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Percutaneous Discectomy of Herniated Intervertebral Disc with a Dekompressor(R)  

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)
Publication Information
The Korean Journal of Pain / v.18, no.2, 2005 , pp. 192-197 More about this Journal
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
$Dekompressor^{(R)}$; herniated lumbar intervertebral disc; percutaneous decompression;
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