Nucleoplasty: Percutaneous Plasma Disc Decompression for the Treatment of Lumbar Disc Herniation (요추 추간판 탈출증의 치료로서 경피적 수핵성형술)

Dong-Yeong Lee (이동영); Jeong Soon-Taek (정순택); 오진영; KIM DONG HEE (김동희)

Nucleoplasty: Percutaneous Plasma Disc Decompression for the Treatment of Lumbar Disc Herniation

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2017, 24(2), pp.129-136
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

Dong-Yeong Lee ¹, Jeong Soon-Taek ¹, 오진영 ¹, KIM DONG HEE ¹

¹경상대학교

Accredited

ABSTRACT

Study Design: A review of the literature regarding nucleoplasty. Objectives: This aim of this article is to provide current information on nucleoplasty as a therapeutic intervention for herniated disc or discogenic back pain in degenerative disc disease. Summary of Literature Review: Nucleoplasty as a therapeutic intervention for discogenic pain is performed with increasing frequency, and has been reported to involve few complications and to have satisfactory clinical results. Materials and Methods: Review of the literature. Results: In nucleoplasty, the intervertebral disc is approached percutaneously. In this paradigm, a bipolar high frequency device in combination with ablation and coagulation is used to create a channel in the intervertebral disc in order to reduce intervertebral disc volume and to decrease intervertebral pressure and inflammatory markers. Standard indications for nucleoplasty have not been established, but it has been reported that the procedure had excellent outcomes regardless of the presence of radiculopathy or the results of discography. Many studies have reported their outcomes using various categories, because the procedure is comparatively new. Concomitantly, long-term follow-up studies remain to be performed, and each study reported a different follow-up period. Conclusions: Nucleoplasty has been found to show an excellent prognosis for discogenic back pain and a low incidence of complications. Moreover, since it is a minimally invasive procedure, it offers improved possibilities for return to daily life and work. If degenerative changes have not progressed to a great extent or the intervertebral level remains intact, nucleoplasty may be considered prior to surgery. Due to the lack of reports on the subject, prospective analyses in the future are required.

KEYWORDS

Discogenic pain, Disc herniation, Degenerative disc disease, Minimally invasive procedure, Nucleoplasty

Citation status

* References for papers published after 2023 are currently being built.

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