The results of nucleoplasty in patients with lumbar herniated disc: a prospective clinical study of 52 consecutive patients

Mirzai, Hasan; Tekin, İdil; Yaman, Onur; Bursalı, Adem

doi:10.1016/j.spinee.2006.02.033

Cited by 60 publications

(65 citation statements)

References 30 publications

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“…After percutaneous mechanical lumbar disc decompression using the enSpire TM device, NRS and ODI scores were decreased. The success rate in reducing the NRS score more than 50% was 66.7%, similar to or better than other percutaneous disc decompression (PDD) procedures [14][15][16][17][18][19]. Moreover, there were no complications related to the enSpire TM discectomy procedure.…”

Section: Discussionsupporting

confidence: 54%

Percutaneous mechanical lumbar disc decompression using the enSpire^TMinterventional discectomy system: a preliminary study

et al. 2017

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This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Background:The enSpire TM interventional discectomy system is a new device for treating percutaneous disc decompression (PDD). The outcomes of using the enSpire TM for lumbar disc herniation have not been previously reported. The aim of this study was to determine the clinical effectiveness and safety of the enSpire TM interventional discectomy system for lumbar disc herniation with radiating pain. Methods: Twelve patients with lumbar disc herniation with radiating leg pain were enrolled in the study. All patients received PDD using enSpire TM . Numeric rating scale (NRS) scores for pain and Oswestry Disability Index (ODI) scores were obtained initially and after 1 and 3 months. The patients were divided into 2 groups: Group 1, in which the NRS score improved by more than 50% at 3 months after procedure, and Group 2, in which the NRS score remained the same or improved by less than 50%. Results: After PDD using the enSpire TM , the NRS scores decreased from 6.9 ± 1.2 to 2.8 ± 2.7; and ODI scores decreased from 25.8 ± 4.6 to 18.2 ± 5.5. No statistical differences occurred between Group 1 (n = 8) and Group 2 (n = 4) except in the duration of prior illness. Conclusions: The enSpire TM interventional discectomy system is effective and safe over the short-term, minimally invasive, and easy to use. (Anesth Pain Med 2017; 12: 72-76)

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Section: Discussionsupporting

confidence: 54%

Percutaneous mechanical lumbar disc decompression using the enSpire^TMinterventional discectomy system: a preliminary study

et al. 2017

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“…Post 6 month NRS 3.7 ± 1.9 0 NRS : numeric rating scale score height of a normal adjacent disc [12]. The role of nucleoplasty is radiofrequency and thermal treatment [7,13]; therefore, neucloplasty may be recommended contained disc herniation.…”

Section: Nrs (N=43) Mean ± Sd P Valuementioning

confidence: 99%

Efficacy of Nucleo-Annuloplasty Using Disc-Fx in Lumbar Disc Herniation

Park¹,

Lee²

2015

J Spine

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Background: Lumbar radicular pain may be caused by lumbar disc herniation, spinal stenosis, or degenerative spondylolisthesis. It is most often caused by lumbar disc herniation and presents as pain radiating from the back into the leg, usually in a dermatomal pattern corresponding to the compressed nerve root. In patients whose pain does not respond to epidural steroid injections, other treatment modalities can be considered. Minimally invasive disc decompression procedures have been developed to treat radicular pain caused by disc herniation. The Disc-FX system combines percutaneous manual discectomy using forceps, nuclear ablation, and annular modification using radiofrequency equipment. To our knowledge, no reports of a correlation between response to Disc-FX and type of lumbar disc herniation have been published. The aim of this study was to determine patients' responses to and shortterm outcomes of Disc-FX procedures.

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“…Plasma disc decompression (PDD) has been used with promising results for a number of years in the lumbar region [19,31,35,48,51,65], but has been practiced and studied less frequently in the cervical spine [37,50]. Bonaldi et al [3] performed a prospective case study utilizing PDD to treat 55 patients with cervical disc herniations and symptoms of neck and arm pain; 85% of these patients had a good to excellent clinical outcome by 6 months post-procedure.…”

Section: Introductionmentioning

confidence: 99%

Plasma disc decompression for contained cervical disc herniation: a randomized, controlled trial

Cesaroni

Nardi

2009

Eur Spine J

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Prospective case series studies have shown that plasma disc decompression (PDD) using the COBLATION SpineWand device (ArthroCare Corporation, Austin, TX) is effective for decompressing the disc nucleus in symptomatic contained cervical disc herniations. This prospective, randomized controlled clinical trial was conducted to evaluate the clinical outcomes of percutaneous PDD as compared to conservative care (CC) through 1 year. Patients (n = 115) had neck/arm pain [50 on the visual analog scale (VAS) pain scale and had failed at least 30 days of failed CC. Patients were randomly assigned to receive either PDD (n = 62) or CC (n = 58). Clinical outcome was determined by VAS pain score, neck disability index (NDI) score, and SF-36 health survey, collected at 6 weeks, 3 months, 6 months, and 1 year. The PDD group had significantly lower VAS pain scores at all follow-up time points (PDD vs. CC: 6 weeks, -46.87 ± 2.71 vs. -15.26 ± 1.97; 3 months, -53.16 ± 2.74 vs. -30.45 ± 2.59; 6 months, -56.22 ± 2.63 vs. -40.26 ± 2.56; 1 year, -65.73 ± 2.24 vs. -36.45 ± 2.86; GEE, P \ 0.0001). PDD patients also had significant NDI score improvement over baseline when compared to CC patients at the 6 weeks (PDD vs. CC: -9.15 ± 1.06 vs. -4.61 ± 0.53, P \ 0.0001) and 1 year (PDD vs. CC: -16.70 ± 0.29 vs. -12.40 ± 1.26, P = 0.005) follow-ups. PDD patients showed statistically significant improvement over baseline in SF-36 physical component summary scores when compared to CC patients at 6 weeks and 1 year (PDD vs. CC: 8.86 ? 8.04 vs. 4.24 ± 3.79, P = 0.0004; 17.64 ± 10.37 vs. 10.50 ± 10.6, P = 0.0003, respectively). In patients who had neck/arm pain due to a contained cervical disc herniation, PDD was associated with significantly better clinical outcomes than a CC regimen. At 1 year, CC patients appeared to suffer a ''relapse, showing signs of decline in most measurements, whereas PDD patients showed continued stable improvement.

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The results of nucleoplasty in patients with lumbar herniated disc: a prospective clinical study of 52 consecutive patients

Cited by 60 publications

References 30 publications

Percutaneous mechanical lumbar disc decompression using the enSpire^TMinterventional discectomy system: a preliminary study

Percutaneous mechanical lumbar disc decompression using the enSpire^TMinterventional discectomy system: a preliminary study

Efficacy of Nucleo-Annuloplasty Using Disc-Fx in Lumbar Disc Herniation

Plasma disc decompression for contained cervical disc herniation: a randomized, controlled trial

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The results of nucleoplasty in patients with lumbar herniated disc: a prospective clinical study of 52 consecutive patients

Cited by 60 publications

References 30 publications

Percutaneous mechanical lumbar disc decompression using the enSpireTMinterventional discectomy system: a preliminary study

Percutaneous mechanical lumbar disc decompression using the enSpireTMinterventional discectomy system: a preliminary study

Efficacy of Nucleo-Annuloplasty Using Disc-Fx in Lumbar Disc Herniation

Plasma disc decompression for contained cervical disc herniation: a randomized, controlled trial

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Percutaneous mechanical lumbar disc decompression using the enSpire^TMinterventional discectomy system: a preliminary study

Percutaneous mechanical lumbar disc decompression using the enSpire^TMinterventional discectomy system: a preliminary study