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Updated: Jan 2, 2026
Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation
Published on: April 7, 2023
Fluoroscopically guided interlaminar needle for lumbar disc herniation: a series of 43 patients
Adel Ahmed1, Ahn Kang2, Jhun Hyung-Joon3
1From the Department of Radiology, Faculty of Medicine, Kuwait University, Kuwait.
Background:
Lumbar disc herniation (LDH) is the most common cause of back and leg pain. We developed a specially designed needle and a minimally invasive interventional procedure to treat LDH.
Objectives:
Assess outcomes of procedure and describe our methodology and clinical application.
Design:
Case series.
Setting:
A chronic pain management center.
Patients And Methods:
Patients with LDH underwent fluoroscopically guided interventional interlaminar needling using a specially designed curved round needle. The outcome measures were evaluated three times: before the intervention and at 6 and 12 months after the intervention.
Main Outcome Measures:
Visual analog scale (VAS) pain score, Oswestry Disability Index (ODI).
Sample Size:
43 patients.
Results:
Six months after the intervention, the VAS pain score decreased by 5.1 (2.2) points and the ODI decreased by 30.7% (16.6%) compared to baseline. Twelve months after the intervention, the VAS pain score decreased by 6.2 (1.7) points and the ODI decreased by 36.9% (15.2%) compared to baseline.
Conclusions:
This study suggests that fluoroscopically guided interventional interlaminar needling has clinical significance in managing pain resulting from LDH.
Limitations:
This was an exploratory case series study. Additional studies and randomized clinical trials are needed to evaluate the efficacy of the technique compared to other treatments.
Conflict Of Interest:
None.
