Skip to main content

Plasma-Mediated Disc Decompression for Contained Cervical Disc Herniation: Results Through 5 Years

  • Chapter
  • First Online:
Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves

Part of the book series: Acta Neurochirurgica Supplementum ((NEUROCHIRURGICA,volume 108))

Abstract

Conventional treatment for cervical disc herniations often defaults to open cervical discectomy, potentially supplemented by intervertebral fusion. Newer treatment strategies focus on percutaneous, minimally invasive procedures which are capable of resolving herniation pathology while offering decreased morbidity and convalescence time when compared to fusion. In cases where patients complain of radicular and neck pain symptoms related to a contained herniated disc, plasma disc decompression may be used as a minimally invasive treatment option on the cervical intervertebral discs.

Three hundred and forty-nine patients who presented with a contained herniated cervical disc or focal protrusion causing pain associated with cervical nerve root compression were treated between January 2003 and May 2007. This case series study was conducted to evaluate clinical results through 1 year postoperatively.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Alo KM, Wright RE, Sutcliffe J, Brandt SA. (2004) Percutaneous lumbar discectomy: clinical response in an initial cohort of fifty consecutive patients with chronic radicular pain. Pain Pract; 4:19–29

    Article  PubMed  Google Scholar 

  2. Bertalanffy H, Eggert HR. (1989) Complications of anterior cervical discectomy without fusion in 450 consecutive patients. Acta Neurochir (Wien); 99:41–50

    Article  CAS  Google Scholar 

  3. Bonaldi G, Baruzzi F, Facchinetti A, Fachinetti P, Lunghi S. (2006) Plasma radio-frequency-based diskectomy for treatment of cervical herniated nucleus pulposus: feasibility, safety, and preliminary clinical results. AJNR Am J Neuroradiol; 27: 2104–2111

    PubMed  CAS  Google Scholar 

  4. Bush K, Chaudhuri R, Hillier S, Penny J. (1997) The pathomorphologic changes that accompany the resolution of cervical radiculopathy. A prospective study with repeat magnetic resonance imaging. Spine; 22:183–186

    Article  PubMed  CAS  Google Scholar 

  5. Chen YC, Lee S, Chen D. (2003) Intradiscal pressure study of percutaneous disc decompression with nucleoplasty in human cadavers. Spine; 28:661–665

    PubMed  Google Scholar 

  6. Choy DS, Ascher PW, Ranu HS, et al. (1992) Percutaneous laser disc decompression. A new therapeutic modality. Spine; 17:949–956

    Article  PubMed  CAS  Google Scholar 

  7. Cole BJ, Lin JL, Carreira DS, Hayden JK, Pylawka T, Williams JM, Volz B. (2005) Bipolar Radiofrequency Energy Enhanced Repair of Chronic Supraspinatus Tears in Rats. Presented at the 72nd Annual Meeting of the American Academy of Orthopedic Surgeons, February 23–27, 2005, Washington, DC

    Google Scholar 

  8. Derby R, Kine G, Saal JA, et al. (1992) Response to steroid and duration of radicular pain as predictors of surgical outcome. Spine; 17:S176–S183

    Article  PubMed  CAS  Google Scholar 

  9. Fielding JW. (1992) Complications of anterior cervical disk removal and fusion. Clin Orthop Relat Res; 284:10–13

    PubMed  Google Scholar 

  10. Flynn TB. (1982) Neurologic complications of anterior cervical interbody fusion. Spine; 7:536–539

    Article  PubMed  CAS  Google Scholar 

  11. Fountas KN, Kapsalaki EZ, Nikolakakos LG, et al. (2007) Anterior cervical discectomy and fusion associated complications. Spine; 32:2310–2317

    Article  PubMed  Google Scholar 

  12. Gerszten PC, Welch WC, King JT. (2006) Quality of life assessment in patients undergoing nucleoplasty-based percutaneous discectomy. J Neurosurg Spine; 4:36–42

    Article  PubMed  Google Scholar 

  13. Goldie I. (1958) Granulation tissue in the ruptured intervertebral disc. Acta Pathol Microbiol Scand; 42:302–304

    Article  PubMed  CAS  Google Scholar 

  14. Haden N, Latimer M, Seeley HM, Laing RJ. (2005) Loss of inter-vertebral disc height after anterior cervical discectomy. Br J Neurosurg; 19:469–474

    Article  PubMed  CAS  Google Scholar 

  15. Hauerberg J, Kosteljanetz M, Boge-Rasmussen T, et al. (2008) Anterior cervical discectomy with or without fusion with ray titanium cage: a prospective randomized clinical study. Spine; 33:458–464

    Article  PubMed  Google Scholar 

  16. Kobayashi N, Asamoto S, Doi H, Ikeda Y, Matusmoto K. (2003) Spontaneous regression of herniated cervical disc. Spine J; 3:171–173

