Biological non-ablative repair of lumbar discs by transforaminal intradiscal laser irradiation: MRI quantitative analysis of the effects-preliminary report

Autor: Igor Borshchenko, Emil N. Sobol, Andrey Baskov, Andrey Grin, Maria Borshchenko, Anatoly B. Shekhter
Rok vydání: 2020
Předmět:
Zdroj: Lasers in medical science. 37(1)
ISSN: 1435-604X
Popis: Degenerative disc disease is a significant reason for low back pain. Low-level laser irradiation (LLLI) of cartilage results in its reshaping and combines with regenerative reaction. A certain pattern of lumbar disc irradiation induces healing reaction and formation of new cartilage. Quantitative MRI analysis of regenerative response of the cartilage is the subject of this investigation. Fifty-one lumbar discs of 28 patients with discogenic low back pain underwent irradiation with 1.56-μm Er fiber laser (1.2 W). Quantitative MRI analysis is performed in STIR regime within 0.93–14.80 months. Signal intensity is estimated from irradiated discs and control measured from adjacent non-irradiated discs and vertebral bones. T2 WI follow-up is performed within a long period (up to 5 years) in selected cases. The mean value of MRI signal intensity from the irradiated discs increased by 14% (p <<
Databáze: OpenAIRE