The Korean Journal of Pain

  • 제24권1호
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  • Pages.36-43
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  • 2011
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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The Results of Cervical Nucleoplasty in Patients with Cervical Disc Disorder: A Retrospective Clinical Study of 22 Patients

  • Sim, Sung-Eun (Department of Anesthesiology and Pain Medicine, Seoul National University Boramae Hospital) ;
  • Ko, Eun-Sung (Department of Anesthesiology and Pain Medicine, Konkuk University Hospital) ;
  • Kim, Duk-Kyung (Department of Anesthesiology and Pain Medicine, Konkuk University Hospital) ;
  • Kim, Hae-Kyoung (Department of Anesthesiology and Pain Medicine, Konkuk University Hospital) ;
  • Kim, Yong-Chul (Department of Anesthesiology and Pain Medicine, Seoul National University Hospital) ;
  • Shin, Hwa-Yong (Department of Anesthesiology and Pain Medicine, Chung-Ang University Hospital)
  • 투고 : 2010.10.28
  • 심사 : 2011.01.06
  • 발행 : 2011.03.01
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초록

Background: Nucleoplasty is a minimally invasive spinal surgery using a $Coblation^{(R)}$ technique that creates small voids within the disc. The purpose of this study was to evaluate the efficacy of cervical nucleoplasty in patients with cervical disc disorder. Methods: Between March 2008 and December 2009, 22 patients with cervical disc disorders were treated with cervical nucleoplasty after failed conservative treatment. All procedures were performed under local anesthesia, and fluoroscopic guidance and voids were created in the disc with the $Perc^{TM}$ DC Spine $Wand^{TM}$. Clinical outcomes were evaluated by the Modified Macnab criteria and VAS score at preprocedure, postprocedure 1 month, and 6 months. Results: Six patients had one, eight patients had two and eight patients had three discs treated; a total of 46 procedures was performed. Mean VAS reduced from 9.3 at preprocedure to 3.7 at postprocedure 1 month and to 3.4 at postprocedure 6 months. There was no significant complication related to the procedure within the first month. Outcomes were good or excellent in 17/22 (77.3%) cases. Postprocedure magnetic resonance imaging was acquired in two patients after two months showing morphologic evidence of volume reduction of protruded disc material in one patient but not in the other. Conclusions: Percutaneous decompression with a nucleoplasty using a $Coblation^{(R)}$ technique in the treatment of cervical disc disorder is a safe, minimally-invasive and less uncomfortable procedure, with an excellent short-term clinical outcome.

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참고문헌

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피인용 문헌

  1. The Long-term Efficacy and Safety of Percutaneous Cervical Nucleoplasty in Patients with a Contained Herniated Disk vol.13, pp.5, 2012, https://doi.org/10.1111/papr.12003
  2. Current Evidence of Percutaneous Nucleoplasty for the Cervical Herniated Disk: A Systematic Review vol.14, pp.6, 2013, https://doi.org/10.1111/papr.12122
  3. Spondylodiscitis after Cervical Nucleoplasty without Any Abnormal Laboratory Findings vol.26, pp.2, 2013, https://doi.org/10.3344/kjp.2013.26.2.181
  4. Cervical nucleoplasty as an effective treatment method of cervical degenerative disc disease vol.65, pp.6 Suppl, 2013, https://doi.org/10.4097/kjae.2013.65.6S.S53
  5. Treatment of cervical disc herniation through percutaneous minimally invasive techniques vol.23, pp.2, 2014, https://doi.org/10.1007/s00586-013-3063-3
  6. Percutaneous Cervical Nucleoplasty vs. Pulsed Radio Frequency of the Dorsal Root Ganglion in Patients with Contained Cervical Disk Herniation; A Prospective, Randomized Controlled Trial vol.17, pp.6, 2016, https://doi.org/10.1111/papr.12517
  7. Efficacy of Coblation Technology in Treating Cervical Discogenic Upper Back Pain vol.94, pp.20, 2015, https://doi.org/10.1097/MD.0000000000000858
  8. ANTERIOR PERCUTANEOUS CERVICAL DISCECTOMY. TWO-YEAR FOLLOW-UP OF A BLUNT TECHNIQUE PROCEDURE vol.16, pp.4, 2017, https://doi.org/10.1590/s1808-185120171604182181
  9. Percutaneous intradiscal treatments for discogenic pain vol.50, pp.1, 2012, https://doi.org/10.1016/j.aat.2012.03.004
  10. Retrospective Outcome Evaluation of Cervical Nucleoplasty Using Digital Infrared Thermographic Imaging vol.16, pp.2, 2019, https://doi.org/10.14245/ns.1836124.062