idet procedure success rate, Current Concepts in Intradiscal Percutaneous

Therefore, the short-term indication for medications, as well as the increased complication rate and the variable success rate of surgery, leads to an increased interest for minimally invasive procedures. Since 1998, IDET procedure has been performed and the reported incidence of complications is low.



procedure. Clinical success defined as lack of follow-up surgery, 2-point pain, and 15-point ODI improvement. RESULTS: Average 68% and 66% improvements in pain and ODI, respec-tively, between pre-treatment and 24 months (p < 0.0001 for both comparisons). Global clinical success rate was 78% (39/50). No complications occurred during IDET procedure.

The IDET treatment was first introduced in 1997 and has been performed extensively since then. The procedure involves inserting a catheter into the disc and heating it up. It takes about an hour and can be readily performed on an outpatient basis (with no overnight hospital stay). Several disc levels may be treated in a single session.

The IDET procedure is minimally invasive and is well tolerated by the elderly who cannot sustain the risks associated with open surgery. The IDET procedure does not expose elderly patients, who often times have existing medical problems, to the inherent increased risks of morbidity and mortality associated with open spine surgery.

Utah doctors are beginning to employ a hot new procedure to treat chronic lower-back pain. That’s hot as in 194 degrees.

Meta-Analysis of 17 Published Studies Proves Procedure Effective and Safe. ANDOVER, Mass., August 16, 2006 ─ A meta-analysis of the Intradiscal ELECTROTHERMAL Therapy (IDET ) procedure examining outcomes of 17 clinical studies demonstrates that patients suffering from chronic disc-related low back pain experience a significant decrease in pain and improvement in physical function, as well

This procedure is usually done on an outpatient basis with most patients discharged within 24 hours. 4,13 Reported success rates have been 90-95% with a 1.5-6% complication rate. 4,12 Indications for the microdiscectomy include back pain, with or without radiculopathy, a confirmed disk herniation by MRI or CT and failure of conservative therapy.

So 50% treatment success – that is an NNT of 2 (assuming a control group would have 0% success). There isn’t a single other intervention or medicine that we use in pain with a NNT of 2. The best medicine we have, in the very best RCT for the perfect patient, for example Elavil for PHN, is like 6 or something (18% response rate).

What are the risks? Radiofrequency nerve ablation is relatively safe procedure with minimal risk of complications. The complications reported in the literature include: temporary increase in nerve pain, neuritis, neuroma, localized numbness, infection, allergic reaction to medications used during the procedure, and/or lack of pain relief (in less than 30% of patients).

idet procedure success rate, WHITE CONSOLIDATED INDUS. v. GALLOWAY

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21 Intradiscal Therapy Steven Helper and Curtis W. Slipman The term “internal disc disruption” syndrome (IDDS) was coined by Crock1,2 to identify the syndrome of low back pain (LBP) and nonradicular referred pain in the setting of degenerative disc disease; and has evolved to encompass the entity marked by radial and circumferential tears in the

Intradiscal Electrothermic Therapy (IDET) procedures are also a popular choice. Popular Parts of Israel Israel is an alluring destination for those who want to appreciate its astonishing religious sites, stunning natural beauty, and remarkable historic relics.


IDET procedure is clearly a revolutionary procedure and is fast becoming a part of the armamentarium of interventional pain management, but its success depends on careful selection of potential candidates for it. 1. Burden of Proof Carrier contended under 28 TEX. ADMIN. CODE

The success rate of IDET in the initial study was very high with significant pain relief (>50% reduction) and improvement in sitting tolerance, and quality of life lasting through the two year follow up after the procedure in those patients studied. (Spine. 2002 May 1;27(9):966-73; discussion 973-4.)

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Intradiscal electrothermal therapy (IDET) is a minimally invasive procedure performed on patients who suffer from a chronic history of discogenic back pain. A study, published in 2009, by Techniques in Regional Anesthesia & Pain Management reported that discogenic pain accounts for approximately 28% to 43% of the incidence of back pain in the United States.

Park SY, et al. Yonsei Med J. 2005 Aug;46(4):539-545.