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Updated: Jun 24, 2026

Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation
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Percutaneous lumbar discectomy using the Dekompressor system under CT-control.

Peter Lierz1, Kenneth M Alo, Peter Felleiter

  • 1Department of Anesthesiology and Intensive Care Medicine, Marienkrankenhaus Soest, Germany. anaesthesie@marienkrankenhaus-soest.de

Pain Practice : the Official Journal of World Institute of Pain
|March 21, 2009
PubMed
Summary

The Dekompressor system offers a safe and effective minimally invasive treatment for radicular pain due to contained disc herniation. This CT-guided procedure significantly reduced pain and analgesic use in patients over 12 months.

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Area of Science:

  • Interventional Pain Management
  • Minimally Invasive Therapies
  • Spinal Procedures

Background:

  • Radicular pain from contained disc herniation is a common condition.
  • Minimally invasive therapies are evolving for interventional pain management.
  • Traditional fluoroscopy guidance is standard for many procedures.

Purpose of the Study:

  • To evaluate the safety and efficacy of the Dekompressor system for treating radicular pain.
  • To assess the use of computed tomography (CT) guidance instead of fluoroscopy.
  • To analyze pain reduction, analgesic use, and daily living activities post-procedure.

Main Methods:

  • Prospective, nonrandomized case study.
  • 64 patients treated at 76 lumbar levels using the Dekompressor system with CT guidance.

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  • Structured telephone interviews for pain scores (Visual Analog Scale), analgesic use, and activities of daily living at 6 and 12 months.

    • Main Results:

    • Significant reduction in average pain scores from 7.3 to 2.1 (Visual Analog Scale) after 12 months.
    • 80% of patients experienced a reduction in analgesic use.
    • No procedure-related complications were reported.

    Conclusions:

    • CT-guided Dekompressor system treatment is a safe and efficient option for radicular pain from contained disc herniation.
    • Standardized patient selection is crucial for successful outcomes.
    • This minimally invasive technique shows promise in improving patient quality of life.