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Anesth Pain Med > Volume 10(3); 2015 > Article
Spinal Pain
Anesthesia and Pain Medicine 2015;10(3):165-170.
DOI: https://doi.org/10.17085/apm.2015.10.3.165    Published online July 31, 2015.
Percutaneous cervical nucleoplasty using the L'DISQ(R) in patients with posterolateral disc extrusion: Three cases report
Yong Seok Lim, Cheon Hee Park, Ki Tea Jung, Sang Woo Wee, Sung Sik Sin, Joon Kim, Dae Il Park
1Department of Anesthesiology and Pain Medicine, Kwangju Christian Hospital, Gwangju, Korea. pch1962@hanmail.net
2Department of Anesthesiology and Pain Medicine, Chosun University Hospital, Gwangju, Korea.
3Department of Anesthesiology and Pain Medicine, Gwangju Saewoori Spine Hospital, Gwangju, Korea.
Received: 29 December 2014   • Revised: 9 February 2015   • Accepted: 9 February 2015
Abstract
Recently, various studies evaluating percutaneous cervical nucleoplasty have reported good results. Percutaneous cervical nucleoplasty has been commonly used for treating contained herniated disc or protrusion, but a posterolateral extruded disc has not been considered to be an indication. The tip of the L'DISQ(R) wand can be curved to the desired angles by the rotation of the control wheel. Therefore, L'DISQ(R) can directly access the extruded disc. We report the application of percutaneous cervical nucleoplasty by using the L'DISQ(R) in three patients with an extruded disc. Decompression was successfully performed, and the symptoms improved immediately. In one patient, a 6-month follow-up magnetic resonance imaging study showed disappearance of the extruded cervical disc. Percutaneous cervical nucleoplasty using the L'DISQ(R) can be an effective, low complication, minimally invasive procedure for treating cervical disc herniation.
Key Words: Cervical nucleoplasty, Disc, L'DISQ(R)


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