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Int J Med Sci 2011; 8(1):1-8. doi:10.7150/ijms.8.1

Research Paper

6-Month Results of Transdiscal Biacuplasty on Patients with Discogenic Low Back Pain: Preliminary Findings

Haktan Karaman1, Adnan Tüfek2, Gönül Ölmez Kavak2, Sedat Kaya3, Zeynep Baysal Yildirim2, Ersin Uysal4, Feyzi Çelik2

1. Pain Management Center, Department of Anesthesiology, Dicle University, Diyarbakir, TURKEY
2. Department of Anesthesiology, Dicle University, Diyarbakir, TURKEY
3. Department of Anesthesiology, Diyarbakir Training and Research Hospital, Diyarbakir, TURKEY
4. Diyarbakır Vocational Higher School, Department of Technique, Dicle University, Diyarbakir, TURKEY


Study Design: Prospective observational study.

Objective: Our aim is to investigate the efficacy and safety of TransDiscal Biacuplasty.

Summary of Background Data: Chronic discogenic pain is one of the leading causes of low back pain; however, the condition is not helped by most non-invasive methods. The results of major surgical operations for these patients are unsatisfactory. Recently, attention has shifted to disk heating methods for treatment. TransDiscal Biacuplasty is one of the minimally invasive treatment methods. The method was developed as an alternative to spinal surgical practices and Intradiscal Electrothermal Therapy for treatment of patients with chronic discogenic pain.

Methods: The candidates for this study were patients with chronic discogenic pain that did not respond to conservative treatment. The main criteria for inclusion were: the existence of axial low back pain present for 6 months; disc degeneration or internal disc disruption at a minimum of one level, and maximum of two levels, in MR imaging; and positive discography. Physical function was assessed using the Oswestry Disability Index when measuring the pain with VAS. Patient satisfaction was evaluated using a 4-grade scale. Follow-ups were made 1, 3, and 6 months after treatment.

Results: 15 patients were treated at one or two levels. The mean patient age was 43.1±9.2 years. We found the mean symptom duration to be 40.5±45.7 months. At the sixth month, 57.1% of patients reported a 50% or more reduction in pain, while 78.6% of patients reported a reduction of at least two points in their VAS values. In the final check, 78.6% of patients reported a 10-point improvement in their Oswestry Disability scores compared to the initial values. No complications were observed in any of the patients.

Conclusions: TransDiscal Biacuplasty is an effective and safe method.

Keywords: discogenic pain, low back pain, transdiscal biacuplasty, intradiscal electrothermal therapy, cool radiofrequency

This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY-NC) License. See for full terms and conditions.
How to cite this article:
Karaman H, Tüfek A, Kavak GÖ, Kaya S, Yildirim ZB, Uysal E, Çelik F. 6-Month Results of Transdiscal Biacuplasty on Patients with Discogenic Low Back Pain: Preliminary Findings. Int J Med Sci 2011; 8(1):1-8. doi:10.7150/ijms.8.1. Available from