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[Percutaneous nucleotomy. 10 years' experience, modern concepts].
1Ortopedická klinika Balgrist, Zürich.
Summary
Percutaneous nucleotomy is a validated technique for treating lumbar disc herniation, particularly for protrusions and extrusions. Contrast discomanometry and spinal stability assessment are crucial for successful outcomes.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
Context:
- Lumbar disc herniation is a common cause of low back pain.
- Minimally invasive techniques are increasingly preferred for spinal procedures.
Purpose:
- To review a decade of experience with percutaneous nucleotomy for lumbar disc herniation.
- To evaluate the efficacy and indications of this minimally invasive technique.
Summary:
- The authors report on 174 percutaneous nucleotomy procedures in 148 patients over ten years.
- The technique is effective for disc protrusion and subligamentous extrusion; sequestrum is a relative indication.
- Contrast discomanometry is essential for patient selection, and spinal stability assessment is critical for surgical success.
Impact:
- Percutaneous nucleotomy offers a justified treatment option for select lumbar disc herniation cases.
- Integrating spinal stability assessment may improve outcomes and address the failed back syndrome.