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percutaneous disk decompression

Youngki Hong, Seunghan Yoo, Nack Hwan Kim, Yushin Kim, Sangho Sohn, Sung-Young Yoon, Sangheon Lee
OBJECTIVE:  To assess the procedural efficacy and safety of a Navigable Percutaneous Disk Decompressor (L'DISQ-C) for cervical disk herniation. METHODS:  We performed intradiskal decompression on cervical spine specimens from five human cadavers using the L'DISQ-C under C-arm fluoroscopic guidance. We evaluated our success for positioning the navigable wand tip into the target region and recorded temperature variation at various distances from the wand tip in the cervical nucleus pulposus...
May 2018: Journal of Neurological Surgery. Part A, Central European Neurosurgery
Judith D de Rooij, Pravesh S Gadjradj, John S Soria van Hoeve, Frank J Huygen, Hans A Aukes, Biswadjiet S Harhangi
Cervical radiculopathy is characterized by compression of the roots of the nerve. When conservative treatment fails and symptoms persist or increase in severity, surgical treatment is considered. Anterior cervical discectomy with or without fusion is regarded as the standard treatment for cervical disk herniation. Recently, there is an evolving trend in spinal surgery towards less invasive techniques. Nucleoplasty is a minimally invasive technique in which radiofrequency technology is used for percutaneous decompression...
November 2017: Clinical Spine Surgery
Hee-Sup Moon, Yong-Hyun Hwang, Hee-Chun Lee, Jae-Hoon Lee
The present study aimed to investigate the technical feasibility of percutaneous endoscopic mini-hemilaminectomy via a uniportal approach, and to evaluate the possibility of decompression and endoscopic examination of the thoracic and lumbar spinal canals in small dogs during such procedures. Fresh canine cadavers of mixed-breed dogs (n=7) were used in this study. Following injection of a barium and agarose mixture (BA-gel) to stimulate intervertebral disc herniation, percutaneous endoscopic mini-hemilaminectomy was performed using a lateral approach to the thoracic and lumbar vertebrae...
September 12, 2017: Journal of Veterinary Medical Science
Yong-Hyun Hwang, Hee-Chun Lee, Jae-Hoon Lee
OBJECTIVE: To examine the technical feasibility of percutaneous endoscopic pediculectomy using a lateral approach and to evaluate its use for decompression and examination of the thoracic and lumbar spinal canals in small dogs. STUDY DESIGN: Experimental study. ANIMALS: Clinically normal adult dogs (n=10). METHODS: After optimizing the technique in cadavers, percutaneous endoscopic pediculectomy was performed using a lateral approach to the thoracic (T12) or lumbar (L2) vertebrae in 5 dogs each...
November 2016: Veterinary Surgery: VS
Se-Jun Park, Chong-Suh Lee, Sung-Soo Chung, Sang-Soo Kang, Hyun-Jin Park, Se-Hun Kim
STUDY DESIGN: A prospective radiographic analysis. OBJECTIVE: To assess the ideal cage position for lateral lumbar interbody fusion (LLIF) together. SUMMARY OF BACKGROUND DATA: Achieving both indirect decompression and restoration of the segmental angle (SA) appear to be contrary to one another because the anteriorly located cage might be advantageous for restoring the SA, and posteriorly located cage might be favorable for achieving the indirect decompression effect...
July 2017: Clinical Spine Surgery
Dimitrios K Filippiadis, Alexis Kelekis
Low back pain and neuralgia due to spinal pathology are very common symptoms debilitating numerous patients with peak prevalence at ages between 45 and 60 years. Intervertebral discs and facet joints act as pain sources in the vast majority of the cases. Diagnosis is based on the combination of clinical examination and imaging studies. Therapeutic armamentarium for low back pain and neuralgia due to intervertebral discs and/or facet joints includes conservative therapy, injections, percutaneous therapeutic techniques and surgical options...
2016: British Journal of Radiology
Jun Sato, Seiji Ohtori, Sumihisa Orita, Kazuyo Yamauchi, Yawara Eguchi, Nobuyasu Ochiai, Kazuki Kuniyoshi, Yasuchika Aoki, Junichi Nakamura, Masayuki Miyagi, Miyako Suzuki, Gou Kubota, Kazuhide Inage, Takeshi Sainoh, Kazuki Fujimoto, Yasuhiro Shiga, Koki Abe, Hiroto Kanamoto, Gen Inoue, Kazuhisa Takahashi
PURPOSE: Extreme lateral interbody fusion provides minimally invasive treatment of spinal deformity, but complications including nerve and psoas muscle injury have been noted. To avoid nerve injury, mini-open anterior retroperitoneal lumbar interbody fusion methods using an approach between the aorta and psoas, such as oblique lumbar interbody fusion (OLIF) have been applied. OLIF with percutaneous pedicle screws without posterior decompression can indirectly decompress the spinal canal in lumbar degenerated spondylolisthesis...
