Percutaneous Discectomy

Abstract Percutaneous discectomy is a viable alternative in the treatment of herniated intervertebral discs of the lumbar spine. Anatomical analysis of the retroperitoneal surgical path utilizing computed tomography suggests that the risk of vascular injury is negligible at the L-4, L-5 level, but substantial at the L-5, S-1 level. In addition, one-third of patients otherwise suitable for percutaneous discectomy have segments of bowel obstructing the surgical path. Obtaining an abdominal computed tomographic scan with the patient in the surgical position seems to be a valuable screening technique in the evaluation of candidates for this procedure.

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Percutaneous Discectomy—Continuous Irrigation and Drainage for Tuberculous Lumbar Spondylitis: A Report of Two Cases

Case Reports in Medicine ◽

10.1155/2009/632981 ◽

2009 ◽

Vol 2009 ◽

pp. 1-4

Author(s):

Sei Shibuya ◽

Satoshi Komatsubara ◽

Tetsuji Yamamoto ◽

Nobuo Arima ◽

Yoshiaki Kanda ◽

...

Keyword(s):

Mycobacterium Tuberculosis ◽

Pathogenic Bacteria ◽

Definitive Diagnosis ◽

Continuous Irrigation ◽

Percutaneous Discectomy ◽

Caseous Necrosis ◽

Postoperative Mri ◽

Tuberculous Lesion ◽

Vertebral Bodies ◽

Over Time

Percutaneous curettage and continuous irrigation were performed for definitive diagnosis and treatment of tuberculous (TB) lumbar spondylitis. Under local anaesthesia, affected lumbar discs were curetted using a procedure of percutaneous nucleotomy, and in-tube and the out-tube were placed for continuous irrigation. The period of continuous irrigation was 12–16 days.Mycobacterium tuberculosiswas demonstrated in case 1 by culture and PCR, whereas histology showed tuberculous lesion with caseous necrosis in both cases. Postoperative MRI showed markedly reduced abscesses after 3 months in both cases. The signal intensity in vertebral bodies was improved. In Case 2, CT observations showed remodeling over time in the vertebral body cavities. This method is advantageous in that although minimally invasive, it achieves identification of pathogenic bacteria and treatment simultaneously. This surgical procedure is expected to prove effective for both TB and pyogenic spondylitis.

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Can MR imaging predict the outcome of treatment of prolapsed lumbar intervertebral discs by automated percutaneous discectomy?

Clinical Radiology ◽

10.1016/s0009-9260(05)81481-3 ◽

1992 ◽

Vol 45 (1) ◽

pp. 49-50

Author(s):

R.W. Kerslake ◽

B.S. Worthington ◽

L. Wilson ◽

R.C. Mulholland

Keyword(s):

Mr Imaging ◽

Intervertebral Discs ◽

Percutaneous Discectomy

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Discography and Postdiscographic CT (Disco-CT) in Percutaneous Discectomy

Percutaneous Lumbar Discectomy ◽

10.1007/978-3-642-74679-6_8 ◽

1989 ◽

pp. 60-64

Author(s):

M. Lutze ◽

H. M. Mayer

Keyword(s):

Percutaneous Discectomy

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Lumbar percutaneous discectomy: initial experience in 28 cases

Proceedings of the XIV Symposium Neuroradiologicum ◽

10.1007/978-3-642-49329-4_171 ◽

1991 ◽

pp. 472-473

Author(s):

C. Faubert ◽

W. Caspar

Keyword(s):

Initial Experience ◽

Percutaneous Discectomy

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LUMBAR ENDOSCOPIC PERCUTANEOUS DISCECTOMY - CLINICAL OUTCOME. PROSPECTIVE STUDY

Coluna/Columna ◽

10.1590/s1808-185120171603166520 ◽

2017 ◽

Vol 16 (3) ◽

pp. 177-179 ◽

Cited By ~ 1

Author(s):

ANDRÉ LUÍS SEBBEN ◽

XAVIER SOLER I GRAELLS ◽

MARCEL LUIZ BENATO ◽

PEDRO GREIN DEL SANTORO ◽

ÁLYNSON LAROCCA KULCHESKI

Keyword(s):

Surgical Treatment ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Gold Standard ◽

Lumbar Disc ◽

Surgical Techniques ◽

Preoperative Period ◽

Percutaneous Discectomy ◽

Common Indication ◽

Endoscopic Techniques

ABSTRACT Objective: Lumbar disc herniation is a common indication for surgical treatment of the spine. Open microdiscectomy is the gold standard. New surgical techniques have emerged, such as spinal endoscopy. We compared and evaluated two endoscopic techniques: the transforaminal and the interlaminar. Methods: Fifty-five patients underwent endoscopic technique and were assessed by VAS and ODI in the preoperative period, and in the first and sixth month after the procedure. Results: We had 89.1% of good results and 10.9% of complications. Conclusion: We conclude that endoscopic techniques are safe and effective for the surgical treatment of lumbar disc herniation.

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