Treatment
of Lumbar Disc Extruded
and Migrated Hernia with Direct
Puncture and Injection of Ozone
S.
Marcia, S. Masala, C. Boi,
V. Erbì,
M. Marras, S. Marini, G.
Mallarini
SUMMARY - The purpose of this study is to to evaluate the possibility of treatment to the lumbar disc extrusion, migrated or not, with direct puncture and injection of ozone. We treated 90 patients who presented lumbar disc extrusion and migration with intense lumbar and sciatic pain resistant to pharmacological and to physiotherapeutic treatment, All the patient had previously been evaluated with CT, MRI and an electromyography exam. All the procedures were performed under CT guidance and without any type of anesthesia. We used 22 Gauge Chiba needles introduced with a posterior translaminar approach and we injected, for each treatment, 5-6ml of a 33% mix of oxygen-ozone. Patients were evaluated successively with clinical checks and with MRI. We observed a pain reduction of 85% and a degree of volume of the hernia in MR imaging. No evidence of complications. From our preliminary studies we observed that direct puncture and injection of ozone in the extruded and migrated hernia could result in a valid therapeutic option for patients who are not candidates for surgical intervention, considering the high percentage of success in relation to low complication rates.