Clinical Results After Percutaneous Automated Lumbar Nucleotomy

Dullerud, R.; Amundsen, Tom; Lie, H. P.; Juel, Niels Gunnar; Abdelnoor, Michael; Magnæs, B.

doi:10.1080/02841859509173400

Cited by 3 publications

(4 citation statements)

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“…Dullerud also reported equally good results with percutaneous nucleotomy in patients with predominantly low back pain (paracentral contained herniation), as compared to those with predominantly sciatica (posterolateral contained herniation) 33 . Pressure and stress tolerances wane as discs age, however, leading to degeneration and reduced efficacy with percutaneous decompressive techniques 3,8,24 …”

Section: Discussionmentioning

confidence: 99%

“…Chymopapain can lead to fatal anaphylaxis, cartilaginous endplate damage, hemorrhage, and is dose dependent 17,30–32 . Both automated and manual nucleotomy have been difficult to confirm, 33 with one author suggesting that positive outcomes may be equivalent to spontaneous resolution of symptoms 30 . Laser discectomy may be associated with endplate injury and has enjoyed less success than chemonucleolysis when randomized 34 .…”

Section: Discussionmentioning

confidence: 99%

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Percutaneous Lumbar Discectomy: Clinical Response in an Initial Cohort of Fifty Consecutive Patients With Chronic Radicular Pain

Alò

Wright²,

Sutcliffe

et al. 2004

Pain Practice

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Percutaneous Lumbar Discectomy: Clinical Response in an Initial Cohort of Fifty Consecutive Patients With Chronic Radicular Pain

Alò

Wright²,

Sutcliffe

et al. 2004

Pain Practice

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“…Dul le rud et al al so re por ted equ ally go od re sults with per cuta ne o us nuc le o tomy in pa ti ents with pre do minantly low back pa in (pa ra cen tral con ta i ned her ni a ti on), as com pa red to tho se with pre do minantly sci a ti ca (pos te ro la te ral con ta i ned her ni a tion). 27 All of these stu di es al so ha ve shown a ge ne ral dec li ne in pa in re li ef over ti me. Ne zer and Her moni 28 sug gest that un less or un til bet ter sci en ti fic evi den ce is ava i lab le, APLD and la ser dis cec tomy sho uld be re gar ded as re se arch tech ni qu es.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness Comparison of Nucleoplasty and Automatic Percutaneous Lumbal Discectomy Procedures in Pain and Disability Scores for Herniated Lumbar Discs

Lüleci¹,

Dere²,

Akbaş³

et al. 2010

Turkiye Klinikleri J Med Sci

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A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Percutaneous decompression approach is associated with potential complications, limitations and poor outcome. Nucleotomy is used for suction of disc material. Nucleoplasty (NP) procedure utilizes coblation technology which allows for decompression of the disc using radiofrequency energy. The aim of study is to evaluate the effectiveness of NP versus automatic percutaneous lumbar discectomy (APLD) in pain and disability scores for decompression of contained herniated discs. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : A prospective, randomized study was conducted on 189 consecutive patients with complaints of low back pain with or without leg pain secondary to a contained lumbar herniated disc. Patients were ASA I-II physical status, and aged between 19-55 years. There were 96 patients in Group NP (67 females, 29 males), and 93 patients in Group APLD (66 females, 29 males). Control examinations were performed at 1st, 6th, 12th and 18th months and pain scores and Oswestry Disability Questionnaires (ODQ) were evaluated during controls. R Re es su ul lt ts s: : The pre-procedure and post-procedure visual analog scale (VAS) scores in group APLD and NP were 6.95, 2.44 and 7.14, 2.51 respectively. The VAS scores decreased in two groups and the difference between pre-procedure and post-procedure VAS scores were statistically significant (p<0.05). The reduction in VAS score continued in control examinations. The pre-procedure and post-procedure ODQ scores in group APLD and NP were 41.79, 22.81 and 41.48, 22.82 respectively. These differences between pre-procedure and post-procedure scores were also statistically significant (p<0.05). The reduction in ODQ scores continued in control examinations. In the APLD group, there was a statistically significant prolongation in time of procedure. No complications were observed in both groups. C Co on nc cl lu us si io on n: : The results of this study demonstrated a statistically significant improvement in VAS and Oswestry index scores at 1st, 6th, 12th and 18th months in both techniques. Because NP is a short and effective technique, NP should be the first choice for the treatment of symptoms associated with contained lumbar herniated discs. K Ke ey y W Wo or rd ds s: : Low back pain; intervertebral disk displacement; diskectomy, percutaneous Ö ÖZ ZE ET T A Am ma aç ç: : Perkutan dekompresyon sınırlamaları ve komplikasyon potensiyeli olan ve hala sonuçları hakkında az çalışma bulunan bir yaklaşımdır. Nükleotomi disk materyalinin aspire edilmesi için kullanılır. Nükleoplasti (NP) işlemi disk dekompresyonu için radyofrekans enerjisi kullanan koblasyon teknolojisini kullanır. Çalışmanın amacı herniye disklerin dekompresyonunda NP ile otomatik perkütan lumbal diskektominin (APLD) ağrı ve işgöremezlik skorları üzerine etkinliğini karşılaştırmaktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışma prospektif ve randomize olarak disk hernisine bağlı bel ağrısı olan ilaveten bacak ağrısı olan veya olmayan...

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“…Erwäh-nenswert ist in diesem Zusammenhang die Tatsache, daß das entnommene Bandscheibenvolumen im allgemeinen jedoch nicht unbedingt mit dem Operationsergebnis korreliert. Dullerud et al [9] [4] konnte in einem experimentellen Versuch nach APLD eine Abnahme des intradiscalen Druckes von durchschnittlich 5,7 bar nachgewiesen werden. Wegen der scheinbaren Korrelation zwischen klinischer Verbesserung des Schmerzbildes und präoperativ erhöhtem intradiscalem Druck wurde von Castagnera et al [2] zur Erfolgsvoraussage bei perkutaner Nukleotomie die Discomanometrie vorgeschlagen; sie konnten zwischen intradiscalem Druck, Volumen und Bandscheibenhöhe einerseits sowie Signalintensität bei MRI andererseits keine Korrelation feststellen.…”

Section: Diskussionunclassified

Perkutane bipolare Discektomie (PBD) Technische Grundlagen und erste Ergebnisse an einem In-vitro-Modell. Percutaneous Bipolar Discectomy (PBD) Technical Basis and Initial Results in an in-vitro Model

Jerosch¹,

Filier²,

Peuker³

1998

Biomedizinische Technik/Biomedical Engineering

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Clinical Results After Percutaneous Automated Lumbar Nucleotomy

Cited by 3 publications

References 0 publications

Percutaneous Lumbar Discectomy: Clinical Response in an Initial Cohort of Fifty Consecutive Patients With Chronic Radicular Pain

Percutaneous Lumbar Discectomy: Clinical Response in an Initial Cohort of Fifty Consecutive Patients With Chronic Radicular Pain

Effectiveness Comparison of Nucleoplasty and Automatic Percutaneous Lumbal Discectomy Procedures in Pain and Disability Scores for Herniated Lumbar Discs

Perkutane bipolare Discektomie (PBD) Technische Grundlagen und erste Ergebnisse an einem In-vitro-Modell. Percutaneous Bipolar Discectomy (PBD) Technical Basis and Initial Results in an in-vitro Model

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