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Nucleoplasty
Lubdha M. Shah, MD
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Terminology

  • Definitions

    • Method of percutaneous disc decompression using Coblation (ArthroCare Spine; Sunnyvale, California) technology
      • Involves removing portion of nucleus tissue using a 1 mm diameter bipolar instrument that creates radiofrequency energy that excites electrolytes in disc
      • Energized particles break down molecular bonds, which dissolves soft tissue material of disc nucleus

PRE-PROCEDURE

  • Indications

    • Contraindications

      • Getting Started

        PROCEDURE

        • Patient Position/Location

          • Equipment Preparation

            • Procedure Steps

              • Alternative Procedures/Therapies

                POST-PROCEDURE

                • Expected Outcome

                  • Things to Do

                    • Things to Avoid

                      Outcomes

                      • Complications

                        Selected References

                        1. Gerges FJ et al: A systematic review on the effectiveness of the Nucleoplasty procedure for discogenic pain. Pain Physician. 13(2):117-32, 2010
                        2. Birnbaum K: Percutaneous cervical disc decompression. Surg Radiol Anat. 31(5):379-87, 2009
                        3. Smuck M et al: Epidural fibrosis following percutaneous disc decompression with coblation technology. Pain Physician. 10(5):691-6, 2007
                        4. Bhagia SM et al: Side effects and complications after percutaneous disc decompression using coblation technology. Am J Phys Med Rehabil. 85(1):6-13, 2006
                        5. Chen YC et al: Intradiscal pressure study of percutaneous disc decompression with nucleoplasty in human cadavers. Spine (Phila Pa 1976). 28(7):661-5, 2003
                        6. Sharps LS et al: Percutaneous disc decompression using nucleoplasty. Pain Physician. 5(2):121-6, 2002
                        Related Anatomy
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                        Related Differential Diagnoses
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                        References
                        Tables

                        Tables

                        Terminology

                        • Definitions

                          • Method of percutaneous disc decompression using Coblation (ArthroCare Spine; Sunnyvale, California) technology
                            • Involves removing portion of nucleus tissue using a 1 mm diameter bipolar instrument that creates radiofrequency energy that excites electrolytes in disc
                            • Energized particles break down molecular bonds, which dissolves soft tissue material of disc nucleus

                        PRE-PROCEDURE

                        • Indications

                          • Contraindications

                            • Getting Started

                              PROCEDURE

                              • Patient Position/Location

                                • Equipment Preparation

                                  • Procedure Steps

                                    • Alternative Procedures/Therapies

                                      POST-PROCEDURE

                                      • Expected Outcome

                                        • Things to Do

                                          • Things to Avoid

                                            Outcomes

                                            • Complications

                                              Selected References

                                              1. Gerges FJ et al: A systematic review on the effectiveness of the Nucleoplasty procedure for discogenic pain. Pain Physician. 13(2):117-32, 2010
                                              2. Birnbaum K: Percutaneous cervical disc decompression. Surg Radiol Anat. 31(5):379-87, 2009
                                              3. Smuck M et al: Epidural fibrosis following percutaneous disc decompression with coblation technology. Pain Physician. 10(5):691-6, 2007
                                              4. Bhagia SM et al: Side effects and complications after percutaneous disc decompression using coblation technology. Am J Phys Med Rehabil. 85(1):6-13, 2006
                                              5. Chen YC et al: Intradiscal pressure study of percutaneous disc decompression with nucleoplasty in human cadavers. Spine (Phila Pa 1976). 28(7):661-5, 2003
                                              6. Sharps LS et al: Percutaneous disc decompression using nucleoplasty. Pain Physician. 5(2):121-6, 2002