March 2017: European Spine Journal
Nelson Moussazadeh, David G Rubin, Lily McLaughlin, Eric Lis, Mark H Bilsky, Ilya Laufer
BACKGROUND CONTEXT: Pathologic vertebral compression fractures (VCFs) represent a major source of morbidity and diminished quality of life in the spinal oncology population. Procedures with low morbidity that effectively treat patients with pathologic fractures are especially important in the cancer population where life expectancy is limited. Vertebroplasty and kyphoplasty are often not effective for mechanically unstable pathologic fractures extending into the pedicle and facet joints...
July 1, 2015: Spine Journal: Official Journal of the North American Spine Society
Jorgen A Wullems, Willy Halim, Walter van der Weegen
BACKGROUND: Although percutaneous cervical nucleoplasty (PCN) has been shown to be both safe and effective, its application is still debated. PCN applied in disk herniation has not been systematically reviewed before, resulting in a limited insight into its effectiveness and safety, and the quality of available evidence. Therefore, we systematically reviewed the evidence on the efficacy and safety of PCN in patients with a (contained) herniated disk. METHODS: MEDLINE, EMBASE, and the Cochrane Library (Central Register of Controlled Trials) were searched for randomized controlled trials (RCTs) and nonrandomized studies using the following keywords: "Nucleoplasty," "Cervical," "Hernia," "Herniation," "Prolapse," "Protrusion," "Intervertebral disk," and "Percutaneous disk decompression...
July 2014: Pain Practice: the Official Journal of World Institute of Pain
Florian Streitparth, Thula Walter, Uta Wonneberger, Bernhard Schnackenburg, Carsten M Philipp, Federico Collettini, Ulf K M Teichgräber, Bernhard Gebauer
PURPOSE: To assess the feasibility of guidance and thermometry by open 1.0 T magnetic resonance (MR) imaging during percutaneous laser disc decompression (PLDD). METHODS: A fluoroscopic proton-density-weighted turbo spin echo sequence was used for positioning a laser fiber and a reference thermosensor within the targeted spinal disc. In 30 lumbar discs from human donors, nonspoiled gradient-echo (GRE) sequences with different echo times (TE) were compared to monitor thermal laser effects (Nd:YAG laser, 1,064 nm)...
June 2014: Cardiovascular and Interventional Radiology
Zsolt Cselik
INTRODUCTION: Nearly 65-70% of the population over the age of 40 years may be affected by lumbar pain. AIM: The aim of the author was to detect the impact of percutaneous laser disc decompression in intervertebral discs. METHOD: For the model 27 ex vivo lumbar intervertebral discs were used. Constant laser light energy to the nucleus pulposus was delivered using diode laser. Computed tomography and fluoroscopy were performed to compare the accuracy of the procedure...
September 1, 2013: Orvosi Hetilap
Fernando Ruiz Santiago, María Del Mar Castellano García, Francisco Aparisi Rodríguez
The aim of this article is to perform a general review of the different radiological percutaneous procedures used to diagnose and treat the many causes of back pain. These procedures can be merely diagnostic, such as discography and biopsy, diagnostic and therapeutic, such as epidural and facets injections, or only therapeutic, such as vertebroplasty, decompressive techniques of the intervertebral disk and tumour ablation. We review the indications, advantages and complications of these techniques.
May 13, 2013: Medicina Clínica
Willy Halim, Jorgen A Wullems, Toine Lim, Hans A Aukes, Walter van der Weegen, Kris C Vissers, Ismail Gültuna, Nicholas H L Chua
BACKGROUND: Percutaneous cervical nucleoplasty (PCN) is a safe and effective treatment in symptomatic patients with contained cervical herniated disks. It provides simple and efficient disk decompression, using a controlled and highly localized ablation, but evidence regarding long-term efficacy is limited. We conducted a retrospective study to investigate the long-term efficacy and safety of PCN, and the influence of ideal selection settings. METHODS: A total of 27 patients treated with PCN fulfilling ideal selection criteria (Group A) were studied and compared to 42 patients not meeting these criteria (Group B)...
