419480

Outcome of Intradiscal Ozone Injection in Management of Lumbar Disc Herniation

Article

Last updated: 29 Mar 2025

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Abstract

Background
Lumbar disc herniation (LDH) is a common disease. Its main symptoms are low back pain (LBP) as well as sciatica, which can lead to disability. This study aims to assess the outcome of intradiscal ozone injection in pain and disability management from lumbar disc herniation.
Subjects and Methods
This was a prospective, single-arm, non-randomized clinical trial, conducted at the orthopedic surgery department at Al-Hussein University Hospital and Syed Jalal University Hospital. The study was conducted on patients receiving ozone chemonucleolysis treatment in herniated lumbar discs. The follow-up duration was 6 months. The Oswestry Disability Index (ODI) questionnaire and Visual analogue scales were used to assess pain impairment and physical performance as the main outcome (VAS).
IBM SPSS 25 Windows software was used to conduct the statistical analysis.
Results
The number of included patients was 30, with 12 females and 18 males. The mean age was 40.23±5.67. The majority of included patients had neither hypertension nor diabetes (N=28). Regarding the ODI, the analysis revealed a significant mean decrease from the baseline of 23.47 and a standard error of 2.37. As for the VAS, there was also a significant mean decrease of 3.5 and a standard error of 0.29 (p<0.001).
Conclusions
The study showed significant ODI and VAS score reductions. Therefore, intradiscal ozone injection showed significant improvements in pain disability and physical performance in LDH.

DOI

10.21608/EOJ.2025.419277

Keywords

Intradiscal injection, Lumbar Disc Herniation, Ozone injection

Authors

First Name

Ahmed

Last Name

Akar

MiddleName

Ibrahim

Affiliation

Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Email

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City

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Orcid

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First Name

Lotfy

Last Name

Shwitter

MiddleName

Mohamed Aly

Affiliation

Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Email

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City

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Orcid

-

First Name

Mohammad

Last Name

Al-Sisi

MiddleName

Wageh Mohammad

Affiliation

Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Email

mohammadmedicine2018@gmail.com

City

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Orcid

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Volume

60

Article Issue

1

Related Issue

54742

Issue Date

2025-03-01

Receive Date

2025-03-27

Publish Date

2025-03-01

Page Start

72

Page End

76

Print ISSN

1110-1148

Online ISSN

2090-9926

Link

https://eoj.journals.ekb.eg/article_419480.html

Detail API

http://journals.ekb.eg?_action=service&article_code=419480

Order

419,480

Type

Original Article

Type Code

3,432

Publication Type

Journal

Publication Title

The Egyptian Orthopaedic Journal

Publication Link

https://eoj.journals.ekb.eg/

MainTitle

Outcome of Intradiscal Ozone Injection in Management of Lumbar Disc Herniation

Details

Type

Article

Created At

29 Mar 2025