Percutaneous Discectomy of Herniated Intervertebral Disc with a Dekompressor(R) / 대한통증학회지
The Korean Journal of Pain
;
: 192-197, 2005.
Article
in Korean
| WPRIM
| ID: wpr-196442
ABSTRACT
BACKGROUND:
Radicular pain, associated with herniated intervertebral disc, has been treated with either conservative treatments or a traditional surgical discectomy. Several modalities for minimally invasive percutaneous procedures have been developed as alternatives to a surgical discectomy. Percutaneous decompression using a Dekompressor(R) probe has been recently introduced. Herein, we report the outcome of percutaneous decompression with a Dekompressor(R) for the treatment of a herniated intervertebral disc.METHODS:
Between August 2004 and April 2005, percutaneous decompression was performed using a Dekompressor(R), 1.5-mm percutaneous lumbar discectomy probe in 17 patients with a herniated lumbar intervertebral disc resistant to conservative treatments, with the results reviewed retrospectively. The procedure was performed under fluoroscopic guidance after local anesthesia. Disc access was gained with a posterolateral approach on the symptomatic side and intradiscal placement of the discectomy probe in the herniated disc confirmed from the anteroposterior and lateral views on the fluoroscopy.RESULTS:
We obtained satisfactory clinical results in 14 patients with a decrease in the initial Visual analogue scale (VAS) of more than 55% and the elimination or reduction of analgesic medication, with a follow-up of 3 to 11 months.CONCLUSION:
We concluded that a percutaneous discectomy with a Dekompressor(R) probe might be an effective alternative for the treatments of painful disc herniations resistant to conservative managements when performed under proper selection criteria.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Fluoroscopy
/
Retrospective Studies
/
Follow-Up Studies
/
Diskectomy, Percutaneous
/
Diskectomy
/
Patient Selection
/
Decompression
/
Intervertebral Disc
/
Intervertebral Disc Displacement
/
Anesthesia, Local
Type of study:
Diagnostic study
/
Practice guideline
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
Korean
Journal:
The Korean Journal of Pain
Year:
2005
Type:
Article
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