Intradiscal electrothermocoagulation also known as annuloplasty and abbreviated as IDET is a new innovation employed in the management of low back pain. This procedure is used in patients who have pain in the lower part of their back which has been confirmed to be caused by positive discography studies and with a disk as the main source of the pain.
There are other facts that are included in the procedure’s criteria such as:
This procedure is normally carried out using a catheter which is inserted into the pulposus compartment through a posterolateral approach. In this process an electrothermal device is threaded and inserted anteriorly in the wall of the nucleus and then posteriorly to the walls of the annulus. This device is then heated up to about 90 degrees centigrade for a period of about 12 minutes 30 seconds and sustained at this temperature for an additional 4 minutes.
The man aim of this procedure is to hit the collagen in the disk wall and raising the temperature to desensitize the nerve ending. The hit on the collagen will later be useful in altering collagen protein which will provide the contraction and the closure of the wall fissures of the disk that were identified in the discography procedure. It has been identified that this procedure may result in the reduction of disc bugles and this will greatly contribute to the relief of pain.
The specific pain relief method has not been scientifically determined but this procedure is highly successful in the treatment of patients that meet the above criteria. It is also important to note that this procedure can only be performed on patients who have stability and do not show signs of Spondylolisthesis that is worsening. IDET has replaced conventional treatment methods used in the treatment of discogenic low back pain and this will minimize morbidity and reduce the incidents of complications arising from the treatment of lower back pain.