Percutaneous cervical nucleoplasty and percutaneous cervical discectomy treatments of the contained cervical disc herniation

Yan, Denglu; Li, Jian; Zhu, Haodong; Zhang, Zhi; Duan, Lijun

doi:10.1007/s00402-009-1041-3

Cited by 30 publications

(54 citation statements)

References 22 publications

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“…Within this group, pain medication use was diminished in 79% of the cases, and almost two‐thirds of all patients did not use any pain medication at all after treatment (63%). The low complication rate found in our study is comparable to findings of several other studies . Gertszen et al .…”

Section: Discussionsupporting

confidence: 92%

“…Several techniques are used in the treatment for cervical disk herniation . In the past, conventional cervical discectomy was considered the standard treatment .…”

Section: Discussionmentioning

confidence: 99%

“…Studies have demonstrated percutaneous cervical nucleoplasty (PCN) to be both safe and effective . Strict patient selection is believed to be of significant importance for successful treatment .…”

Section: Introductionmentioning

confidence: 99%

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The Long‐term Efficacy and Safety of Percutaneous Cervical Nucleoplasty in Patients with a Contained Herniated Disk

et al. 2012

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Section: Discussionsupporting

confidence: 92%

“…Several techniques are used in the treatment for cervical disk herniation . In the past, conventional cervical discectomy was considered the standard treatment .…”

Section: Discussionmentioning

confidence: 99%

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The Long‐term Efficacy and Safety of Percutaneous Cervical Nucleoplasty in Patients with a Contained Herniated Disk

et al. 2012

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“…In the case of RF, reports have shown high patient satisfaction, with 77% to 83% excellent or good results, according to the MacNab criteria. [13][14][15]18 For VAS, Sim 18 reported an improvement from 9.3 to 3.4 at the six-month follow-up, and Schubert showed an improvement from 8.3 to 2.5 in a two-year follow-up. 19 Likewise, the use of laser -an analogous technology to the RF used in this study -showed satisfaction rates of around 50% 20 and 90%.…”

Section: Discussionmentioning

confidence: 96%

Anterior Percutaneous Cervical Discectomy. Two-Year Follow-Up of a Blunt Technique Procedure

León¹,

Ortíz²,

Martínez³

et al. 2017

Coluna/Columna

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Objective: To report the outcomes of non-endoscopic percutaneous cervical discectomy by anterior blunt approach for the treatment of degenerative disc disease. Methods: A review of the medical records of patients with axial cervical pain resulting from degenerative disc disease and treated with discectomy and percutaneous nucleoplasty by anterior blunt approach with radiofrequency source was carried out. The data were evaluated according to modified MacNab and pre-and postoperative VAS criteria at 3, 12 and 24 months. Results: Sixty-two procedures were performed in 48 patients between 2008 and 2014. The mean age of the population was 52.4 years. MacNab results were 84.6%, 92.3%, and 89.2% improvement (excellent and good results) at 3, 12 and 24 months, respectively. The VAS changed from 7.4 to 2.3 two years after the procedure, showing a statistically significant difference (p=0.000). There were no major complications or re-interventions related to the technique. Conclusions: Anterior non-endoscopic discectomy and nucleoplasty for the treatment of discogenic axial cervical pain may be an effective alternative to open surgery. In the two-year follow-up, our blunt technique proved to be a safe procedure with no approach-related complications, and provided outcomes comparable to those reported using the original needle technique.Keywords: Spine; Intervertebral disc degeneration; Neck pain; Diskectomy, percutaneous; Minimally invasive surgical procedures. RESUMO

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“…In 2007; however, it was reported to develop epidural fibrosus following nucleoplasty [34]. Another study conducted on human cadavers demonstrated that lethal thermal damage might develop outside the nucleus pulposus due to misplacement of the radio frequency probe [35], but other studies showed that PN was safe, with very little complication risk [33–36]. …”

Section: Discussionmentioning

confidence: 99%

Effectiveness of nucleoplasty applied for chronic radicular pain

et al. 2011

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SummaryBackgroundOver the last several decades there has been a general trend toward reduction and minimalization in surgical treatment of chronic back pain, since open surgery brings complications in small and contained disc herniations instead of achieving expected success. Attention has been focussed on percutaneous nucleoplasty due to the limited success of other minimally invasive methods, as well due to their associated complications. However, there have been few studies in the English literature with a follow-up period of more than 1 year.Material/MethodsPatients with chronic disc herniations having more significant radicular leg pain, who did not respond to non-invasive treatment methods and for whom open surgery was not an option were selected for percutaneous nucleoplasty application. Upon intervention, patients were prospectively questioned by an independent physician regarding pain, physical improvement, and operation satisfaction at 1, 6, 12 and 24 months. Pain was evaluated with VAS, and physical improvement was evaluated based on the Oswestry Disability Index.ResultsMean VAS that was 8.7±1.1 before the procedure was determined to be 3.4±1.9 at 24 months follow-up. At the latest follow-up, 87.5% of the patients reported a 30% or higher decrease in their pain. While Oswestry scores were 76.1±10.2 in the beginning, they went down to 33.9±14.9 at the end of 2 years. The percent of those stating “good” and “excellent” satisfaction was 66% (23 persons) on the last follow-up.ConclusionsWhile it is once more shown that nucleoplasty is a safe method, it is also shown that its effectiveness continues at the end of 2 years.

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Percutaneous cervical nucleoplasty and percutaneous cervical discectomy treatments of the contained cervical disc herniation

Abstract: PCN and PCD treatments of contained cervical disc herniation show good outcomes and there was no difference in the stability of cervical spine. PCN and PCD are safe, minimally invasive, and no differences were observed between the methods in clinical outcome.

Cited by 30 publications

References 22 publications

The Long‐term Efficacy and Safety of Percutaneous Cervical Nucleoplasty in Patients with a Contained Herniated Disk

The Long‐term Efficacy and Safety of Percutaneous Cervical Nucleoplasty in Patients with a Contained Herniated Disk

Anterior Percutaneous Cervical Discectomy. Two-Year Follow-Up of a Blunt Technique Procedure

Effectiveness of nucleoplasty applied for chronic radicular pain

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