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Percutaneous Cervical Discectomy using Dekompressor® to the Patient with Posterolateral Extrusion Disc -A case report-  

Jo, Daehyun (Pain Clinic, CHA General Hospital, College of Medicine, Poehon CHA University)
Kim, Sangjin (Pain Clinic, CHA General Hospital, College of Medicine, Poehon CHA University)
Kim, Myounghee (Department of Anesthesiology, CHA General Hospital, College of Medicine, Poehon CHA University)
Publication Information
The Korean Journal of Pain / v.19, no.2, 2006 , pp. 253-256 More about this Journal
Abstract
Cervical disc herniation is one of the most common causes of neck, shoulder and arm pain. There are many treatments for a cervical disc herniation, such as rest, physical therapy, medication, epidural steroid injection and surgery. However, conservative treatments sometimes have limited effectiveness, and a surgical discectomy is often associated with numerous complications. Nowadays, a percutaneous discectomy, using a $Dekompressor^{(R)}$, has been used in herniated disc patients, but a posterolateral extruded disc is not an indication. Herein, our experience using a 19 G $Dekompressor^{(R)}$, on a 52 year-old male patient with a left C6-⁣7 posterolateral extruded disc, is reported. Decompression was successfully performed, and the pain and range of motion was immediately improved.
Keywords
cervical percutaneous discectomy; extruded cervical disc;
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1 Mochida J, Toh E, Nomura T, Nishimura K: The risks and benefits of percutaneous nucleotomy fot lumbar disc herniation. A 10-year longitudinal study. J Bone Joint Surg Br 2001; 83: 501-5   DOI   ScienceOn
2 Castagnera L, Maurerre P, Pointillart V, Vital JM, Erny P, Senegas J: Long-term results of cervical epidural steroid injection with and without morphine in chronic cervical radicular pain. Pain 1994; 58:239-43   DOI   ScienceOn
3 Jodicke A, Daentzer D, Kastner S, Asamoto S, Boker DK: Risk factors for outcome and complications of dorsal foraminotomy in cervical disc herniation. Surg Neurol 2003; 60: 124-30   DOI   ScienceOn
4 Hijikara S: Percutaneous nucleororny. A new concept rechnique and 12 years' experience. Clin Orthop Relat Res 1989; 238: 9-23
5 Bonaldi G, Minonzio G, Belloni G, Dorizzi A, Fachinerri P, Marra A, et al: Percuteneous cervical diskectomy: preliminary experience. Neuroradiology 1994; 36: 483-6   DOI
6 Ahn Y, Lee SH, Lee SC, Shin SW, Chung SE: Factors predicting excellent outcome of percutaneous cervical discectorny: analysis of 111 consecutive cases. Neuroradiology 2004; 46: 378-84   DOI
7 Kim YH, Gu MS, Lee EH, Joh JY, Han SS, Lee cj, er al: Percutaneous cervical discectomy using $Dekompressor^{\circledR}$. Korean J Pain 2005; 18: 271-4   DOI   ScienceOn
8 Amoretri N, Huchor F, Flory P, Brunner P, Chevallier P, Bruneton IN: Percutaneous nucleotomy: preliminary communication on a decompression probe $(Dekompressor^{\circledR})$ in percutaneous discectomy. Ten case reports. Clin Imaging 2005; 29: 98-101   DOI   ScienceOn
9 Freemont AJ, Watkins A, Le Maitre C, Jeziorska M, Hoyland JA: Current understanding of cellular and molecular events in intervertebral disc degeneration: implications for therapy. J Pathol 2002; 196: 374-9   DOI   ScienceOn
10 Spanu G, Marchionni M, Adinolfi D, Knerich R: Complicarions following anterior cervical spine surgery for disc diseases: an analysis of ten years experience. Chir Organi Mov 2005; 90: 229-40
11 Prescher A: Anatomy and pathology of the aging spine. Eur J Radiol 1998; 27: 181-95   DOI   ScienceOn
12 Stolke D, Sollmann WP, Seifert V: Intra- and postoperative complications in lumbar disc surgery. Spine 1989; 14: 56-9   DOI
13 Lipetz JS: Pathophysiology of inflammatory, degenerative, and compressive radiculopathics. Phys Med Rehabil Clin N Am 2002; 13: 439-49   DOI   ScienceOn
14 Mayer HM, Brock M: Percuraneous endoscopic lumbar discectomy (PELD). Neurosurg Rev 1993; 16: 115-20   DOI
15 Cho OG, Kim C, Han KR, Lee HH, Cho HW: Percutaneous discectomy of herniated interverrebral disc with a $Dekompressor^{\circledR}$. Korean J Pain 2005; 18: 192-7   DOI   ScienceOn
16 Ahn Y, Lee SH, Shin SW: Percutaneous endoscopic cervical discectomy: clinical outcome and radiographic changes. Photorned Laser Surg 2005; 23: 362-8   DOI   ScienceOn
17 Smith L, Garvin PJ, Gesler RM, Jennings RB: Enzyme dissolution of the nucleus pulposus. Narure 1963; 198: 1311-2
18 Wilson-MacDonald J, Burr G, Griffin D, Glynn C: Epidural steroid injection for nerve root compression. A randomized, controlled trial. J Bone Joint Surg Br 2005; 87: 352-5   DOI