{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T02:08:29Z","timestamp":1783908509881,"version":"3.55.0"},"reference-count":27,"publisher":"Walter de Gruyter GmbH","issue":"2","license":[{"start":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T00:00:00Z","timestamp":1559347200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_raon-2019-0026_s_006_w2aab3b7c13b1b6b1aab1c18b1Aa\">\n                    <jats:title id=\"d2965566e43937_w2aab3b7c13b1b6b1aab1c18b1aAa\">Background<\/jats:title>\n                    <jats:p>Percutaneous image-guided intradiscal injection of gelified ethanol was introduced to treat herniated disc disease lately. The aim of the study was to assess clinical efficacy and durability over a 36 months\u2019 period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_raon-2019-0026_s_007_w2aab3b7c13b1b6b1aab1c18b2Aa\">\n                    <jats:title id=\"d2965566e43946_w2aab3b7c13b1b6b1aab1c18b2aAa\">Patients and methods<\/jats:title>\n                    <jats:p>Eighty-three patients (47 males, 36 females, mean age 48.9 years (18\u201379 years) were treated between May 2014 and December 2015 for 16 cervical and 67 lumbar chronical contained disc herniations. For pain assessment evaluation, the visual analog scale (VAS) was used. Physical activity, the use of analgesics, patients\u2019 satisfaction with the treatment results and patient\u2019s willingness to repeat the treatment were also evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_raon-2019-0026_s_008_w2aab3b7c13b1b6b1aab1c18b3Aa\">\n                    <jats:title id=\"d2965566e43955_w2aab3b7c13b1b6b1aab1c18b3aAa\">Results<\/jats:title>\n                    <jats:p>Fifty-nine patients responded to questionnaire. 89.8% had significant reduction in VAS after 1 month (p &lt; 0.001); 76.9% of patients with cervical symptoms and 93.5% of patients with lumbar symptoms. In cervical group it remained stable, while in lumbar group VAS decreased even more during 36 months (p = 0.012). Single patient had spinal surgery. Moderate and severe physical disability prior to treatment (96.6%) was reduced to less than 30% after 12 months. The majority of active patients returned to their regular job (71.1%); 78% needed less analgesics. Only 5.1% patients were not satisfied with the treatment and 10.2% would not repeat the treatment if needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_raon-2019-0026_s_009_w2aab3b7c13b1b6b1aab1c18b4Aa\">\n                    <jats:title id=\"d2965566e43964_w2aab3b7c13b1b6b1aab1c18b4aAa\">Conclusions<\/jats:title>\n                    <jats:p>Percutaneous image-guided intradiscal injection of gelified ethanol is safe, effective and durable therapy for chronic contained cervical and lumbar herniations. Due to minimal invasiveness and long-lasting benefits, this kind of treatment should be proposed to designated group of patients as first-line therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2478\/raon-2019-0026","type":"journal-article","created":{"date-parts":[[2019,6,13]],"date-time":"2019-06-13T05:14:23Z","timestamp":1560402863000},"page":"187-193","source":"Crossref","is-referenced-by-count":2,"title":["Efficacy and durability of radiopaque gelified ethanol in management of herniated discs"],"prefix":"10.2478","volume":"53","author":[{"given":"Dimitrij","family":"Kuhelj","sequence":"first","affiliation":[{"name":"Clinical Radiology Institute, University Medical Centre Ljubljana , 1000 Ljubljana , Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita","family":"Dobrovolec","sequence":"additional","affiliation":[{"name":"Celje General Hospital, Department of Radiology , 3000 Celje , Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor Jozef","family":"Kocijancic","sequence":"additional","affiliation":[{"name":"Clinical Radiology Institute, University Medical Centre Ljubljana , 1000 Ljubljana , Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2019,6,1]]},"reference":[{"key":"2026071214254851954_j_raon-2019-0026_ref_001_w2aab3b7c13b1b6b1ab1b6b1Aa","unstructured":"Institute of Medicine. 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