• Pain Pract · Jun 2007

    Case Reports

    Novel intradiscal biacuplasty (IDB) for the treatment of lumbar discogenic pain.

    • Leonardo Kapural and Nagy Mekhail.
    • Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. Kapural@ccf.org
    • Pain Pract. 2007 Jun 1;7(2):130-4.

    AbstractReported here is the treatment of severe axial discogenic pain in a young man utilizing the new minimally invasive transdiscal radiofrequency technique called intradiscal biacuplasty (Baylis Medical Inc., Montreal, Canada). The new procedure is detailed and step-by-step fluoroscopic imaging presented. There were no intra- and postoperative complications, and significant improvements in patient functional capacity, and pain scores were noted. Visual analog scale pain score decreased from 5 to 1 cm at 6-month follow-up, Oswestry disability scores improved from 14 (28% or moderate disability) to 6 points (12% or minimal disability) and SF-36-PF (physical function) score changed from 67 to 82. Potential advantages of cooled, bipolar radiofrequency to heat the posterior annulus are discussed.

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