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Stereotactic percutaneous lumbar discectomy

P G Koutrouvelis1, E Lang, R Heilen

  • 1Tysons High Tech Imaging Center, Vienna, Virginia.

Neurosurgery
|April 1, 1993
PubMed
Summary
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Percutaneous discectomy using a novel stereotactic device effectively treated herniated discs in 69 patients. This minimally invasive procedure accurately removed disc material without complications.

Area of Science:

  • Neurosurgery
  • Minimally Invasive Procedures
  • Spinal Surgery

Background:

  • Disc herniation is a common cause of back pain.
  • Traditional surgical approaches can be invasive.
  • Percutaneous techniques offer a less invasive alternative.

Purpose of the Study:

  • To evaluate the efficacy and safety of percutaneous discectomy.
  • To assess a new stereotactic device for precise needle insertion.
  • To determine the feasibility of aspirating herniated nucleus pulposus.

Main Methods:

  • Sixty-nine patients with contained disc herniations were included.
  • A novel floor-mounted stereotactic device was used with CT guidance.
  • The Nucleotome probe was utilized for aspiration of the nucleus pulposus.

Related Experiment Videos

Main Results:

  • Accurate needle insertion and probe localization were achieved in all cases.
  • Successful aspiration of herniated nucleus pulposus was accomplished in every patient.
  • No intraoperative or postoperative complications were reported.

Conclusions:

  • Percutaneous discectomy with the new stereotactic device is a safe and effective treatment for disc herniation.
  • The device ensures precise targeting for minimally invasive spinal surgery.
  • This technique offers a viable alternative to open surgical procedures.