Percutaneous lumbar diskectomy using a new aspiration probe: porcine and cadaver model.

نویسندگان

  • G Onik
  • C A Helms
  • L Ginsberg
  • F T Hoaglund
  • J Morris
چکیده

A method of percutaneous aspiration of the nucleus pulposus of lumbar disks is described as performed in four pigs and three cadavers. Through a lateral oblique percutaneous approach, 80-100% of the nucleus pulposus was removed in each of the pigs; approximately 30% of the cadaver disk was removed. A unique aspiration probe and the introducing set as well as the technique are described. The implications for clinical use in patients are discussed. We believe this technique may be an alternative to both surgical diskectomies and chymopapain injection in the treatment of herniated disk disease of the lumbar spine.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Endoscopic Automated Percutaneous Lumbar Diskectomu

I ne of the primary goals of surgery always has been to achieve the best result while introducing the least iatrogenic disorder. Surgeons are attaining this goal increasingly in the more recent application of percutaneous surgery for the treatment of lumbar disk disease. Percutaneous lumbar diskectomy, when used in association with modem imaging techniques (CT,MRI), delineates a new concept for...

متن کامل

Use of a percutaneous diskectomy device to facilitate the diagnosis of infectious spondylitis.

For evaluation of suspected infectious spondylitis, 19 consecutive patients underwent imaging-guided spine biopsy with needle aspiration and a percutaneous diskectomy device to determine if the diskectomy device provided diagnostic value. In 79% of cases, the diskectomy device yielded a specimen when needle aspiration failed. A significantly greater yield of specimen was observed with the diske...

متن کامل

Interventional MR imaging with an endospinal imaging coil: preliminary results with anatomic imaging of the canine and cadaver spinal cord.

Percutaneous intraspinal navigation (PIN) is a new minimally invasive approach to the subarachnoid space. Using conventional radiographic fluoroscopy, entrance is gained to the lumbar subarachnoid space, allowing navigation throughout the spinal canal. Using an antenna/guidewire introduced via PIN, we performed endospinal MR imaging of the thoracic spinal cord in a cadaver and canine subject. C...

متن کامل

Randomized clinical trial comparing lumbar percutaneous hydrodiscectomy with lumbar open microdiscectomy for the treatment of lumbar disc protrusions and herniations

OBJECTIVES Hydrodiscectomy is a new technique used for percutaneous spinal discectomy that employs a high-intensity stream of water for herniated disc ablation and tissue aspiration. No previous clinical study has examined the effects of percutaneous hydrodiscectomy. The aim of this study is to evaluate the outcomes of hydrodiscectomy compared to open microdiscectomy regarding pain, function, s...

متن کامل

Percutaneous Disc Coagulation Therapy (PDCT) comparing with Automated Percutaneous Lumbar Discectomy (APLD) in Patients of Herniated Lumbar Disc Disease: Preliminary Report

OBJECTIVE Percutaneous techniques are rapidly replacing traditional open surgery. This is a randomized controlled trial study of clinical outcomes of Percutaneous Plasma Disc Coagulation Therapy (PDCT) in patients with HLD(herniated lumbar disc) as a new percutaneous access in comparison with Automated Percutaneous Lumbar Discectomy (APLD) in its clinical application and usefulness as a reliabl...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • AJR. American journal of roentgenology

دوره 144 6  شماره 

صفحات  -

تاریخ انتشار 1985