Ozone Nucleolysis is a minimally invasive, non-surgical procedure for SLIP DISC or disc prolapse that exploits the biochemical properties of a gas mixture of oxygen and ozone.
A safer alternative to Chemonucleolysis, other interventions and disc surgery.
It has high success rate(88%) and is less invasive. It has fewer chances of recurrences.
Ozone nucleolus is usually done for the management of pain due to slipped disc or herniated disc.
Its action is due to the active oxygen atom (singlet oxygen) liberated from it. It attaches with the proteo-glycan bridges in the nucleus pulposus. They are broken down and they no longer capable of holding water. As a result, disc shrinks and mummified and there is decompression of nerve roots.
Percutaneous injection of ozone-oxygen mixture.Conc. Of ozone is 29-30 microgram /ml.Ozone gas is injected immediately from an ozone generator.3-10 ml of ozone is injected at the centre of the disc with/without intraformational injection. Procedure is performed under CT or C-Arm guidance.
Complications are very rare. They include postprocedural muscle spasm and burning pain (these are transient) and discitis (very rare due to the bactericidal effect of ozone).
Ozone nucleolysis has a success rate of about 80%. On the other hand, surgical diskectomy has much higher side effects compared to remarkably fewer side effects of ozone diskectomy.
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