Not surgical manage of discal hernia with the drx9000 in Portoviejo, Ecuador

Authors

Keywords:

lumbar hernia, traction methods, DRX 9000 equipment, Hernia cervical

Abstract

Introduction: Discal hernia is a chronic condition that is difficult to manage, sometimes disabling patients.  It is a wordwide public health problem. Nowadays, the automated and computerized DRX 9000 equipement has been developed to treat this condition and alleviate its symptoms.

Objective: To evaluate how rehabilitation therapy and spinal descompression with the DRX 9000 equipment influence pain, as well as to describe the adverse effects in patients with cervical and lumbar disc herniation.

Material and Methods: A descriptive study was conducted on 971 patients with cervical disc hernia and lumbar disc hernia treated at the Hospital of the Ecuadorian Social Security Institute (IESS) in Portoviejo, Manabí province, during the period between January 2017 and January 2018. The patients consented to participate in the treatment and recived it duting 30 sessions with intermediate evaluation. Before and after starting the treatment, clinical symptomatology was evaluated.

Results: Cervical disc herniations predomined in women, while lumbar disc herniations mostly occurred in men. The fifth decade of life was the most frequent. After the interventions, an improvement in symptomatology was demonstrated (p < 0.01) when comparing them before and after treatment. No adverse effects were evident.

Conclusions: Rehabilitation therapy of patients with discal hernia applying descompression with the DRX 9000 equipment, significantly alleviated pain and sensory manifestations, being effective and safe.

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Author Biography

Amada Mercedes Diago Guzmán, Hospital Docente Clínico Quirúrgico "Manuel Fajardo. La Habana. Universidad de Ciencias Médicas de La Habana. La Habana.

La autora declara que no hay conflicto de intereses.

References

1- Ojeda González JJ, Jerez Labrada JA. Dolor de espalda. Generalidades en su diagnóstico y tratamiento. Rev Cubana Ortop Traumatol [Internet]. 2022 [Citado 08/02/2025];36(3). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pip=S0864-215X2022000300005&Ing=es

2- Siccoli A, Klukowska AM, Schröder ML, Staartjes VE. A Systematic Review and Meta-Analysis of Perioperative Parameters in RobotGuided, Navigated, and Freehand Thoracolumbar Pedicle Screw Instrumentation. World Neurosurgery. 2019; 127:576-87.e5.

3- Fiani B, Quadri SA, Farooqui M, Cathel A, Berman B, Noel J, et al. Impact of robot-assisted spine surgery on health care quality and neurosurgical economics: A systemic review. Neurosurgical Review. 2020; 43(1):17-25.

4- Staartjes VE, Klukowska AM, Schroder ML. Pedicle Screw Revision in Robot-Guided, Navigated, and Freehand Thoracolumbar Instrumentation: A Systematic Review and Meta-Analysis. World neurosurgery. 2018;116:433-43.e8.

5- Mayo Clinic. Back pain: Syntoms and causes [Internet]. Minnesota: Mayo Clinic; 2024 [Citado 08/02/2024]. Disponible en: https://www.mayoclinic.org/diseases-condirions/back-áin/syntoms-causes/syc20369906

6- OMS. Low back pain [Internet]. Ginebra: OMS; 2023 [Citado 08/02/2024]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/low-back-pain

7- Brunner M, Hemsley B, Togher L, Palmer S. Technology and its role in rehabilitation for people with cognitive-communication disability following a traumatic brain injury (TBI). Brain Injury. 2017; 31028-43

8- Van Niekerk K, Dada S,Tönsing K, Boshoff K. Factors perceived y rehabilitation professionals to influence the provision of assistive technology to children: a systematic review. Phys Occup Ther. 2018;38:168-89.

