Side Effects and Complications After Percutaneous Disc Decompression Using Coblation Technology

Bhagia, Sarjoo M.; Slipman, Curtis W.; Nirschl, Monica; Isaac, Zacharia; Elabd, Omar M.; Sharps, Lewis S.; Garvin, Cyndi

doi:10.1097/01.phm.0000184153.98344.a4

Cited by 57 publications

(48 citation statements)

References 51 publications

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“…Gerszten et al described no nerve root injuries in a series of 67 patients [12] whereas Bhagia et al observed new numbness and tingling in 26% and new areas of back pain in 15% of 53 patients [13] which, from our point of view, hint at nerve root damage. However, it can be assumed that some patients encounter damage to the nerve root during nucleoplasty.…”

Section: Introductionmentioning

confidence: 82%

CT-Guided Nucleoplasty: Preliminary Experience

et al. 2009

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Section: Introductionmentioning

confidence: 82%

CT-Guided Nucleoplasty: Preliminary Experience

et al. 2009

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“…Sporadic cases of thermal injury to the cauda equina, disc herniation, and osteonecrosis of the vertebral endplates following IDET and nucleoplasty have been reported1,12,21). Transient nerve injury appears to be the most common complication after these procedures.…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcomes of Percutaneous Plasma Disc Coagulation Therapy for Lumbar Herniated Disc Diseases

Kim

Cho

2012

J Korean Neurosurg Soc

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ObjectiveThis is prospective study of clinical outcomes of percutaneous plasma disc coagulation Therapy (PDCT) in patients with herniated lumbar disc disease (HLD) to evaluate the safety and efficacy in its clinical application and usefulness as a reliable alternative to microscopic discectomy.MethodsForty-six patients were enrolled in this study from April 2006 to June 2010. All patients had one-level HLD. Disc degeneration was graded on routine T2-weighted magnetic resonance Image (MRI) using the Pfirrmann's grading system and all index levels were grade 3 and grade 4. Indications for surgery were radiculopathy caused by disc protrusion with soft consistency. MRI was done at one month after the procedure in all patients to check post-PDCT change. The clinical outcomes were evaluated using Visual Analog Scales (VAS) score and MacNab's criteria.ResultsThis study was approved by the Institutional Review Board of our institution. The age of the study population ranged from 16 to 59 years with a mean age of 37.2 years. There were 29 males and 17 females in this study. The mean period of clinical follow-up was 21 months. The average preoperative VAS score for radiculopathy was 7.4±1.4, while the final follow-up VAS score was 1.4±0.7 (p<0.001). In MacNab's criteria, 41 patients (89.1%) had achieved favorable improvement (excellent and good) until later follow-up. There were one patient from infection and two patients who needed to convert to open discectomy.ConclusionPDCT is a safe and efficient treatment modality in a selective patient with HLD.

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“…The most common complications reported by Bhagia et al 19 at the procedure after 24 hours in 49 patients were: soreness at the needle insertion site in 76%; new numbness in 26%; increased intensity of pre-procedure back pain in 15% and new areas of back pain in 15% of the patients. At two weeks post-procedure, no patient had soreness at the needle insertion site nor new areas of back pain, but new numbness was present in 15% of the patients.…”

Section: Discussionmentioning

confidence: 99%

Nucleoplasty as a therapeutic option for lumbar disc degeneration related pain: a retrospective study of 396 cases

Kallás

Godoy

Andraus

et al. 2012

Arq. Neuro-Psiquiatr.

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OBJECTIVES: To make a retrospective analysis and evaluate a clinical response to the control of disc degeneration related pain of 396 patients submitted to percutaneous lumbar nucleoplasty; and to make a record of visual analogical scale (VAS) up to a three-year follow-up after the surgical procedure. METHODS: Analysis of VAS score in 396 patients with lumbar disc degeneration related pain, according to anamnesis, clinical examination and magnetic resonance imaging (MRI), without improvement of previous clinical treatment, submitted to percutaneous nucleoplasty. RESULTS: A total of 26% of the patients presented 100% remission of pain or paresthesia, of whom 75% showed at least 50% of pain improvement. The median VAS pain improvement was about 67%. CONCLUSIONS: The median VAS improvement in inferior disc levels was higher than four points. The VAS showed improvement of the pain and paresthesia up to a three-year follow up after the surgical procedure.

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Side Effects and Complications After Percutaneous Disc Decompression Using Coblation Technology

Abstract: Based on this preliminary data, nucleoplasty seems to be associated with short-term increased pain at the needle insertion site and increased preprocedure back pain and tingling numbness but without other side effects.

Cited by 57 publications

References 51 publications

CT-Guided Nucleoplasty: Preliminary Experience

CT-Guided Nucleoplasty: Preliminary Experience

Clinical Outcomes of Percutaneous Plasma Disc Coagulation Therapy for Lumbar Herniated Disc Diseases

Nucleoplasty as a therapeutic option for lumbar disc degeneration related pain: a retrospective study of 396 cases

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