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Percutaneous Discectomy
Lubdha M. Shah, MD
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KEY FACTS

  • Terminology

    • Pre-Procedure

      • Post-Procedure

        TERMINOLOGY

        • Abbreviations

          • Percutaneous discectomy (PD)
        • Synonyms

          • Automated PD
        • Definitions

          • Percutaneous disc removal reduces intradiscal pressure
            • Protruded disc retracts back, which helps reduce irritation on annulus nociceptive nerve receptors
            • Also decompresses nerve root from disc
            • Another proposed mechanism is that removing disc material may prevent release of chemical mediators that directly injure nerve root

        PRE-PROCEDURE

        • Indications

          • Contraindications

            • Getting Started

              PROCEDURE

              • Patient Position/Location

                • Procedure Steps

                  • Alternative Procedures/Therapies

                    POST-PROCEDURE

                    • Expected Outcome

                      • Things to Do

                        • Proposed Advantages

                          OUTCOMES

                          • Problems

                            • Complications

                              Selected References

                              1. Golovac S: Percutaneous lumbar discectomy. Neuroimaging Clin N Am. 20(2):223-7, 2010
                              2. Hirsch JA et al: Automated percutaneous lumbar discectomy for the contained herniated lumbar disc: a systematic assessment of evidence. Pain Physician. 12(3):601-20, 2009
                              3. Manchikanti L et al: Comprehensive evidence-based guidelines for interventional techniques in the management of chronic spinal pain. Pain Physician. 12(4):699-802, 2009
                              4. Singh V et al: Systematic review of percutaneous lumbar mechanical disc decompression utilizing Dekompressor. Pain Physician. 12(3):589-99, 2009
                              5. Bonaldi G: Automated percutaneous lumbar discectomy: technique, indications and clinical follow-up in over 1000 patients. Neuroradiology. 45(10):735-43, 2003
                              6. Jaikumar S et al: History of minimally invasive spine surgery. Neurosurgery. 51(5 Suppl):S1-14, 2002
                              7. Nerubay J et al: Percutaneous carbon dioxide laser nucleolysis with 2- to 5-year followup. Clin Orthop Relat Res. (337):45-8, 1997
                              8. Delamarter RB et al: Percutaneous lumbar discectomy. Preoperative and postoperative magnetic resonance imaging. J Bone Joint Surg Am. 77(4):578-84, 1995
                              9. Grevitt MP et al: Automated percutaneous lumbar discectomy. An outcome study. J Bone Joint Surg Br. 77(4):626-9, 1995
                              10. Onik G et al: Automated percutaneous lumbar diskectomy. AJR Am J Roentgenol. 156(3):531-8, 1991
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              KEY FACTS

                              • Terminology

                                • Pre-Procedure

                                  • Post-Procedure

                                    TERMINOLOGY

                                    • Abbreviations

                                      • Percutaneous discectomy (PD)
                                    • Synonyms

                                      • Automated PD
                                    • Definitions

                                      • Percutaneous disc removal reduces intradiscal pressure
                                        • Protruded disc retracts back, which helps reduce irritation on annulus nociceptive nerve receptors
                                        • Also decompresses nerve root from disc
                                        • Another proposed mechanism is that removing disc material may prevent release of chemical mediators that directly injure nerve root

                                    PRE-PROCEDURE

                                    • Indications

                                      • Contraindications

                                        • Getting Started

                                          PROCEDURE

                                          • Patient Position/Location

                                            • Procedure Steps

                                              • Alternative Procedures/Therapies

                                                POST-PROCEDURE

                                                • Expected Outcome

                                                  • Things to Do

                                                    • Proposed Advantages

                                                      OUTCOMES

                                                      • Problems

                                                        • Complications

                                                          Selected References

                                                          1. Golovac S: Percutaneous lumbar discectomy. Neuroimaging Clin N Am. 20(2):223-7, 2010
                                                          2. Hirsch JA et al: Automated percutaneous lumbar discectomy for the contained herniated lumbar disc: a systematic assessment of evidence. Pain Physician. 12(3):601-20, 2009
                                                          3. Manchikanti L et al: Comprehensive evidence-based guidelines for interventional techniques in the management of chronic spinal pain. Pain Physician. 12(4):699-802, 2009
                                                          4. Singh V et al: Systematic review of percutaneous lumbar mechanical disc decompression utilizing Dekompressor. Pain Physician. 12(3):589-99, 2009
                                                          5. Bonaldi G: Automated percutaneous lumbar discectomy: technique, indications and clinical follow-up in over 1000 patients. Neuroradiology. 45(10):735-43, 2003
                                                          6. Jaikumar S et al: History of minimally invasive spine surgery. Neurosurgery. 51(5 Suppl):S1-14, 2002
                                                          7. Nerubay J et al: Percutaneous carbon dioxide laser nucleolysis with 2- to 5-year followup. Clin Orthop Relat Res. (337):45-8, 1997
                                                          8. Delamarter RB et al: Percutaneous lumbar discectomy. Preoperative and postoperative magnetic resonance imaging. J Bone Joint Surg Am. 77(4):578-84, 1995
                                                          9. Grevitt MP et al: Automated percutaneous lumbar discectomy. An outcome study. J Bone Joint Surg Br. 77(4):626-9, 1995
                                                          10. Onik G et al: Automated percutaneous lumbar diskectomy. AJR Am J Roentgenol. 156(3):531-8, 1991