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Nucleoplasty

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https://www.readbyqxmd.com/read/27826211/nucleoplasty-for-treating-lumbar-disk-degenerative-low-back-pain-an-outcome-prediction-analysis
#1
Po-Chou Liliang, Kang Lu, Cheng-Loong Liang, Ya-Wen Chen, Yu-Duan Tsai, Yuan-Kun Tu
PURPOSE: Nucleoplasty is a minimally invasive technique that is considered efficacious in alleviating lumbar disk degenerative low back pain (LBP). The efficacy of nucleoplasty and identified variables that can predict pain relief for nucleoplasty was reported. PATIENTS AND METHODS: Between December 2013 and November 2015, 47 nucleoplasty procedures on 47 lumbar disks in 31 consecutive patients were performed. The outcome was evaluated using a visual analog scale (VAS) score...
2016: Journal of Pain Research
https://www.readbyqxmd.com/read/27699478/cone-beam-computed-tomography-and-its-image-guidance-technology-during-percutaneous-nucleoplasty-procedures-at-l5-s1-lumbar-level
#2
Anna Maria Ierardi, Filippo Piacentino, Francesca Giorlando, Alberto Magenta Biasina, Alessandro Bacuzzi, Raffaele Novario, Gianpaolo Carrafiello
OBJECTIVE: To demonstrate the feasibility of percutaneous nucleoplasty procedures at L5/S1 level using cone beam CT (CBCT) and its associated image guidance technology for the treatment of lumbar disc herniation (LDH). MATERIALS AND METHODS: We retrospectively reviewed 25 cases (20 men, 5 women) of LDH at L5/S1 levels. CBCT as guidance imaging was chosen after a first unsuccessful fluoroscopy attempt that was related to complex anatomy (n = 15), rapid pathological changes due to degenerative diseases (n = 7) or both (n = 3)...
October 3, 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/27684803/cervicogenic-headache-alleviation-after-cervical-coblation-nucleoplasty-a-prospective-cohort-study
#3
Liangliang He, Jianning Yue, Liqiang Yang, Baishan Wu, Guoqing Cao, Yuna Guo, Guanghui Lai, Yuanzhang Tang, Jiaxiang Ni
A degenerative cervical disc is a pain generator for headaches, and headaches can benefit from cervical prolapse surgery. However, as an alternative intervention for open cervical surgery, no study has reported whether headaches can benefit from cervical nucleoplasty.The objective of this study was to evaluate the efficacy of cervical coblation nucleoplasty in the treatment of cervicogenic headaches.In a prospective cohort study performed between December 2013 and August 2015, 20 patients with cervicogenic headaches undergoing cervical nucleoplasty for shoulder-arm pain were recruited into group C, and 20 patients with cervicogenic headaches undergoing lumbar nucleoplasty for low back pain, matched for age and sex, were recruited into group L...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27611826/percutaneous-cervical-nucleoplasty-vs-pulsed-radio-frequency-of-the-dorsal-root-ganglion-in-patients-with-contained-cervical-disk-herniation-a-prospective-randomized-controlled-trial
#4
Willy Halim, Walter van der Weegen, Toine Lim, Jorgen Antonin Wullems, Kris Christiaan Vissers
BACKGROUND: Cervical neck pain is often caused by cervical disk pathology and may cause severe symptoms and disability. Surgeons and patients are increasingly aware of postsurgery-related complications. This stimulated the clinical usage of minimally invasive treatments such as percutaneous nucleoplasty (PCN) and pulsed radio frequency (PRF). However, scientific evidence on both treatments is limited. OBJECTIVE: Our objective was to evaluate the efficacy of PCN compared to PRF in patients with contained cervical disk herniation...
September 9, 2016: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/27454281/complex-regional-pain-syndrome-caused-by-lumbar-herniated-intervertebral-disc-disease
#5
Se Hee Kim, Sang Sik Choi, Mi Kyung Lee, Jung Eun Kin
Most cases of complex regional pain syndrome (CRPS) occur after some inciting injury. There are a few cases of CRPS after an operation for disc disease. CRPS from a mild herniated intervertebral disc (HIVD) without surgical intervention is even rarer than CRPS after an operation for disc disease.A 22-year-old man was transferred to a pain clinic. He had continuously complained about back and right leg pain. He presented with a skin color change in the right lower leg, intermittent resting tremor, stiffness, and swelling in the right leg...
