Confirmatory study of the usefulness of quantum molecular resonance and microdissectomy for the treatment of lumbar radiculopathy in a prospective cohort at 6 months follow-up

Data de publicació: 06/03/2024 Data Ahead of Print: 06/03/2024

Autors de IIS La Fe

• María Ángeles Canós Verdecho

  Autor

• Ruth Maria Robledo Algarra

  Autor

• Rosa Izquierdo Aguirre

  Autor

• Alfonso Bermejo De La Calzada

  Autor

• Elisa Gallach Solano

  Autor

• María Pilar Argente Navarro

  Autor

Autors aliens a IIS La Fe

• Abejon, David
• Peraita-Costa, Isabel
• Morales-Suarez-Varela, Maria

Grups d'Investigació

• Endocrinología Reproductiva e Infertilidad

  Leader

  José Remohí Giménez

• Investigación en Salud Mental

  

  Leader

  Ana Cristina García Blanco

• Medicina Perioperatoria, Anestesiología y Reanimación

  

  Leader

  Óscar Díaz Cambronero

Abstract

Objectives: Low back pain is a common musculoskeletal complaint and while prognosis is usually favorable, some patients experience persistent pain despite conservative treatment and invasive treatment to target the root cause of the pain may be necessary. The aim of this study is to evaluate patient outcomes after treatment of lumbar radiculopathy (LR) with quantum molecular resonance radiofrequency coblation disc decompression and percutaneous microdiscectomy with grasper forceps (QMRG). Methods: This prospective cohort study was carried out in two Spanish hospitals on 58 patients with LR secondary to a contained hydrated lumbar disc hernia or lumbar disc protrusion of more than 6 months of evolution, which persisted despite conservative treatment with analgesia, rehabilitation, and physiotherapy, and/or epidural block, in the previous 2 years. Patients were treated with QMRG and the outcomes were measured mainly using the Douleur Neuropathique en 4 Questions, Numeric Rating Scale, Oswestry Disability Index, SF12: Short Form 12 Health Survey, Patient Global Impression of Improvement, Clinical Global Impression of Improvement, and Medical Outcomes Study Sleep Scale. Results: Patients who received QMRG showed significant improvement in their baseline scores at 6 months post-treatment. The minimal clinically important difference (MCID) threshold was met by 26-98% of patients, depending on the outcome measure, for non-sleep-related outcomes, and between 17 and 62% for sleep-related outcome measures. Of the 14 outcome measures studied, at least 50% of the patients met the MCID threshold in 8 of them. Conclusion: Treatment of LR with QMRG appears to be effective at 6 months post-intervention.

© 2024 the author(s), published by De Gruyter.

Keywords

• lumbar radiculopathy; nucleoplasty; prospective cohort; quantum molecular resonance; radiofrequency coblation