COLD PLASMA NUCLEOPLASTY FOR INTERVERTEBRAL DISC HERNIATION
https://doi.org/10.14531/ss2007.3.53-58
Abstract
Objective. An estimation of cold plasma nucleoplasty efficiency in the treatment of intervertebral disc herniation. Material and Methods. Cold plasma nucleoplasty was performed in 33 patients at the age of 16 to 42 years with different localization of disc herniation. Coblation in the lumbar spine was made in 31 patients, in the cervical spine – in 2 patients. All patients before surgery received conservative treatment which did not give any effect. Preoperative examination included clinical, radiological, and CT studies. Procedure was performed under CT and image tube control. Results. MRI study was performed in 10 patients at 1 to 3 months after nucleoplasty. It revealed a reduction of herniation by 3–5 mm in 3 patients. Seven patients did not present herniation reduction but a change to drop-shaped form accounted for a decrease in intradisc pressure. In 2 patients the pain syndrome remained, and required the open surgery intervention for herniation removal. Conclusion. Nucleoplasty is an effective method for disc herniation treatment and has a number of advantages over other minimally invasive methods, but it requires a differentiated approach to procedure fulfillment and intraoperative visualization.
About the Authors
Sergey Vasilyevich Kolesov
Central Institute of Traumatology and Orthopaedics n.a. N.N. Priorov, Moscow
Russian Federation
Russian Federation
Anton Pavlovich Kurpyakov
Central Institute of Traumatology and Orthopaedics n.a. N.N. Priorov, Moscow
Russian Federation
Russian Federation
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Review
For citations:
Kolesov S.V., Kurpyakov A.P. COLD PLASMA NUCLEOPLASTY FOR INTERVERTEBRAL DISC HERNIATION. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2007;(3):053-058. (In Russ.) https://doi.org/10.14531/ss2007.3.53-58
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