Image-guided percutaneous mechanical disc decompression for herniated discs: a technical note.
Alessandro Liguori1, Marco Pandolfi2, Martina Gurgitano3
1Operative Unit of Radiology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico di Milano, via Francesco Sforza 35, 20122, Milan, Italy. alessandroliguori.medicina@gmail.com.
Acta Bio-Medica : Atenei Parmensis
|November 27, 2020
Summary
Interventional radiology offers minimally invasive treatments for contained herniated discs. Image-guided percutaneous procedures reduce intradiscal pressure and nerve compression, often preceding traditional surgery.
Area of Science:
- Interventional Radiology
- Neurosurgery
- Orthopedic Surgery
Background:
- Interventional radiology provides minimally invasive options for symptomatic intervertebral disc herniations.
- Image-guided percutaneous procedures offer increased accuracy and reduced complications compared to traditional surgery.
- These techniques aim to decrease intradiscal pressure by removing disc nucleus volume, alleviating nerve compression and spinal pain.
Purpose of the Study:
- To describe the DISKOM device for mechanical disc decompression via a percutaneous approach.
- To detail the indications, complications, and methods for treating spinal disc herniations.
Main Methods:
- Percutaneous mechanical disc decompression using the DISKOM device.
- Image-guided techniques for precise targeting and volume removal of the nucleus pulposus.
- Application of the technique across different spinal levels.
Main Results:
- The DISKOM device facilitates partial nucleus pulposus removal, reducing intradiscal pressure.
- Minimally invasive approach allows for targeted treatment of contained disc herniations.
- Procedure is guided by imaging for enhanced accuracy and safety.
Conclusions:
- Mechanical disc decompression with the DISKOM device is a viable minimally invasive option for contained herniated discs.
- The technique offers a percutaneous alternative to surgery, guided by advanced imaging.
- Understanding indications and methods is crucial for effective application at various spinal levels.
