Ozone therapy for the complex prolapse of lumbar intervertebral disc:a clinical observation

Objective To evaluate the therapeutic outcome of ozone injection therapy for the treatment of complex prolapse of lumbar intervertebral disc,which is accompanied with spinal stenosis due to hypertrophy of ligamentum flavum,degeneration of intervertebral facet joints,intervertebral hyperosteogeny and degeneration,lumbar muscle strain and negative pressure in intervertebral discs.Methods Seventy patients with simple intervertebral disc prolapse(simple group) and 70 patients with complex intervertebral disc prolapse(complex group) were selected for the study.The complex intervertebral disc prolapse included negative pressure in intervertebral disc(n=11),recurrence after resection of nucleus polposus of intervertebral disc(n=5),spinal stenosis(n=10),degeneration of intervertebral facet joints and interver-tebral hyperosteogeny(n=30),stenosis of lateral recess(n=4) and lumbar muscle strain(n=10).All patients were treated with ozone injection under the CT guidance.A total of 2-3 ml ozone with the concentration of 40-50 μg / ml was injected into the intervertebral disk and a total of 5-8 ml ozone with the concentration of 30-40 μg / ml was injected into the paraspinal space.Infiltration injection into the pain spots with 20 ml ozone was carried out in patients with lumbar muscle strain.Results A comparison of the therapeutic outcomes between simple group and complex group was made.Immediate relief from clinical symptoms was obtained in 80% of all treated patients.The effective rate one week after the procedure was 95%,which became 96% at 3-6 months after the treatment.Conclusion Correct clinical diagnosis,skilled and accurate manipulation during the surgery and reasonable use of ozone injection in the treatment of soft tissue injury,etc.can markedly improve the therapeutic effect for complex lumbar intervertebral disc prolase.