[Percutaneous nucleotomy: indications and preliminary results].

Area of Science:

• Neurosurgery
• Minimally Invasive Procedures
• Spinal Surgery

Context:

• Percutaneous nucleotomy evolved from early forceps techniques to automated methods.
• The automated percutaneous lumbar diskectomy (APLD) by Onik et al. in 1985 reduced risks associated with earlier procedures.
• This technique aims to minimize damage to surrounding disc tissues.

Purpose:

• To describe the automated percutaneous lumbar diskectomy (APLD) method.
• To analyze the outcomes of the first 40 patients treated with APLD for disc protrusion.
• To evaluate the role of CT discography in patient selection for APLD.

Summary:

• The study details the APLD procedure, a minimally invasive technique for lumbar disc herniation.
• Forty patients with disc protrusion treated between February and June 1988 were analyzed.
• The results indicate the success of APLD and highlight the importance of CT discography for appropriate patient selection.

Impact:

• Demonstrates the efficacy and safety of APLD as a treatment for disc protrusion.
• Highlights CT discography as an essential tool for optimizing APLD patient selection.
• Provides early evidence supporting APLD as a viable alternative to traditional surgical interventions.