July 2016: Pain Physician
https://www.readbyqxmd.com/read/27228529/fluoroscopically-guided-c2-percutaneous-vertebroplasty-a-surgical-technique-note-on-an-anterior-ascending-approach
#6
Kuo-Wei Wang, Hao-Kuang Wang, Kang Lu, Cheng-Loong Liang, Ya-Wen Chen, Po-Chou Liliang
BACKGROUND: C2 vertebroplasty is more challenging than transpedicular percutaneous vertebroplasty in the thoracic and lumbar spine. OBJECTIVE: We report an anterior ascending approach for C2 percutaneous vertebroplasty to avoid potential injury to vital structures surrounding the C2 vertebra. STUDY DESIGN: A technique note with 5 consecutive cases. SETTING: Neurosurgery department of a university hospital. METHODS: Fluoroscopically guided manual compression was applied using 3 fingers at the C5 level between the muscle and trachea...
May 2016: Pain Physician
https://www.readbyqxmd.com/read/27228518/facetoplasty-using-radiofrequency-thermocoagulation-for-facet-joint-hypertrophy
#7
Jinyoung Oh, Daehyun Jo, Koohyun Kim, Jungwoo Shim, Misun Roh
UNLABELLED: Lumbar spinal stenosis is one of most common pathologic conditions affecting the lumbar spine. Pain and/or disability in the low back and lower extremities with or without neurogenic claudication may occur as a result of compression of dural sac contents or nerve roots in the narrowed space. Bulging and protrusion, facet joint hypertrophy, and disc herniation combined with osteophytes and arthritic changes of facet joints can be the cause of lumbar spinal stenosis. Medical/interventional treatment may be considered as an initial treatment for patients with mild symptoms of lumbar spinal stenosis...
May 2016: Pain Physician
https://www.readbyqxmd.com/read/26958046/comparison-of-open-surgical-discectomy-versus-plasma-laser-nucleoplasty-in-patients-with-single-lumbar-disc-herniation
#8
Saeid Abrishamkar, Masih Kouchakzadeh, Ahmad Mirhosseini, Homayoun Tabesh, Majid Rezvani, Amir Moayednia, Babak Ganjeifar, Amir Mahabadi, Elham Yousefi, Ali Mehrabi Kooshki
BACKGROUND: Intervertebral disc herniation is a major cause of low back pain. Several treatment methods are available for lumbar disc herniation including Chemonucleolysis, open surgery, nucleoplasty, laser disc decompression, and intradiscal electrothermal therapy. The high prevalence of lumbar disc herniation necessitates a minimally invasive yet effective treatment method. In this study, we compared the outcomes of open surgery and nucleoplasty method in patients with single lumbar disc herniation...
December 2015: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
https://www.readbyqxmd.com/read/26893114/clinical-efficacy-of-percutaneous-endoscopic-lumbar-annuloplasty-and-nucleoplasty-for-treatment-of-patients-with-discogenic-low-back-pain
#9
Jung Hwan Lee, Sang-Ho Lee
OBJECTIVES: This study assessed the effectiveness of percutaneous endoscopic lumbar annuloplasty and nucleoplasty (PELAN) for the treatment of patients with discogenic low back pain. STUDY DESIGN: Retrospective design SETTING: Spine hospital SUBJECTS: Forty-seven patients diagnosed as having discogenic low back pain, who were refractory to conservative treatments. METHODS: Outcomes were assessed using a numeric rating scale for back pain, the Oswestry disability index, and modified MacNab's criteria, at 2-3 weeks and at least 12 months after treatment...
