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Intradiscal Electrothermal Therapy (IDET)
Lubdha M. Shah, MD
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Terminology

  • Abbreviations

    • Intradiscal electrothermal therapy (IDET)
  • Definitions

    • Intradiscal electrothermal therapy
      • Minimally invasive thermal heating of annulus to seal annular tears
        • Collagen shrinkage
        • Nerve ablation: Destroying type C afferent nerve fibers that innervate outer 1/3 of annulus

PRE-PROCEDURE

  • Indications

    • Contraindications

      • Getting Started

        PROCEDURE

        • Patient Position/Location

          • Procedure Steps

            POST-PROCEDURE

            • Expected Outcome

              OUTCOMES

              • Problems

                • Complications

                  Selected References

                  1. Assietti R et al: Intradiscal electrothermal therapy for symptomatic internal disc disruption: 24-month results and predictors of clinical success. J Neurosurg Spine. 12(3):320-6, 2010
                  2. Tsou HK et al: Intradiscal electrothermal therapy in the treatment of chronic low back pain: Experience with 93 patients. Surg Neurol Int. 1, 2010
                  3. Appleby D et al: Meta-analysis of the efficacy and safety of intradiscal electrothermal therapy (IDET). Pain Med. 7(4):308-16, 2006
                  4. Freeman BJ: IDET: a critical appraisal of the evidence. Eur Spine J. 15 Suppl 3:S448-57, 2006
                  5. Singh V et al: Percutaneous lumbar disc decompression. Pain Physician. 9(2):139-46, 2006
                  6. Kleinstueck FS et al: Acute biomechanical and histological effects of intradiscal electrothermal therapy on human lumbar discs. Spine (Phila Pa 1976). 26(20):2198-207, 2001
                  7. Shah RV et al: Intradiskal electrothermal therapy: a preliminary histologic study. Arch Phys Med Rehabil. 82(9):1230-7, 2001
                  8. Saal JS et al: Management of chronic discogenic low back pain with a thermal intradiscal catheter. A preliminary report. Spine (Phila Pa 1976). 25(3):382-8, 2000
                  Related Anatomy
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                  Related Differential Diagnoses
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                  References
                  Tables

                  Tables

                  Terminology

                  • Abbreviations

                    • Intradiscal electrothermal therapy (IDET)
                  • Definitions

                    • Intradiscal electrothermal therapy
                      • Minimally invasive thermal heating of annulus to seal annular tears
                        • Collagen shrinkage
                        • Nerve ablation: Destroying type C afferent nerve fibers that innervate outer 1/3 of annulus

                  PRE-PROCEDURE

                  • Indications

                    • Contraindications

                      • Getting Started

                        PROCEDURE

                        • Patient Position/Location

                          • Procedure Steps

                            POST-PROCEDURE

                            • Expected Outcome

                              OUTCOMES

                              • Problems

                                • Complications

                                  Selected References

                                  1. Assietti R et al: Intradiscal electrothermal therapy for symptomatic internal disc disruption: 24-month results and predictors of clinical success. J Neurosurg Spine. 12(3):320-6, 2010
                                  2. Tsou HK et al: Intradiscal electrothermal therapy in the treatment of chronic low back pain: Experience with 93 patients. Surg Neurol Int. 1, 2010
                                  3. Appleby D et al: Meta-analysis of the efficacy and safety of intradiscal electrothermal therapy (IDET). Pain Med. 7(4):308-16, 2006
                                  4. Freeman BJ: IDET: a critical appraisal of the evidence. Eur Spine J. 15 Suppl 3:S448-57, 2006
                                  5. Singh V et al: Percutaneous lumbar disc decompression. Pain Physician. 9(2):139-46, 2006
                                  6. Kleinstueck FS et al: Acute biomechanical and histological effects of intradiscal electrothermal therapy on human lumbar discs. Spine (Phila Pa 1976). 26(20):2198-207, 2001
                                  7. Shah RV et al: Intradiskal electrothermal therapy: a preliminary histologic study. Arch Phys Med Rehabil. 82(9):1230-7, 2001
                                  8. Saal JS et al: Management of chronic discogenic low back pain with a thermal intradiscal catheter. A preliminary report. Spine (Phila Pa 1976). 25(3):382-8, 2000