The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Percutaneous Discectomy of Herniated Intervertebral Disc with a Dekompressor(R)

요추 추간판 탈출증에서 Dekompressor(R)를 이용한 경피적 수핵 감압술

  • Cho, OiGyeong (Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University) ;
  • Kim, Chan (Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University) ;
  • Han, Kyung Ream (Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University) ;
  • Lee, Hyun Ho (Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University) ;
  • Cho, Hye Won (Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University)
  • 조외경 (아주대학교 의과대학 마취통증의학교실) ;
  • 김찬 (아주대학교 의과대학 마취통증의학교실) ;
  • 한경림 (아주대학교 의과대학 마취통증의학교실) ;
  • 이현호 (아주대학교 의과대학 마취통증의학교실) ;
  • 조혜원 (한림대학교 의과대학 마취통증의학교실)
  • Received : 2005.09.01
  • Accepted : 2005.12.12
  • Published : 2005.12.10
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Abstract

Background: Radicular pain, associated with herniated intervertebral disc, has been treated with either conservative treatments or a traditional surgical discectomy. Several modalities for minimally invasive percutaneous procedures have been developed as alternatives to a surgical discectomy. Percutaneous decompression using a $Dekompressor^{(R)}$ probe has been recently introduced. Herein, we report the outcome of percutaneous decompression with a $Dekompressor^{(R)}$ for the treatment of a herniated intervertebral disc. Methods: Between August 2004 and April 2005, percutaneous decompression was performed using a $Dekompressor^{(R)}$, 1.5-mm percutaneous lumbar discectomy probe in 17 patients with a herniated lumbar intervertebral disc resistant to conservative treatments, with the results reviewed retrospectively. The procedure was performed under fluoroscopic guidance after local anesthesia. Disc access was gained with a posterolateral approach on the symptomatic side and intradiscal placement of the discectomy probe in the herniated disc confirmed from the anteroposterior and lateral views on the fluoroscopy. Results: We obtained satisfactory clinical results in 14 patients with a decrease in the initial Visual analogue scale (VAS) of more than 55% and the elimination or reduction of analgesic medication, with a follow-up of 3 to 11 months. Conclusion: We concluded that a percutaneous discectomy with a $Dekompressor^{(R)}$ probe might be an effective alternative for the treatments of painful disc herniations resistant to conservative managements when performed under proper selection criteria.

Keywords

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