Percutaneous Diskectomy

Percutaneous excision of a herniated or displaced INTERVERTEBRAL DISC by posterolateral approach, always remaining outside the spinal canal. Percutaneous nucleotomy was first described by Hijikata in Japan in 1975. In 1985 Onik introduced automated percutaneous nucleotomy which consists in percutaneous aspiration of the nucleus pulposus. It is carried out under local anesthesia, thus reducing the surgical insult and requiring brief hospitalization, often performed on an outpatient basis. It appears to be a well-tolerated alternative to surgical diskectomy and chymopapain nucleolysis.

Also Known As:

Networked: 136 relevant articles (13 outcomes, 14 trials/studies)

Relationship Network

Therapy Context: Research Results

Experts

1.	Amoretti, Nicolas: 3 articles (01/2013 - 07/2006)
2.	Ezzati, Ali: 2 articles (09/2022 - 01/2018)
3.	Boileau, Pascal: 2 articles (01/2013 - 06/2012)
4.	Hauger, Olivier: 2 articles (01/2013 - 06/2012)
5.	Marcy, Pierre-Yves: 2 articles (01/2013 - 06/2012)
6.	Mochida, J: 2 articles (05/2001 - 04/2001)
7.	Nishimura, K: 2 articles (05/2001 - 04/2001)
8.	Nomura, T: 2 articles (05/2001 - 04/2001)
9.	Toh, E: 2 articles (05/2001 - 04/2001)
10.	Alhashash, Mohamed: 1 article (10/2022)

Related Diseases

1.	Intervertebral Disc Displacement (Herniated Disc) 07/01/2006 - "The location of the herniated disc is a parameter which appears to be very important in the efficacy of percutaneous discectomy. " 02/01/1990 - "This study indicates that automated percutaneous discectomy can be used successfully to treat lumbar disc herniations with minimal morbidity and emphasizes the need for proper patient selection." 07/01/2016 - "Percutaneous discectomy provides good results for the treatment of lumbar disc herniation (L4-L5, L5-S1) at 365 days after surgery. " 09/01/2000 - "Percutaneous diskectomy has been used effectively to treat lumbar disk herniation. " 01/01/1993 - "Percutaneous discectomy for lumbar disc herniation is a well established, low-risk procedure effective in 70% to 80% of appropriately selected patients. "
2.	Pain (Aches) 01/01/1990 - "These preliminary results show that percutaneous nucleotomy seems to be effective in lumbar pain of discal origin, with a 66.5% success rate. " 10/01/2021 - "A significant difference was seen in change of pain score, as all treatments were superior to conservative treatment and percutaneous discectomy. " 07/01/2007 - "These direct biologic effects may be a mechanism of pain relief after percutaneous discectomy using electrosurgical ablation. " 07/01/2006 - "The intensity of the pain was measured 2, 7, 30, and 180 days after the percutaneous discectomy. " 10/01/2000 - "A retrospective clinical-pathological review of 192 lumbar intervertebral discs removed via an interlaminar approach or percutaneous nucleotomy from patients suffering from sciatic pain was carried out in order to assess if routine examination is useful. "
3.	Sciatica (Sciatic Neuralgia) 07/01/1995 - "Automated percutaneous discectomy is safe and in selected patients can reduce sciatica, but only completely eliminated sciatica in 5% of patients with a follow-up period of 2.5 years." 08/01/1994 - "Diskectomy, chemonucleolysis, percutaneous diskectomy, and laser ablation are used to treat patients with sciatica. " 02/15/1994 - "New-onset sciatica after automated percutaneous discectomy." 01/01/1993 - "A randomized clinical trial was conducted to compare the results of automated percutaneous discectomy with those of chemonucleolysis in 141 patients with sciatica caused by a disk herniation; 69 underwent automated percutaneous discectomy and 72 were subjected to chemonucleolysis. " 01/01/1990 - "Seventy patients suffering from lumbar pain with sciatica, radiculalgia or lumbodynia were reviewed at least 3 months after automated percutaneous nucleotomy (Nucleotome). "
4.	Prolapse 01/01/1998 - "Corroborating earlier findings, the results of this study indicate that percutaneous nucleotomy is an effective and safe alternative to open surgery in the treatment of patients with a small prolapse or a protrusion." 04/01/2010 - "Various modalities of treatment from standard discectomy, microdiscectomy, percutaneous discectomy, and transforaminal endoscopic discectomy have been in use for lumbar intervertebral disc prolapse. " 10/01/2022 - "Extra-laminar microscopic-assisted percutaneous nucleotomy (EL-MAPN) for the treatment of foraminal lumbar disc prolapse, a modified minimally invasive approach."
5.	Hernia (Hernias) 10/01/2007 - "Three groups were set, group A for patients to be treated only with RGE and groups B and C for difficult cases presenting a narrow canal, foraminal hernia, or hiperalgic sleepless hernia, treated with RGE plus another intradiscal technique, automatized percutaneous diskectomy for group B and radiofrequency nucleoplasty for group C. " 01/01/2005 - "At the Orthopaedics and Traumatology Unit of the Palmanova Hospital, between 27 October 1989 and 31 December 2003 we performed 506 automated percutaneous nucleotomies according to Onik for the treatment of lumbar disc hernia. " 09/01/1995 - "This is crucial in the evaluation of patients who are possible candidates for percutaneous nucleotomy, which is considered effective only in contained hernias. " 10/10/1994 - "Percutaneous nucleotomy is designed to treat small and medium-sized contained disk hernias. " 09/01/1994 - "In order to assess changes occurring in disk hernias and disk spaces following percutaneous nucleotomy a follow-up CT was carried out an average of 6 months after treatment of 69 disks in 60 patients. "

Related Drugs and Biologics

1.	Chymopapain (Chymodiactin)
2.	Ozone
3.	methionyl-aspartyl-phenylalaninamide (MAPN)
4.	Tuberculin (PPD)
5.	Solutions
6.	Anti-Bacterial Agents (Antibiotics)
7.	Analgesics (Analgesic Drugs)
8.	Ethanol (Ethyl Alcohol)
9.	Adrenal Cortex Hormones (Corticosteroids)

Related Therapies and Procedures

1.	Diskectomy (Discectomy)
2.	Intervertebral Disc Chemolysis (Discolysis)
3.	Therapeutics
4.	Lasers (Laser)
5.	Decompression