Ann Rehabil Med.  2013 Oct;37(5):730-734. 10.5535/arm.2013.37.5.730.

Application of Percutaneous Cervical Nucleoplasty Using the Navigable Disc Decompression Device in Patient of Cervical Herniated Intervertebral Disc: A Case Report

• Lim JH
• Lee HJ
• Lee SH

• KMID: 2266594
• DOI: http://doi.org/10.5535/arm.2013.37.5.730

Abstract

Recent years, various percutaneous procedures including cervical nucleoplasty have been developed for disc decompressions to relieve radicular pains caused by disc herniations. We report the application of percutaneous cervical nucleoplasty (PCN) by using the navigable disc decompression device in two patients of cervical herniated intervertebral discs (HIVD). A 38-year-old female diagnosed with C4-C5 disc extrusion with bilateral C5 roots impingement received nucleoplasty twice at C4-C5 disc level. After second procedure, her pain was improved from 6-7/10 to 1-2/10 by visual analog scale (VAS). The second case, a 51-year-male was diagnosed with C6-C7 disc extrusion with right C7 roots impingement and received the procedure at C6-C7 disc level. The pain improved from 8/10 to 3-4/10 by VAS. Successfully, we decompressed cervical herniated discs in 2 HIVD patients without major complications. The PCN with the navigable device will be recommended as an alternative treatment method for cervical HIVD.

Keyword

Intervertebral disc displacement; Cervical pain; Decompressive nucleoplasty

MeSH Terms

Adult
Decompression*
Female
Humans
Intervertebral Disc Displacement
Intervertebral Disc*
Neck Pain
Pregnenolone Carbonitrile
Pregnenolone Carbonitrile

Figure

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  Fig. 1 Cervical magnetic resonance imaging shows central disc extrusion at C4-C5. (A) Sagittal view, (B) axial view.

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  Fig. 2 (A), (B) show placement of the L-DISQ catheter tip into the herniated disc with computed tomography guidance of the standard midline approach.

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  Fig. 3 Placing the tip of the L-DISQ catheter into the herniated disc. (A) Lateral view, (B) anterior-posterior view.

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  Fig. 4 Cervical magnetic resonance imaging shows disc extrusion at C6-C7 making contact with right C7 nerve root. (A) Sagittal view, (B) axial view.

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  Fig. 5 Cervical disc decompressions were performed using L-DISQ catheter with fluoroscopic guidance. (A) Lateral view, (B) anterior-posterior view.

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