Percutaneous lumbar diskectomy using a new aspiration probe

Onik, Gary; Helms, Clyde A.; Ginsburg, Leonard; Hoaglund, Franklin T.; Morris, James M.

doi:10.2214/ajr.144.6.1137

Cited by 163 publications

(73 citation statements)

References 7 publications

(6 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The techniques presented in the present study were modifications of the standard posterolateral approaches to the L5-S1 lumbar spine under fluoroscopic guidance. Percutaneous nucleotomy 6,14 was applied as a main procedure to remove extruded material, and automated percutaneous lumbar discectomy 1,8,9,11 as a supplement to further clear any residual material.…”

Section: Discussionmentioning

confidence: 99%

“…Compared with the posterolateral L5-S1 discectomy and automated percutaneous lumbar discectomy, 1,6,8,9,14 the advantages of the anterior approach include the following: 1) avoidance of paraspinal muscle trauma and partial denervation; 2) removal of more of the offending extruded disc fragments, which in turn minimizes the chance of recurrent disc herniations at the affected level; 3) less postoperative pain; and 4) earlier hospital discharge. 3,4,12 In addition, the TPLD procedure is not so technically demanding; an access operator experienced with lumbosacral anatomy could successfully perform the procedure and minimize potential complications.…”

Section: Discussionmentioning

confidence: 99%

“…Once the discectomy is finished, suction aspiration and cutting are performed in a fashion similar to that in an automated percutaneous lumbar discectomy. 1,8,9 Usually it takes ~ 10-15 minutes for this procedure. After aspirating and withdrawing the probe, broad-spectrum antibiotics (2 g of cefoperazone and 100 ml of metronidazole) are injected into the disc space through a 14-gauge needle to prevent postoperative discitis.…”

Section: E)mentioning

confidence: 99%

“…The posterolateral percutaneous approach for lumbar disc nucleotomy has been popular since Onik et al 8,9 presented their automated method in 1985. Reaching the L5-S1 disc space is relatively difficult and challenging, however.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Prospective evaluation of transabdominal percutaneous lumbar discectomy for L5–S1 disc herniation: initial clinical experience

Wu¹,

Li²,

Gu³

et al. 2008

SPI

View full text Add to dashboard Cite

Object Anterior approaches to the lumbosacral spine have become an increasingly common procedure in spine surgery, but transabdominal percutaneous lumbar discectomy (TPLD) performed anteriorly under fluoroscopic guidance is challenging. In this study the authors describe the TPLD and evaluate its safety and early clinical results in the management of L5–S1 disc herniation. Methods Between January 2005 and June 2007, 30 consecutive patients with L5–S1 disc herniation were treated with L5–S1 TPLD. All procedures were performed with the patient in a state of local anesthesia. After bowel preparation, the hypogastrium was compressed to move the intestinal canal away from the puncture site. The TPLD was then performed with fluoroscopic guidance to remove herniated disc material. Patients were evaluated prospectively using the visual analog scale (VAS) and the Oswestry Disability Index (ODI) during ≤ 30 months of follow-up. Results The mean hospital stay was 6.7 days. Scores on the VAS for leg pain (preoperative mean score 7.10, postoperative mean score 0.93) and the ODI (preoperative mean index 62.03, postoperative mean index 10.33) were statistically significantly (p = 0.00) improved at the last follow-up examination compared with preoperative scores. All members of the study group showed favorable results. On the day after the procedure pancreatitis developed in 1 patient but was cured by fasting and intravenous nutrition with antibiotics for 7 days. No other complications occurred during the follow-up. Conclusions Transabdominal percutaneous lumbar discectomy is a safe, effective, and minimally invasive procedure for the treatment of disc herniations at the L5–S1 level.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: E)mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Prospective evaluation of transabdominal percutaneous lumbar discectomy for L5–S1 disc herniation: initial clinical experience

Wu¹,

Li²,

Gu³

et al. 2008

SPI

View full text Add to dashboard Cite

show abstract

“…The principle of mechanical nucleotomy was subsequently pursued by other investigators. [41,49] In the early 1980s, [21,26] in an attempt to reach the herniated fragments that were dislodged under the posterior longitudinal ligamentum, the Craig instruments were modified and with the diameter of the cannula enlarged (5 mm inside diameter [ID], 6.9 mm outside diameter [OD]). This allowed the passage of upbiting and deflecting instruments.…”

mentioning

confidence: 99%

Minimally invasive techniques in spinal surgery: current practice

Kambin

Gennarelli²,

Hermantin³

1998

FOC

View full text Add to dashboard Cite

Minimally invasive spinal surgery under arthroscopic or endoscopic magnification and illumination is emerging as an alternative, reliable method of treatment in a variety of spinal disorders. The operative techniques being used for discectomy and retrieval of herniated disc fragments or stabilization of unstable spinal motion segments are being utilized for visual diagnosis and debridement of infectious discitis and osteomyelitis transpedicular and transforaminal vertebral body biopsy, temporary diagnostic fixation of unstable lumbar motion segments, and transforaminal epidural steroid therapy.

show abstract

Questions and Answers

1989

JAMA

View full text Add to dashboard Cite

DATTA questions are addressed by physician consultants with expertise on the clinical issue being evaluated. These consultants are selected from a DATTA panel that includes more than 1500 physicians. Members of the DATTA panel have been nominated after solicitation by medical specialty societies, by medical schools through the AMA's Section on Medical Schools, by all councils and sections of the AMA. and by state medical societies. Solicitation for nominations specifies only that those nominated be adjudged by their peers as being experts in their particular field of medicine. Nominees are confirmed as members of the DATTA panel when their profes¬ sional credentials have been verified. Membership or affiliation with the American Medical Association is not a consideration. Expertise regarding and selection for response to particular questions are determined by key word sampling of designated physician specialty, subspecialty, or special interest. An effort is made to reflect a national geographic spectrum of diverse practice settings.This report is not intended to be construed or to serve as a standard of medical care. Standards of medical care are determined on the basis of all of the facts and circumstances involved in an individual case and are subject to change as scientific knowledge and technology advance and patterns evolve. This report reflects the views of the DATTA panelists and reports in the scientific

show abstract

Percutaneous lumbar diskectomy using a new aspiration probe

Cited by 163 publications

References 7 publications

Prospective evaluation of transabdominal percutaneous lumbar discectomy for L5–S1 disc herniation: initial clinical experience

Prospective evaluation of transabdominal percutaneous lumbar discectomy for L5–S1 disc herniation: initial clinical experience

Minimally invasive techniques in spinal surgery: current practice

Questions and Answers

Contact Info

Product

Resources

About