9- Rodríguez A, Xavier F. Beneficios del sistema Lokomat en pacientes con lesiones neurológicas que asistieron al hospital básico de Duran en periodo 2017-2019 [Tesis Especialidad]. Ecuador: UCSG; 2021 [Citado 08/02/2024]. Disponible en: http://repositorio.ucsg.edu.ec/handle/3317/16036

10- Moreno Verdu M, Ferreira Sánchez R, Cano de la Cuerda R, Jiménez A. Eficacia de la realidad virtual sobre equilibrio y marcha en esclerosis múltiple. Revisión sistemática de ensayos controlados y aleatorizados. Rev Neurol [Internet]. 2019 [Citado 08/10/2020]; 68:357-68. Disponible en: https//doi.org/1033588/m6809.2018350

11- Fernández Sanz A, Ruiz Serrano J, Tejada Meza H y Moreno J. Validación del cuestionario simplificado de la escala modificada Rankin (smRSq) telefónico en castellano. Neurología [Internet]. 2021 [Citado 30/07/2021];37:271—6. Disponible en https://doi.org/10.1016/j.nrl.2019.03.003

12- NCT00414596, Pilot Study to Evaluate The Effectiveness And Safety Of Axiom Worldwide Drx9000™ Spinal Decompression System. [Internet]. Canada: CTV; 2024 [Citado 21/08/2024]. Disponible en: https://clinicaltrials.gov/study/NCT00414596

13- NCT00469118, Clinical Efficacy and Safety of Axiom Worldwide DRX9000 Axial Decompression System for Treatment of Low Back Pain [Internet]. Canada: CTV; 2024.[Citado 21/08/2024]. Disponible en:https://clinicaltrials.gov/study/NCT00469118

14- Editorial Staff. Herniated Disc [Internet]. Minnesota: Mayo Clinic; 2019 [Citado 21/08/2024]. Disponible en: https://www.mayoclinic.org/diseases-conditions/herniated-disk/symptoms-causes/syc-20354095

15- Dominguez-Carrillo LG, Alcocer-Maldonado LA, Domínguez-Gasca LG. Hernia discal masiva: rehabilitación. Revisión a propósito de un caso. Rev Mex Med Fis Rehab [Internet]. 2015 [Citado 27/04/2019];27(3-4):86-93. Disponible en: http://www.medigraphic.com/pdfs/fisica/mf-2015/mf153_4e.pdf

16- Pereira Riverón R. Hernias de disco y lumbociatalgias. En su: Guías teraputicas en neurocirugía [Internet]. La Habana: MINSAP; 2008 [Citado 21/08/2024]. Disponible en: http://www.sld.cu/galerias/pdf/sitios/neuroc/hernias_de_disco_y_lumbociatalgias.ramiro_pereira.pdf

17- Suárez M, Sacoto MS, Bravo A, Pazmiño J. Prevalencia y tratamiento del dolor discogénico con descompresión espinal. Rev Med HJCA [Internet]. 2014 [Citado 21/08/2024]; 6(1): 58-61. Disponible en: https://doi:10.14410/2014.6.1.012

18- Lucas JW, Connor EM, BoseJ. Back, lower limb, and upper limb pain among U.S. adult, 2019 [Internet]. NCHS Data Brief, No. 415. [Internet]. Hyattsville, MD: National Center for Health Satatistics; 2021 [Citado 21/08/2024]. Disponible en: https://dx.doi.org/10.15620/cdc:107

19- Seguí Díaz M, Gérvas J. El dolor lumbar. Medicina de familia. SEMERGEN [Internet]. 2002 [Citado 10/04/2025],23(1):21-41. Disponible en: https://www.elservier.es/es-revista-medicina-familia-semergen-40-articulo-eldolor-lumbar-13025464

20- Santos C, Donoso R, Ganga M. Dolor lumbar: Revisión y evidencia de tratamiento. Rev Clin Las Condes [Internet]. 2020 [Citado 10/04/2025];31(5-6):387-95. Disponible en: https://www.elservier.es/es-revista-medica-clinica-las-condes-202-articulo-dolor-lumbar-revision-y-evidencia-S0716864020300717

Published

2025-08-01

How to Cite

1.
Diago Guzmán AM, Campistrous Lavaut JL, Salazar Clark O, García Estiven A. Not surgical manage of discal hernia with the drx9000 in Portoviejo, Ecuador. Rev haban cienc méd [Internet]. 2025 Aug. 1 [cited 2025 Aug. 2];24:e6125. Available from: https://revhabanera.sld.cu/index.php/rhab/article/view/6125

Issue

Section

Clinical and pathological sciences