Treatment of intervertebral disc degenerative disease using percutaneous nucleotomy–an overview of less invasive procedures
<p><strong>Background</strong>: Less invasive treatment methods for intervertebral disc disease and decompression of neural structures as a consequence of contained disc herniation represent an alternative to surgical procedure. Percutaneus nucleotomy uses a percutaneous approach t...
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| Format: | Article |
| Language: | English |
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Slovenian Medical Association
2014-04-01
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| Series: | Zdravniški Vestnik |
| Subjects: | |
| Online Access: | http://vestnik.szd.si/index.php/ZdravVest/article/view/1138 |
| _version_ | 1818194048522911744 |
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| author | Miran Jeromel Sergeja Kozar |
| author_facet | Miran Jeromel Sergeja Kozar |
| author_sort | Miran Jeromel |
| collection | DOAJ |
| description | <p><strong>Background</strong>: Less invasive treatment methods for intervertebral disc disease and decompression of neural structures as a consequence of contained disc herniation represent an alternative to surgical procedure. Percutaneus nucleotomy uses a percutaneous approach to the intervertebral disc. The article presents the evolution of numerous procedureds in clinical practice.</p><p><strong>Methods</strong>: Percutaneous nucleoplasty is a fluoroscopy-guided procedure which enables controlled and safe entrance into the intervertebral disc. The procedure is performed under strict aseptic conditions, using a local anaesthesia with the patient under analgosedation. Based on the principle of therapeutic intradiscal action, the procedures can be divided into three groups: chemical (chemonucleolysis with chimopapain, alcohol, ozone), mechanical (automated percutaneous lumbar discectomy – APLD, arthroscopic discectomy) and thermical methods (laser, radiofrequency ablation, intradiscal electrothermal annuloplasty – IDET, Coblation®).</p><p><strong>Results</strong>: Percutaneous nucleotomy by the majority of the mentioned procedures results in a therapeutic effect (reduction of pain and decompression of neural structures). Fast recovery represents a major advantage of less invasive treatment.</p><p><strong>Conclusions</strong>: Less invasive method (nucleotomy using different procedures) represents a successful alternative approach to surgical discectomy. Proper patient selection and safe technique are mandatory in order to achieve a good clinical outcome.</p> |
| first_indexed | 2024-12-12T00:56:06Z |
| format | Article |
| id | doaj.art-12ef8e0a9d2b48178e6fe3ef135d7010 |
| institution | Directory Open Access Journal |
| issn | 1318-0347 1581-0224 |
| language | English |
| last_indexed | 2024-12-12T00:56:06Z |
| publishDate | 2014-04-01 |
| publisher | Slovenian Medical Association |
| record_format | Article |
| series | Zdravniški Vestnik |
| spelling | doaj.art-12ef8e0a9d2b48178e6fe3ef135d70102022-12-22T00:43:53ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242014-04-01833885Treatment of intervertebral disc degenerative disease using percutaneous nucleotomy–an overview of less invasive proceduresMiran Jeromel0Sergeja Kozar1Oddelek za diagnostično in intervencijsko nevroradiologijo, Klinični inštitut za radiologijo, Univerzitetni Klinični center Ljubljana, Zaloška cesta 2, 1000 Ljubljana, SlovenijaKlinični oddelek za anesteziologijo in intenzivno terapijo operativnih strok, Univerzitetni Klinični center Ljubljana, Slovenija<p><strong>Background</strong>: Less invasive treatment methods for intervertebral disc disease and decompression of neural structures as a consequence of contained disc herniation represent an alternative to surgical procedure. Percutaneus nucleotomy uses a percutaneous approach to the intervertebral disc. The article presents the evolution of numerous procedureds in clinical practice.</p><p><strong>Methods</strong>: Percutaneous nucleoplasty is a fluoroscopy-guided procedure which enables controlled and safe entrance into the intervertebral disc. The procedure is performed under strict aseptic conditions, using a local anaesthesia with the patient under analgosedation. Based on the principle of therapeutic intradiscal action, the procedures can be divided into three groups: chemical (chemonucleolysis with chimopapain, alcohol, ozone), mechanical (automated percutaneous lumbar discectomy – APLD, arthroscopic discectomy) and thermical methods (laser, radiofrequency ablation, intradiscal electrothermal annuloplasty – IDET, Coblation®).</p><p><strong>Results</strong>: Percutaneous nucleotomy by the majority of the mentioned procedures results in a therapeutic effect (reduction of pain and decompression of neural structures). Fast recovery represents a major advantage of less invasive treatment.</p><p><strong>Conclusions</strong>: Less invasive method (nucleotomy using different procedures) represents a successful alternative approach to surgical discectomy. Proper patient selection and safe technique are mandatory in order to achieve a good clinical outcome.</p>http://vestnik.szd.si/index.php/ZdravVest/article/view/1138herniated intervertebral discpercutaneous disc decompressionnucleotomydiscoplastyless invasive procedures |
| spellingShingle | Miran Jeromel Sergeja Kozar Treatment of intervertebral disc degenerative disease using percutaneous nucleotomy–an overview of less invasive procedures Zdravniški Vestnik herniated intervertebral disc percutaneous disc decompression nucleotomy discoplasty less invasive procedures |
| title | Treatment of intervertebral disc degenerative disease using percutaneous nucleotomy–an overview of less invasive procedures |
| title_full | Treatment of intervertebral disc degenerative disease using percutaneous nucleotomy–an overview of less invasive procedures |
| title_fullStr | Treatment of intervertebral disc degenerative disease using percutaneous nucleotomy–an overview of less invasive procedures |
| title_full_unstemmed | Treatment of intervertebral disc degenerative disease using percutaneous nucleotomy–an overview of less invasive procedures |
| title_short | Treatment of intervertebral disc degenerative disease using percutaneous nucleotomy–an overview of less invasive procedures |
| title_sort | treatment of intervertebral disc degenerative disease using percutaneous nucleotomy an overview of less invasive procedures |
| topic | herniated intervertebral disc percutaneous disc decompression nucleotomy discoplasty less invasive procedures |
| url | http://vestnik.szd.si/index.php/ZdravVest/article/view/1138 |
| work_keys_str_mv | AT miranjeromel treatmentofintervertebraldiscdegenerativediseaseusingpercutaneousnucleotomyanoverviewoflessinvasiveprocedures AT sergejakozar treatmentofintervertebraldiscdegenerativediseaseusingpercutaneousnucleotomyanoverviewoflessinvasiveprocedures |