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Percutaneous Nucleoplasty for the Treatment of a Contained Cervical Disk Herniation
Judith D de Rooij1, Pravesh S Gadjradj, John S Soria van Hoeve
1Departments of *Neurosurgery †Pain Medicine ‡Physical Therapy, Erasmus MC: University Medical Center, Rotterdam §Department of Neurosurgery, Leiden University Medical Center, Leiden ¶Department of Pain Medicine, Albert Schweitzer Ziekenhuis, Sliedrecht, The Netherlands.
Abstract:
Cervical radiculopathy is characterized by compression of the roots of the nerve. When conservative treatment fails and symptoms persist or increase in severity, surgical treatment is considered. Anterior cervical discectomy with or without fusion is regarded as the standard treatment for cervical disk herniation. Recently, there is an evolving trend in spinal surgery towards less invasive techniques. Nucleoplasty is a minimally invasive technique in which radiofrequency technology is used for percutaneous decompression. During the last years nucleoplasty has been proven to be a safe and effective treatment to alleviate radiculopathy, caused by a contained disk herniation. Nucleoplasty is usually performed on an outpatient basis and is associated with a fast recovery time. This paper will describe the preoperative and postoperative management of cervical nucleoplasty as well as the surgical technique, accompanied by a video.
