Percutaneous Thoracic Intervertebral Disc Nucleoplasty: Technical Notes from 3 Patients with Painful Thoracic Disc Herniations.
- Author:
Nicholas H CHUA
1
;
Ismail GULTUNA
;
Patricia RIEZEBOS
;
Tjemme BEEMS
;
Kris C VISSERS
Author Information
- Publication Type:Case Report
- Keywords: Thoracic intervertebral disc herniation; Thoracic nucleoplasty; Percutaneous thoracic disc cannulation; Minimally invasive procedures
- MeSH: Humans; Intervertebral Disc; Intervertebral Disc Displacement
- From:Asian Spine Journal 2011;5(1):15-19
- CountryRepublic of Korea
- Language:English
- Abstract: Symptomatic thoracic disc herniation is an uncommon condition and early surgical approaches were associated with significant morbidity and even mortality. We are the first to describe the technique of percutaneous thoracic nucleoplasty in three patients with severe radicular pain due to thoracic disc herniation. Two of the patients experienced more than 75% pain relief and one patient experienced more than 50% pain relief. Post-procedural pain relief was maintained up to an average of 10 months after nucleoplasty. One patient with preoperative neurological signs improved postoperatively. There were no reported complications in all three patients. In view of the reduced morbidity and shorter operating time, thoracic intervertebral disc nucleoplasty can be considered in patients with pain due to thoracic disc herniation, with no calcification of the herniated disc, and in patients who may be otherwise be unfit for conventional surgery.
