PHARMA DEVELOPMENTS: OZONE DISECTOMY
Reference: DOCTOR KARES HOSPITAL, Co-founder- Dr. Vikram Sheel Kumar
Prolapsed InterVertebral Disc (PIVD, popularly known as “slipped disc” is a major rupture or hernia of material from the shock-absorbing gel-like discs that separate each of the spinal vertebrae in the spinal column. - Herniation leads to annulus fibrosus: where a part of the disc protrudes through a tear in its fibrous outer tissue
- Result is severe pain: annulus fibrosus blocks the joint at the point of Exit and presses on the spinal nerves,leading to pain
- Sever pain is observed in:
- Lower back (lumbar region)
- Often spreading down to one or both legs
- Leads to:
- Twisted stance (scoliosis)
- Severe disability
- irreversible loss of bladder sensation and urine retention:Caused in several cases where disc pressure upon the cauda equina sheath of nerves at the base of the spine is increased- this needs Urgent treatment.
Along with the lower five lumbar discs, the neck (lower cervical region) is a common place for PIVD to occur, but recovery may be quicker than in the lower spine.
OZONE DISECTOMY:
Procedure:
The patient was positioned in the oblique position on the fluoroscopic operating table. His back was prepared in the usual manner, the L5 - S1 space was identified and vertebral end plates were brought parallel and superior articular process of S1 was placed in middle of the disk space using fluoroscopic adjustments.
A 17 gauge Dekompressor was used. The introducer cannula with stylet was directed towards the space at an angle of nearly 45 degrees, entered at a point 8 cm from the midline on the right. The tip of the needle was in mid line as was confirmed using an AP and lateral fluoroscopic image.
An Omnipaque Discogram was performed demonstrating a circumferential disc along with epidural spread. The internal stylet was removed and the active dekompressor probe was introduced through the canula. Discectomy was now begun activating the probe for 15 '' at a time. About 2 - 2.5 ml of gelatinous nuclear material was observed in the collecting chamber after a series of discectomies.
4 ml O3O2 at concentration of 29 microgram / ml was injected in the disc space. The canula was then withdrawn slowly till it reached the periradicular space. Remainder of 12 ml O3O2 were injected in this space and 80 mg depomedrol was then injected and canula was withdrawn.
In summary, the patient was out of work for only 5 days after his treatment was started, compared to 3 weeks of being on complete bed rest (without improvement) before his visit.
Results of Ozonucleolysis (Ozone Discectomy)
The Results of this miniaturized surgical intervention in Protocol series (92%) are better than those of Surgical MicroDiscectomies (90%) or Endoscopic Discectomies (84%), that too without any sort of collateral damage to normal healthy surrounding tissues that may happen with surgery. More so the morbidity is almost absent and return to full working capacity is within a few days. This is what this new revolutionary treatment stands for- a "Minimalistic approach, early return to activity without significant comorbidities."
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