Anesth Pain Med.  2015 Jul;10(3):165-170. 10.17085/apm.2015.10.3.165.

Percutaneous cervical nucleoplasty using the L'DISQ(R) in patients with posterolateral disc extrusion: Three cases report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Kwangju Christian Hospital, Gwangju, Korea. pch1962@hanmail.net
  • 2Department of Anesthesiology and Pain Medicine, Chosun University Hospital, Gwangju, Korea.
  • 3Department of Anesthesiology and Pain Medicine, Gwangju Saewoori Spine Hospital, Gwangju, Korea.

Abstract

Recently, various studies evaluating percutaneous cervical nucleoplasty have reported good results. Percutaneous cervical nucleoplasty has been commonly used for treating contained herniated disc or protrusion, but a posterolateral extruded disc has not been considered to be an indication. The tip of the L'DISQ(R) wand can be curved to the desired angles by the rotation of the control wheel. Therefore, L'DISQ(R) can directly access the extruded disc. We report the application of percutaneous cervical nucleoplasty by using the L'DISQ(R) in three patients with an extruded disc. Decompression was successfully performed, and the symptoms improved immediately. In one patient, a 6-month follow-up magnetic resonance imaging study showed disappearance of the extruded cervical disc. Percutaneous cervical nucleoplasty using the L'DISQ(R) can be an effective, low complication, minimally invasive procedure for treating cervical disc herniation.

Keyword

Cervical nucleoplasty; Disc; L'DISQ(R)

MeSH Terms

Decompression
Follow-Up Studies
Humans
Intervertebral Disc Displacement
Magnetic Resonance Imaging
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