Nucleoplasty is a relatively
new advancement in the field of spine surgery. It is a procedure used to reduce
disc pressure in patients suffering from discogenic (disc related) backache. It
is a percutaneous procedure in which some of the disc material is disintegrated
to relieve the intra discal pressure using a low temperature resistor. As it
does not require any incision over the body, it is beneficial for patients
complaining of back pain with disc pathology and unwilling to undergo full
fledged discectomy.
The intervertebral discs are
soft, cushion like structures between two adjacent vertebral bones in the human
spine. Their main function is shock absorption. These discs are hydrated and
are made up of a central structure called the nucleus pulposus and a surrounding
structure called as annulus fibrosis. But with age they lose their water
content and the disc becomes hard and begins to degenerate.
The wear and tear process is
aggravated by faulty spine movements, faulty posture, lack of exercise, obesity
etc. The inner disc material pushes the outer annulus wall causing it bulge.
This bulge can be large enough to compress the surrounding structures like the
spinal cord and the spinal nerves resulting in severe back pain and radiating
pain in the arm or leg. This condition can affect the cervical (neck) or lumbar
(low back) region of the spine.
You are a
candidate for disc nucleoplasty if:
- If
you are suffering from chronic back pain, back fatigue and rest,
medications, medical interventions like steroid injections and physical
therapy has not been of help.
- If
you suffer from disc herniation
- If
you suffer from contained spinal disc herniation, i.e, pain radiating down
the leg or arm accompanied by back pain not improving with medication and
physical therapy.
- Inflammation
and chronic pain, particularly in cases where the nerve roots are pinched
or irritated.
Details of the Procedure
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This is a minimally invasive procedure performed under local anesthesia
and is completed within 30-45 minutes. It performed on an out patient basis and
the patient is allowed to go home after the procedure on the very same day.
Under fluoroscopy, a needle is advanced into the involved disc. A
specialized catheter is then introduced through the needle into the disc and
positioned where the ablation is desired. The catheter has a low-temperature
resister at its tip which generates a plasma field. This plasma field
disintegrates disc material into its hydrogen and oxygen constituents which
escape through the needle. The tissue ablation and thermal treatment create a
series of channels within the disc, reducing the pressure from the contained
disc herniation or the nerve root and other pain generating structures. The
patient is relieved immediately after the procedure .
If The Disc
Nucleoplasty Does Not Work, Will It Cause A Problem If I Then Need An Open
Spine Surgery?
No. If the nucleoplasty is not effective, there will be no problem if the patient decides or ultimately requires an open spine surgery. The nucleoplasty does not damage or alter the tissue around the spine, nor does it change the internal spine anatomy except for the expected and desired changes inside the disc itself.
If I Have Had Previous Spine Surgery, Can I Still Have A Disc Nucleoplasty?
Maybe. If there has been previous spinal fusion at the level of concern, it will be difficult, if not impossible, to perform a nucleoplasty. If the disc in question is outside the area of previous spine surgery, it is quite possible that a nucleoplasty can be performed.
Who Should Not Have A Disc Nucleoplasty?
If you are on a blood thinning medication, if you have an active infection, or if you have poorly controlled diabetes or heart disease, you should not have the procedure. Also, if you have a large extruded disc without an intact disc wall or disc rim, nucleoplasty may not be helpful.
No. If the nucleoplasty is not effective, there will be no problem if the patient decides or ultimately requires an open spine surgery. The nucleoplasty does not damage or alter the tissue around the spine, nor does it change the internal spine anatomy except for the expected and desired changes inside the disc itself.
If I Have Had Previous Spine Surgery, Can I Still Have A Disc Nucleoplasty?
Maybe. If there has been previous spinal fusion at the level of concern, it will be difficult, if not impossible, to perform a nucleoplasty. If the disc in question is outside the area of previous spine surgery, it is quite possible that a nucleoplasty can be performed.
Who Should Not Have A Disc Nucleoplasty?
If you are on a blood thinning medication, if you have an active infection, or if you have poorly controlled diabetes or heart disease, you should not have the procedure. Also, if you have a large extruded disc without an intact disc wall or disc rim, nucleoplasty may not be helpful.
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- Outpatient
procedure done under local anaesthesia and thus no risks associated with
general anaesthesia
- Procedure
time is less than an hour
- Minimally
invasive
- No
scars
- Minimal
pain and discomfort to the patient
- Quick
recovery
- Quick
relief
Cost of Disc
Nucleoplasty in India at Best Spine surgery Hospitals in India
The all inclusive
cost of Disc Nucleoplasty spine surgery in India varies between $5500- $7000.
The Cost includes 4 days stay in a
Private Room where a Companion can stay with the patient, surgeon's fee,
medicines and consumables, nursing care, food and Airport Pick & Drop.
Please
scan and email your medical reports to us at care@medworldindia.com and we
shall get you a Free Medical Opinion from India’s Best Doctors.
Call Us : +91-9811058159
Mail Us : care@medworldindia.com
Med Access has managed hundreds of spine surgery in India 100% success rate. The approach essentially is to work with the top most carefully selected spine surgeons who are having extensive experience and very high success rate. Also, it is always advisable to seek multiple opinions from the selected best doctors in order to arrive at the right diagnosis. It has been observed that many patients with back pain may not necessarily need intervention.
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spine surgery in India
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