Percutaneous
Disc Nucleoplasty is minimally invasive surgery to reduce the volume of a
bulging or herniated disc. In both cases the spinal disc puts pressure on a
nerve root or the spinal cord and causes back pain or sciatic pain.
Spinal Disc Protrusions do not require
open spine surgery
Many
patients with back pain show no clear indication of a herniated disc. However
with MRI investigation protrusion of the intervertebral discs can be diagnosed.
This protrusion can put pressure on nerves or the spinal cord and can cause
persistent, or stress-related chronic back pain. Normally this kind of back
pain (lumbar or cervical), responds well to conservative treatment options.
When will your neurosurgeon consider
Nucleoplasty?
If after six weeks, conservative treatment has not been
successful, your spine specialist should consider an intradiscal procedure: The
disc protrusion can be reduced by treating the liquid core of the spine simply
by using an injection needle. This needle (cannula) allows a
radiofrequency instrument to enter the core of the disc, thereby avoiding all
the surgical risks associated with open back surgery. This is essentially the
principle of the Nucleoplasty.
Nucleoplasty, as a minimally invasive treatment, covers only
smaller disc herniations or disc bulges that have not yet broken through the
solid fibre ring of the disc and are therefore are not accessible via an open
surgical procedure (surgical removal of the disc material).
Endoscopic Nucleoplasty is safe for patients and is a minimally
invasive procedure, which produces very good outcomes, without the risks and
postsurgical complications associated with open back surgery.
Disc
Nucleoplasty is performed on an outpatient basis, with minimal anesthesia
requirements. Fluoroscopic guidance is employed as an introducer needle is
placed at the nucleus/annulus junction. A SpineWand is introduced through the
passage way, and advanced into the disc nucleus. Using Coblation, tissue is
then removed by either creating channels (lumbar spine) or spheres (cervical
spine). After sufficient tissue is removed, a bandage is placed on the skin and
the patient is discharged home. Patients are then usually placed on a routine
rehabilitation program.
Nucleoplasty
is recommended for patients who have not responded to rest, medical
intervention (including steroid injection), and/or physical therapy.
There
are many people across the world who suffers from slipped disc problem. In 90
per cent of these cases, the disc prolapsed is contained or limited to the disc
space and are not suitable for the traditional discectomy surgery involving the
complete removal of the diseased disc. The open surgery is an overkill leading
to unsatisfied results, more complications and costly procedure.
In such
clinical circumstances, percutaneous treatment also known as disc nucleoplasty
has emerged as the best alternative. Moreover the cost of Disc Nucleoplasty at
Medworldindia affiliated hospitals in India is minimal. Conventionally the
disc prolapse is treated with bed rest and analgesics but with limited relief.
Many
successful Nucleoplasty procedures have been performed in India. This minimally
invasive approach to treating contained disc herniations has helped most of the
International patients return to active and productive lives with effective
cost savings.
Expert Neuro
and Spine Surgeons in India who have ample experience in performing this
procedure said that, “Spinal Surgery is fast becoming a major sub-speciality in
neurosurgery”. Disc nucleoplasty is an innovative percutaneous method of
healing disc disease. Disc prolapse can occur in lumbar as well cervical region
causing low back pain, radiating pain and neck pain respectively. Related
symptoms are excruciating pain, numbness, tingling sensation in hands and legs,
burning and weakness of the limbs. The patient will have restricted movement,
walking, bending and doing normal day to day activities becomes very difficult.
The severe pain results in incapacitation leading to loss of man hours.
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