ppj.2000\/3\/367","article-title":"Intradiscal electrothermal therapy: a preliminary report","volume":"3","author":"Singh V","year":"2000","journal-title":"Pain Physician."},{"key":"e_1_2_5_11_2","unstructured":"ThompsonKJ EckelTS.IDET nationwide registry preliminary results: twelve month follow up data on 211 patients.NASS Proceedings 15th Annual Meeting.2000:193\u2013194."},{"key":"e_1_2_5_12_2","unstructured":"LiuBW ManosRE CriscitielloAA et al.Clinical factors associated with favorable outcomes using intradiscal electrothermal modulation (IDET).NASS Proceedings 15th Annual Meeting.2000:27\u201329."},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(03)00064-4"}],"container-title":["Pain Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1533-2500.2004.04203.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1533-2500.2004.04203.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T02:38:23Z","timestamp":1697251103000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1533-2500.2004.04203.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,6]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2004,6]]}},"alternative-id":["10.1111\/j.1533-2500.2004.04203.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1533-2500.2004.04203.x","archive":["Portico"],"relation":{},"ISSN":["1530-7085","1533-2500"],"issn-type":[{"value":"1530-7085","type":"print"},{"value":"1533-2500","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,6]]}}}