Percutaneous Discectomy of Herniated Intervertebral Disc with a Dekompressor(R).
10.3344/kjp.2005.18.2.192
- Author:
Oi Gyeong CHO
1
;
Chan KIM
;
Kyung Ream HAN
;
Hyun Ho LEE
;
Hye Won CHO
Author Information
1. Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University, Suwon, Korea. kimchan@madang.ajou.ac.kr
- Publication Type:Original Article
- Keywords:
Dekompressor(R);
herniated lumbar intervertebral disc;
percutaneous decompression
- MeSH:
Anesthesia, Local;
Decompression;
Diskectomy;
Diskectomy, Percutaneous*;
Fluoroscopy;
Follow-Up Studies;
Humans;
Intervertebral Disc Displacement;
Intervertebral Disc*;
Patient Selection;
Retrospective Studies
- From:The Korean Journal of Pain
2005;18(2):192-197
- CountryRepublic of Korea
- Language:Korean
-
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.
