2020 Volume 27 Issue 1 Pages 83-86
A case is a 27-year-old woman. Open discectomy was performed for L3/4 and L4/5 herniation in X−7 year. X−1 year, She visited our department with low back pain and right lower limb pain. MRI confirmed recurrence of huge herniation occupying 70％ of the spinal canal in the L4/5 and disc degeneration. She complained severe pain of low back and L5 nerve root area, NRS was 10 and SLRT was 30 degrees. NRS decreased to 7 in drug therapies and nerve root block etc., but she was difficult to maintain the same posture and walking. We considered intervertebral disc therapy (Disc-FX®). We performed nucleus decompression, nucleus ablation, and annulus modulation using Disc-FX®. Lower extremity pain disappeared on day 2, SLRT improved to 80 degrees. Back pain gradually improved and decreased to NRS 1–3. Even in the recurrent huge herniation, Disc-FX® was considered as one of the options to try.