June 2013: Pain Practice: the Official Journal of World Institute of Pain
Chi Heon Kim, Chun Kee Chung, Tae-Ahn Jahng, Hee-Jin Yang, Young-Je Son
STUDY DESIGN: Technical report. OBJECTIVE: To present a detailed surgical technique of percutaneous endoscopic interlaminar diskectomy (PEID) for recurrent lumbar disk herniation and present features of postoperative magnetic resonance images that were unavailable in previous studies. SUMMARY OF BACKGROUND DATA: Revision lumbar diskectomy is troublesome because of the difficulty in dissecting a surgical scar. Endoscopic diskectomy is regarded as an alternative method with comparable clinical outcome and less complication...
July 2012: Journal of Spinal Disorders & Techniques
Zachary A Smith, Sean Armin, Dan Raphael, Larry T Khoo
BACKGROUND: We describe a new posterior dynamic stabilizing system that can be used to augment the mechanics of the degenerating lumbar segment. The mechanism of this system differs from other previously described surgical techniques that have been designed to augment lumbar biomechanics. The implant and technique we describe is an extension-limiting one, and it is designed to support and cushion the facet complex. Furthermore, it is inserted through an entirely percutaneous technique...
2011: Surgical Neurology International
Nagy Mekhail, Ricardo Vallejo, Mark H Coleman, Ramsin M Benyamin
BACKGROUND: Lumbar spinal stenosis (LSS) generally occurs from a combination of degenerative changes occurring in the lumbar spine. These include hypertrophy of ligamentum flavum, facet joint arthritic changes and bulging of the intervertebral disk. Spinal stenosis leads to compression of the lumbar neural elements (cauda equina), which manifests as low back and leg pain especially on standing and walking known as "neurogenic claudication." Current treatment options for LSS are varied...
March 2012: Pain Practice: the Official Journal of World Institute of Pain
Dimitrios Erginousakis, Dimitrios K Filippiadis, Aikaterini Malagari, Athanasios Kostakos, Elias Brountzos, Nikolaos L Kelekis, Alexis Kelekis
PURPOSE: To compare short-, intermediate-, and long-term functional results concerning pain reduction and mobility improvement between conservative therapy and percutaneous disk decompression (PDD) in patients with intervertebral disk herniations. MATERIALS AND METHODS: The study received approval from both the university ethics panel and the institutional review board. Patients provided informed consent for the study. Over the past 4 years, two randomized groups of 31 patients with sciatica due to intervertebral disk herniation were prospectively studied and compared with the t test...
August 2011: Radiology
Sang-Ho Lee, Han Sug Kang, Gun Choi, Byoung Joon Kong, Yong Ahn, Jin-Sung Kim, Ho-Yeon Lee
The 'foraminoplastic' ventral epidural approach and its advantages in the treatment of extruded disk herniation at the L5-S1 level are described. Percutaneous endoscopic lumbar discectomy is a minimally invasive procedure applicable to various types of lumbar disk herniation, but the L5-S1 disk space is still challenging to access due to anatomic limitations such as high iliac crest or severely narrowed foramen. The 'foraminoplastic' ventral epidural approach was performed in 25 patients with herniated disk radiculopathy at L5-S1 from March 2003 to May 2004...
2010: Neurologia Medico-chirurgica
Long-xi Ren, Bao-feng Guo, Tong-tong Zhang, Qiu-tie Bai
OBJECTIVE: To study the imaging findings outcome of the percutaneous laser disc decompression (PLDD) and evaluate the middle-term safety and efficacy of PLDD. METHODS: The imaging data of 22 cases suffered cervical spondylosis or lumbar spondylosis and treated by PLDD more than 3 years were retrospectively reviewed. To observe the intervertebral space of the invasive disc and the intervertebral disc hernia before and after the operation on the lateral projection of X-ray and the axial view of the MRI...
January 15, 2010: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Iu I Zhuravlev, G I Nazarenko, A M Cherkashov, V V Riazanov, A G Nazarenko
The paper focuses on algorithms of outcomes assessment of surgical treatment of the patients with degenerative lumbar disk disease. From 1997 to 2006 389 patients with discogenic lumbar pain were operated in the Medical Center of Central Bank of Russia. 185 patients underwent radiofrequency destruction of facet nerves, laser percutaneous lumbar discectomy was performed in 39 patients, microdiscectomy -- in 131, and decompression combined with lumbar spine stabilization -- in 31 cases. Clinical and radiological data of each patient were recorded in the database using 3-point scale according to intensity of the feature...
January 2009: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
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