April 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/26330212/-interventions-on-the-intervertebral-discs-indications-techniques-and-evidence-levels
#10
F Streitparth, A C Disch
CLINICAL ISSUE: Over the last decades a number of different minimally invasive interventions have been proposed for the treatment of intervertebral disc herniation and degeneration. All of these interventions aim at relieving pressure from compressed nerve roots by mechanical ablation, chemical dissolution, evaporation or coagulation of disc tissue. STANDARD TREATMENT: Microsurgical sequestrectomy with direct visualization of the spinal canal. TREATMENT INNOVATIONS: Minimally invasive intradiscal interventions, such as chemonucleolysis, manual and automated disc decompression, laser disc decompression, nucleoplasty and thermal anular radiofrequency (RF) techniques with posterolateral access to the intervertebral disc...
October 2015: Der Radiologe
https://www.readbyqxmd.com/read/26168829/percutaneous-nucleoplasty-using-coblation-technique-for-the-treatment-of-chronic-nonspecific-low-back-pain-5-year-follow-up-results
#11
Da-Jiang Ren, Xiu-Mei Liu, Sui-Yong Du, Tian-Sheng Sun, Zhi-Cheng Zhang, Fang Li
BACKGROUND: This study evaluated the efficacy of percutaneous nucleoplasty using coblation technique for the treatment of chronic nonspecific low back pain (LBP), after 5 years of follow-up. METHODS: From September 2004 to November 2006, 172 patients underwent percutaneous nucleoplasty for chronic LBP in our department. Forty-one of these patients were followed up for a mean period of 67 months. Nucleoplasty was performed at L3/4 in 1 patient; L4/5 in 25 patients; L5/S1 in 2 patients; L3/4 and L4/5 in 2 patients; L4/5 and L5/S1 in 7 patients; and L3/4, L4/5, and L5/S1 in 4 patients...
July 20, 2015: Chinese Medical Journal
https://www.readbyqxmd.com/read/26042514/the-comparison-of-the-efficacy-of-radiofrequency-nucleoplasty-and-targeted-disc-decompression-in-lumbar-radiculopathy
#12
COMPARATIVE STUDY
Barıs Adakli, Keziban Sanem Cakar Turhan, Ibrahim Asik
Chronic low back pain is a common clinical condition causing medical, socioeconomic, and treatment difficulties. In our study, we aimed to compare early and long-term efficacy of lumbar radiofrequency thermocoagulation (RFTC) nucleoplasty and targeted disc decompression (TDD) in patients with lumbar radiculopathy in whom previous conventional therapy had failed. The medical records of 37 patients undergoing TDD and 36 patients undergoing lumbar RFTC nucleoplasty were retrospectively examined and assigned to the Group D and Group N, respectively...
April 25, 2015: Bosnian Journal of Basic Medical Sciences
https://www.readbyqxmd.com/read/25879590/effect-of-percutaneous-nucleoplasty-with-coblation-on-phospholipase-a2-activity-in-the-intervertebral-disks-of-an-animal-model-of-intervertebral-disk-degeneration-a-randomized-controlled-trial
#13
Dajiang Ren, Zhicheng Zhang, Tiansheng Sun, Fang Li
BACKGROUND: This randomized controlled trial was carried out to (1) evaluate the effect of nucleoplasty with coblation on the PLA2 activity in the degenerative intervertebral disks of an animal model and (2) explore the possible therapeutic mechanism of coblation in addition to the current theory, which focuses on decreasing the intradiskal pressure in the treatment of intervertebral disk degeneration. METHODS: Thirty-six animal models of intervertebral disk degeneration were successfully established and then randomly divided into two groups: the coblation group (n = 18) and coblation control group (n = 18)...
March 25, 2015: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/25801391/inferior-thyroid-arterial-injury-after-percutaneous-cervical-nucleoplasty
#14
Jun Young Kim, Il Sup Kim, Jae Taek Hong, Jae Hoon Sung, Sang-Won Lee
No abstract text is available yet for this article.
June 1, 2015: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/25767571/one-decade-follow-up-after-nucleoplasty-in-the-management-of-degenerative-disc-disease-causing-low-back-pain-and-radiculopathy
#15
Rafael Cincu, Francisco de Asis Lorente, Joaquin Gomez, Jose Eiras, Amit Agrawal
OBJECTIVES: Nucleoplasty is a minimally invasive procedure that is developed to treat patients with symptomatic, but contained disc herniations or bulging discs. The purpose of this study was to evaluate a decade follow-up of coblation nucleoplasty treatment for protruded lumbar intervertebral disc. METHODS: In this retrospective study there a total 50 patients who underwent intradiscal coblation therapy for symptomatic, but contained lumbar degenerative disc disease were included...
