Percutaneous Lumbar Discectomy and CT Discography

Gastambide, D.; Monteiro, A.; Pieters, Guido; Garnier, Jonathan; Benardeau, T.; Maillard, R.

doi:10.1007/978-3-642-74679-6_15

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…• Chymopapain was also used for cervical disk as reported by Hoogland in 1994, and Hoogland and Scheckenbach in 1995. 52 was developed by Gastambide (1993) 43 and Bornet (1994). They used forceps to remove the central part of the disk under fl uoroscopic guidance, leading to an indirect decompression.…”

Section: Percutaneous Cervical Diskectomymentioning

confidence: 99%

1 History of Endoscopic Spine Surgery

Kim¹,

Choi²,

Lee³

2011

Endoscopic Spine Procedures

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As the understanding of human physiology has become more complete, the importance of preserving normal tissues has become increasingly clear in the fi eld of surgery. This understanding gave birth to the concept of minimally invasive surgery that has conquered almost all surgical fi elds, including spine surgery. With recent advances and experience, minimally invasive spinal surgery (MISS) is gradually replacing conventional spine surgical procedures. The primary goal of MISS is to achieve outcomes comparable to those of open surgery while minimizing normal tissue damage and reducing recovery times. Advances in optics, radionavigation, and laser technology made MISS more accessible to surgeons and truly less invasive for the patient.Minimally invasive surgical techniques have touched the entire spinal column, from the cervical to the lumbosacral spine. The MISS spectrum ranges from simple disk surgeries to the most complicated spine surgeries, such as deformity correction. Of all MISS procedures, percutaneous endoscopic disk surgery has attracted the most attention from the global spine surgery community and has enjoyed phenomenal advances in sophistication in the past decade. The remainder of the chapter presents a historical account of percutaneous disk surgeries for the lumbar and cervical spine.

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Section: Percutaneous Cervical Diskectomymentioning

confidence: 99%

1 History of Endoscopic Spine Surgery

Kim¹,

Choi²,

Lee³

2011

Endoscopic Spine Procedures

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CT-Diskography, Diskomanometry and MR Imaging as Predictors of the Outcome of Lumbar Percutaneous Automated Nucleotomy

Dullerud

Amundsen

Lie³

et al. 1995

Acta Radiol

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Purpose: This prospective study was performed to assess whether CT-diskography (CT-D), diskomanometry (DMM) including recording of the pain response, or the MR signal intensity of the disks are reliable predictors of the outcome of nucleotomy. Material and Methods: Ninety-one patients, 44 females and 47 males aged 18–68 years (mean 37.4) treated at 99 disk levels were included. All had plain CT, MR imaging, CT-D and DMM performed prior to automated percutaneous nucleotomy with the Nucleotome R system. Results: Sixty-nine (76%) of the patients responded well to treatment within 3 months. Due to recurrences, the success rate at 1 year was reduced to 65%. Except for better results following nucleotomy in patients with similar and identical pain as the presenting complaint provoked at diskography, no association was demonstrated between diskographic parameters, or loss of signal on MR, and the outcome. Better results were also seen in patients with a short history of disk disease, but not in patients with predominantly sciatica and focal hernias compared to those with predominantly low-back pain and diffuse posterior bulges. Conclusion: The results do not justify routine use of diskography prior to nucleotomy in patients with pathologic disks demonstrated by noninvasive methods and localizing sciatic pain.

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Percutaneous Lumbar Discectomy and CT Discography

Cited by 2 publications

References 3 publications

1 History of Endoscopic Spine Surgery

1 History of Endoscopic Spine Surgery

CT-Diskography, Diskomanometry and MR Imaging as Predictors of the Outcome of Lumbar Percutaneous Automated Nucleotomy

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