Percutaneous Mechanical Disc Decompression Using Dekompressor Device

An Appraisal of the Current Literature

Yakov Vorobeychik, Vitaly Gordin, Dmitriy Fuzaylov, Marek Kurowski

Research output: Contribution to journalReview article

3 Citations (Scopus)

Abstract

Objectives. The objective of this study was to determine if the available literature answers the following questions: does percutaneous disc decompression using Dekompressor device relieve radicular pain caused by a small disc herniation? Is the duration of response stable and clinically worthwhile? Is relief of pain corroborated by improvements in physical and social function? Does relief of pain result in reduction in the use of other health care? Is there a risk of serious side effects or complications? Design/Settings. The study was designed as a narrative review and description of the available evidence, drawn from the databases of PubMed, EMBASE, and the Cochrane Library. Innovatively, the concept of the "context of the patient" was introduced in the assessment. It required the assessors to consider the alternatives the patients and their treating practitioners faced. Results. The literature search identified three nonrandomized clinical trials, and a single case series. All studies were reasonably rigorous in reporting relief of pain and the use of analgesics. Evidence with respect to physical functioning was scarce. Although investigators reported on the relief of pain, they lacked rigor when reporting associated outcome measures such as use of other health care and physical functioning. Conclusions. Unfortunately, the context of a patient with persistent radicular pain caused by a small disc herniation is the lack of good alternatives to Dekompressor procedure. The moral question is whether Dekompressor is any less valid an option than perpetual opioids or discectomy. This question would be much easier to answer if the literature on Dekompressor was more rigorous and more compelling in its evidence. Wiley Periodicals, Inc.

Original languageEnglish (US)
Pages (from-to)640-646
Number of pages7
JournalPain Medicine (United States)
Volume13
Issue number5
DOIs
StatePublished - Jan 1 2012

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Decompression
Pain
Equipment and Supplies
Delivery of Health Care
Diskectomy
PubMed
Opioid Analgesics
Libraries
Analgesics
Research Personnel
Outcome Assessment (Health Care)
Databases

All Science Journal Classification (ASJC) codes

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

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abstract = "Objectives. The objective of this study was to determine if the available literature answers the following questions: does percutaneous disc decompression using Dekompressor device relieve radicular pain caused by a small disc herniation? Is the duration of response stable and clinically worthwhile? Is relief of pain corroborated by improvements in physical and social function? Does relief of pain result in reduction in the use of other health care? Is there a risk of serious side effects or complications? Design/Settings. The study was designed as a narrative review and description of the available evidence, drawn from the databases of PubMed, EMBASE, and the Cochrane Library. Innovatively, the concept of the {"}context of the patient{"} was introduced in the assessment. It required the assessors to consider the alternatives the patients and their treating practitioners faced. Results. The literature search identified three nonrandomized clinical trials, and a single case series. All studies were reasonably rigorous in reporting relief of pain and the use of analgesics. Evidence with respect to physical functioning was scarce. Although investigators reported on the relief of pain, they lacked rigor when reporting associated outcome measures such as use of other health care and physical functioning. Conclusions. Unfortunately, the context of a patient with persistent radicular pain caused by a small disc herniation is the lack of good alternatives to Dekompressor procedure. The moral question is whether Dekompressor is any less valid an option than perpetual opioids or discectomy. This question would be much easier to answer if the literature on Dekompressor was more rigorous and more compelling in its evidence. Wiley Periodicals, Inc.",
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Percutaneous Mechanical Disc Decompression Using Dekompressor Device : An Appraisal of the Current Literature. / Vorobeychik, Yakov; Gordin, Vitaly; Fuzaylov, Dmitriy; Kurowski, Marek.

In: Pain Medicine (United States), Vol. 13, No. 5, 01.01.2012, p. 640-646.

Research output: Contribution to journalReview article

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T1 - Percutaneous Mechanical Disc Decompression Using Dekompressor Device

T2 - An Appraisal of the Current Literature

AU - Vorobeychik, Yakov

AU - Gordin, Vitaly

AU - Fuzaylov, Dmitriy

AU - Kurowski, Marek

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AB - Objectives. The objective of this study was to determine if the available literature answers the following questions: does percutaneous disc decompression using Dekompressor device relieve radicular pain caused by a small disc herniation? Is the duration of response stable and clinically worthwhile? Is relief of pain corroborated by improvements in physical and social function? Does relief of pain result in reduction in the use of other health care? Is there a risk of serious side effects or complications? Design/Settings. The study was designed as a narrative review and description of the available evidence, drawn from the databases of PubMed, EMBASE, and the Cochrane Library. Innovatively, the concept of the "context of the patient" was introduced in the assessment. It required the assessors to consider the alternatives the patients and their treating practitioners faced. Results. The literature search identified three nonrandomized clinical trials, and a single case series. All studies were reasonably rigorous in reporting relief of pain and the use of analgesics. Evidence with respect to physical functioning was scarce. Although investigators reported on the relief of pain, they lacked rigor when reporting associated outcome measures such as use of other health care and physical functioning. Conclusions. Unfortunately, the context of a patient with persistent radicular pain caused by a small disc herniation is the lack of good alternatives to Dekompressor procedure. The moral question is whether Dekompressor is any less valid an option than perpetual opioids or discectomy. This question would be much easier to answer if the literature on Dekompressor was more rigorous and more compelling in its evidence. Wiley Periodicals, Inc.

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