January 2015: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/25722820/radiofrequency-induced-intradiscal-nucleoplasty-chronic-low-back-pain-secondary-to-lumbar-disc-herniation
#16
Dw Lee, Esy Loh, Cc Kueh, Jh Poi, T Francis, Kc Koh, Nn Wazir, H Singh
UNLABELLED: We set out to assess the efficacy of radiofrequency-induced intradiscal nucleoplasty in reducing pain in symptomatic patients with MRI-defined lumbar disc herniation and their satisfaction with the procedure. We compared the patients' pain intensity and severity of disability scores before and after undergoing the procedure in a retrospective questionnaire. These patients reported statistically significant reduction of pain intensity and disability level after the procedure...
July 2013: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/25694914/annulo-nucleoplasty-using-disc-fx-in-the-management-of-lumbar-disc-pathology-early-results
#17
Naresh Kumar, Aravind Kumar, Shah Siddharth M, Shah Sambhav P, Justin Tan
BACKGROUND: Back pain due to Lumbar Disc Disease is a major clinical problem. The treatment options range from physiotherapy to fusion surgery. A number of minimally invasive procedures have also been developed in the recent past for its management. Disc-FX is a new minimally invasive technique that combines percutaneous discectomy, nuclear ablation and annular modification. Literature on its role in the management of lumbar disc pathology is scarce. METHODS: We included 24 consecutive patients who underwent the Disc-FX for back pain due to lumbar disc pathology non-responsive to non-operative treatment for a period of at least 6 months...
2014: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/25354274/percutaneous-disc-decompression-for-lumbar-radicular-pain-a-review-article
#18
REVIEW
Damian Ong, Nicholas H L Chua, Kris Vissers
BACKGROUND: Open discectomy remains the standard of treatment for patients with lumbar radicular pain secondary to a prolapsed intervertebral disc. Open discectomy performed in patients with small, contained herniations may result in poor outcomes. The various techniques of percutaneous disc decompression (PDD) have been developed to address this population. METHODS: A literature search was conducted on articles, which address PDD for lumbar radicular pain. Published techniques include chymopapain chemonucleolysis, percutaneous laser disc decompression (PLDD), automated percutaneous lumbar discectomy (APLD), Dekompressor, nucleoplasty, and targeted disc decompression (TDD)...
January 2016: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/25189032/-lumbar-nucleoplasty
#19
REVIEW
Amit Keren, Yaron Berkovich, Lior Merom
Low back pain (LBP) is one of the common reasons for people to seek treatment from a physician. A familiar cause of LBP and radicular pain is disc bulge or protrusion. The treatment for this indication is diverse and suited to the type pathology and its severity. The treatment can be conservative ranging from a diversity of minimal invasive surgical methods to an open discectomy. The classification of disc herniation is based on the severity of the bulge, whereby the lowest degree is protrusion/ prolapse, then extrusion and the most severe level is sequestered disc...
July 2014: Harefuah
https://www.readbyqxmd.com/read/25023711/ct-guided-nucleoplasty-with-radiofrequency-energy-for-the-treatment-of-lumbar-disk-herniation
#20
RANDOMIZED CONTROLLED TRIAL
Shaoling Wu, Xiao Li, Caina Lin, Weike Zeng, Chao Ma
STUDY DESIGN: A clinical randomized controlled trial. OBJECTIVE: This study sought to compare the clinical effectiveness of CT-guided nucleoplasty, CT-guided nucleoplasty combined with nerve root injection, and CT-guided transforaminal lumbar epidural injections in treating patients with contained lumbar disk herniation and leg pain, which are caused by radicular encroachment. SUMMARY OF BACKGROUND DATA: Lumbar disk herniation is the most common cause of nerve root pain...
February 2015: Journal of Spinal Disorders & Techniques
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