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Intervertebral disc is made of nucleous pulposus, which is jelly like material, which contain 90% of proteoglycans . When ozone is injected into disc with specialised needle, the proteoglycan embedded in the jelly like material are broken down and so it is not capable of retaining water. As a result, disc shrink inside and mummified which is as equivalent to surgical discectomy and for that procedure it is called ozone discectomy or ozone nucleolysis.
Success rate is about 88%, which is comparable to surgical discectomy (50% to 90%) . Complications are very nil as much less then open surgery. It has been published in “Anesthesia and pain general that 85% of disc operation can be avoided with this non surgical intervention technique.
Ozone therapy : It is to be done under local anesthesia with patient awake.
Usually 1 to 2 sitting at the interval of 2-4 weeks are required. But in some resistant cases, additional procedures may be required.
When to do surgeries and what are the surgical option ?
If patients have red flag like neurological deficiency, foot drop, complete numbness of legs, unable to control defecation and if patient may not respond with nerve blocks ,then surgery is required. In case of cauda equina, it may required urgent surgical decompression.
Surgeries we do laminectomies, discectomies, micro-discectomies, lumbar interbody fusion surgeries (TLIF), lumbar stabilisation and disc replacement and Transforaminal lumbar endoscopic fusion.
Patient requires hospital stay of 3-5 days and recovery time is 3-4 weeks. Post operative physiotherapy or spine strengthening is recommended.
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