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Atif Malik

Atif Malik

M.D. American Spine, USA

Title: Lumbar Intradiskal Platelet-Rich Plasma (PRP) Injections: A Retrospective Study

Biography

Biography: Atif Malik

Abstract

Participants Adults with chronic (≥6 months), moderate-to-severe nascent lumbar discogenic pain that was unresponsive to conservative treatment including spinal injections. Methods Participants received 2 cc of intradiscal PRP using standard diskography technique. Data on pain, physical function, and participant satisfaction were collected at 2 week, 3 months, 6 months, and 1 year. Main Outcome Measures Oswestry Disability Index (ODI), , and Visual Analague Scale (VAS) for pain were used. Results Data were analyzed from 18 patients (11 men, 7 women; mean age 38.2 years-old) who had completed 1 year follow-up. No patient showed adverse events, significant increase in pain for more than 2 weeks or new MRI changes. For patients who received autograft with PRP, the mean VAS improved by 4.9 points (p < 0.01), and mean ODI improved by 29 points (p < 0.001). Conclusion Participants who received intradiscal PRP showed significant improvements in VAS and ODI at 3, 6 and 12 months post injection. Although these results are promising, further studies are needed to define the subset of participants most likely to respond to biologic intradiscal treatment based on anatomic classification system.