    Article  PubMed  Google Scholar 

  17. Li J, Yan DL, Zhang ZH. (2008) Percutaneous cervical nucleoplasty in the treatment of cervical disc herniation. Eur Spine J; 17:1664–1669

    Article  PubMed  Google Scholar 

  18. Maigne JY, Deligne L. (1994) Computed tomographic follow-up study of 21 cases of nonoperatively treated cervical intervertebral soft disc herniation. Spine; 19:189–191

    Article  PubMed  CAS  Google Scholar 

  19. Masala S, Massari F, Fabiano S, et al. (2007) Nucleoplasty in the treatment of lumbar diskogenic back pain: one year follow-up. Cardiovasc Intervent Radiol [Online Publication]

    Google Scholar 

  20. Mirzai H, Tekin I, Yaman O, Bursali A. (2007) The results of nucleoplasty in patients with lumbar herniated disc: a prospective clinical study of 52 consecutive patients. Spine J; 7:88–92

    Article  PubMed  Google Scholar 

  21. Mochida K, Komori H, Okawa A, Muneta T, Haro H, Shinomiya K. (1998) Regression of cervical disc herniation observed on magnetic resonance images. Spine; 23:990–995

    Article  PubMed  CAS  Google Scholar 

  22. Nardi PV, Cabezas D, Cesaroni A. (2005) Percutaneous cervical nucleoplasty using coblation technology. Clinical results in fifty consecutive cases. Acta Neurochir Suppl; 92:73–78

    Article  PubMed  CAS  Google Scholar 

  23. Nowakowski A, Kubaszewski L, Kaczmarczyk J. (2007) Management of pain syndromes related to cervical herniated disc. Chir Narzadow Ruchu Ortop Pol; 72:85–88

    PubMed  Google Scholar 

  24. O’Neill CW, Liu JJ, Leibenberg E, et al. (2004) Percutaneous plasma decompression alters cytokine expression in injured porcine intervertebral discs. Spine J; 4:88–98

    Article  PubMed  Google Scholar 

  25. Onik G, Helms CA, Ginsberg L, Hoaglund FT, Morris J. (1985) Percutaneous lumbar diskectomy using a new aspiration probe: porcine and cadaver model. Radiology; 155:251–252

    PubMed  CAS  Google Scholar 

  26. Riley LH, Jr., Robinson RA, Johnson KA, Walker AE. (1969) The results of anterior interbody fusion of the cervical spine. Review of ninety-three consecutive cases. J Neurosurg; 30:127–133

    Article  PubMed  Google Scholar 

  27. Sharps L. (2003) Percutaneous Disc Decompression Using Nucleoplasty. World Spine II: Second Interdisciplinary Congress on Spine Care, August 10–13, 2003, Chicago, IL

    Google Scholar 

  28. Sharps LS, Isacc Z. (2002) Percutaneous disc decompression using nucleoplasty. Pain Physician; 5:121–126

    PubMed  Google Scholar 

  29. Singh V. (2004) Percutaneous disc decompression for the treatment of chronic atypical cervical discogenic pain. Pain Physician; 7(1):115–118

    PubMed  Google Scholar 

  30. Singh V, Piryani C, Liao K. (2004) Role of percutaneous disc decompression using coblation in managing chronic discogenic low back pain: a prospective, observational study. Pain Physician; 7:419–425

    PubMed  Google Scholar 

  31. Smith LW. (1986) Enzyme dissolution of nucleus pulposus in humans. Clin Orthop Relat Res; 206:4–9

    Google Scholar 

  32. Tasto JP, Cummings J, Medlock V, Hardesty R, Amiel D. (2005) Microtenotomy using a radiofrequency probe to treat lateral epicondylitis. Arthroscopy; 21:851–860

    Article  PubMed  Google Scholar 

  33. Tew JM, Jr., Mayfield FH. (1976) Complications of surgery of the anterior cervical spine. Clin Neurosurg; 23:424–434

    PubMed  Google Scholar 

  34. Yakovlev A, Tamimi MA, Liang H, Eristavi M. (2007) Outcomes of percutaneous disc decompression utilizing nucleoplasty for the treatment of chronic discogenic pain. Pain Physician; 10:319–328

    PubMed  Google Scholar 

  35. Yonenobu K. (2000) Cervical radiculopathy and myelopathy: when and what can surgery contribute to treatment? Eur Spine J; 9:1–7

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest statement We declare that we have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alessandro Cesaroni .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag/Wien

About this chapter

Cite this chapter

Cesaroni, A., Nardi, P.V. (2011). Plasma-Mediated Disc Decompression for Contained Cervical Disc Herniation: Results Through 5 Years. In: Alexandre, A., Masini, M., Menchetti, P. (eds) Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves. Acta Neurochirurgica Supplementum, vol 108. Springer, Vienna. https://doi.org/10.1007/978-3-211-99370-5_17

Download citation

  • DOI: https://doi.org/10.1007/978-3-211-99370-5_17

  • Published:

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-99369-9

  • Online ISBN: 978-3-211-99370-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics