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Intradiskal electrothermal therapy: A preliminary histologic study
Rinoo V. Shah, MD, Gregory E. Lutz, MD, Joe Lee, MD, Stephen B. Doty, MD, Scott Rodeo, MD Archives of Physical Medicine and Rehabilitation Volume 82, Issue 9, Pages (September 2001) DOI: /apmr Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions
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Fig. 1 Axial fluoroscopic image of the IDET semirigid catheter and temperature probe inside the intervertebral disk. Archives of Physical Medicine and Rehabilitation , DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions
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Fig. 2 Temperature curves for probe and thermistor for L3–4 disk subjected to IDET high-temperature heating protocol. Archives of Physical Medicine and Rehabilitation , DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions
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Fig. 3 Sagittal L3–4 specimen, treated (top arrow) and untreated (bottom arrow), embedded in paraffin; size is contrasted with the SpineCATH® catheter (top). Archives of Physical Medicine and Rehabilitation , DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions
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Fig. 4 Light micrograph, safranin O staining at 100× magnification; (A) treated and (B) untreated. (A) Shows hyalinization (arrow) of annular material, collagen denaturation, and stromal disorganization. (B) Shows no evidence of histologic damage; in fact, one can see the normal lamellar pattern of the annulus (arrow). Archives of Physical Medicine and Rehabilitation , DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions
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Fig. 5 Light micrograph, hematoxylin and eosin staining at 200× magnification, treated area. There is evidence of hyalinization (arrow) and denaturation of collagen. Archives of Physical Medicine and Rehabilitation , DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions
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Fig. 6 Light micrograph, tri-chrome staining at 40× magnification, treated area. Endplates are preserved (arrow). Archives of Physical Medicine and Rehabilitation , DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions
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Fig. 7 Electron micrograph, (A) treated and (B) untreated area at 4000× magnification. (A) Shows shrinkage and clustering of collagen (arrow). (B) Shows normal lamellar organization of annular tissue (arrow). Archives of Physical Medicine and Rehabilitation , DOI: ( /apmr ) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions
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