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Korean J Spine Search


Nucleoplasty: A Minimally Invasive Percutaneous Treatment for Lumbar Disc Disease - 1 Year Follow Up
Sung Bum Kim, M.D., Seong Hoon Oh, M.D., Hyeong Joong Yi, M.D., Koang Hum Bak, M.D. and Jae Min Kim, M.D.
Department of Neurosurgery, School of Medicine, Hanyang University Medical Center, Seoul, Korea
수핵성형술: 요추간판탈출증에서 최소 침습 경피적 추간판내 치료 - 1년 추적 검사
한양대학교 의과대학 신경외과학교실
Background: Until now, numerous treatment options for the percutaneous intradiscal procedures(chemonucleolysis, auto- mated percutaneous lateral discectomy, intradiscal electrothermal therapy) in patients with lumbar disc herniation have been evolved. Among them, nucleoplasty has gained popularity for its simple manipulation and immediate effects. Nucleoplasty ablates, coagulates and decompresses the nucleus pulposus by way of high-density plasma field rather than by way of high thermal energy. Authors intended to describe the effects and technical details of nucleoplasty from 1 year follow up.
From August 2001 to December 2002, authors performed nucleoplasty for 74 consecutive patients(81 levels) and evaluated 1 year result according to Macnab criteria. Intraoperative discogram was prerequisite for determination of the precise causative level.
Male was outnumbered female by 43 to 31 and age was ranged from 16 to 68 years old(mean: 33.9). Procedures were performed at single level in 67 cases and at two levels in 7 cases. The L4-5 level was the most commonly involved. According to Macnab's criteria, excellent and good outcome was achieved in 65 patients(87.8%), and fair and poor outcome was in 6(8.2%) and 3(4.0%) patients, respectively.
Nucleoplasty in patients with lumbar disc herniation showed successful results after 1 year of follow-up. Howe- ver, data collection with respect to the lengthening of population number and follow-up span, and refinement of strict inclusion/ exclusion criteria are necessary in near future.
Keywords: Intradiscal therapy, Nucleoplasty, Lumbar disc disease

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