TITLE

Disc-FX-Nonendoscopic Radiofrequency Disc Ablation/Decompression/Nucleotomy: First Experiences

AUTHOR(S)
Feldmann, A.; Hellinger, Stefan
PUB. DATE
January 2007
SOURCE
Internet Journal of Minimally Invasive Surgical Technology;2007, Vol. 1 Issue 1, p19
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Since the sixties, there has been a tendency to develop less invasive and aggressive methods in the treatment of discal diseases following the experience of Mixter that micro discectomy is not the final solution for this at all. Therefore, percutaneous procedures have been used for decades as an alternative to conventional surgical methods. Chemonucleolysis and percutaneous discectomy as well as laser decompression and discectomy are established methods besides the endoscopic techniques as minimal aggressive techniques. In recent years, the use of High Radiofrequency energy was added to this spectrum. Although with some similarity to the use of laser techniques, there is also great difference in the use of the device. Every technique from thermocoagulation for annuloplasty to the "coblation" must be considered as unique procedure. Disc-FX (Ellman Innovations, NY) is a new minimally invasive technology for the treatement of diseases of the lumbar spine with high radiofrequency based on the extensive use and positive experiences with use in endoscopic spine surgery. The purpose of the presentation is to assess the feasibility and the potential of the Disc-FX with 4.0 MHz radiofrequency in intradiscal use. First we will discuss basic investigations for the efficiency and safety for this procedure. Then we will present our first clinical results demonstrating the surgical technique with the special assessable probe. For this first feasibility study patients with radicular pain syndromes and simple neurological deficits as well as contained disc extrusions or protrusions has been included. We did the procedures in two different centers by different surgeons and investigated the outcome standardized. The first results encourage us to further studies and seem to be comparable to the other non-endoscopic procedures avoiding an open surgery.
ACCESSION #
26429130

 

Related Articles

  • Laser Discectomy In Lumbar Recurrent Disc. Menchetti, P. P. M.; Bini, W.; Canero, G.; Menotti, F. // Internet Journal of Minimally Invasive Spinal Technology;Supplement2008, p30 

    The article focuses on the results of a multicentric study on 38 patients with symptomatic lumbar recurrent disc who were treated with laser discectomy under multi slices computed tomography (CT)-Scan guidance. The study showed that the Visual Analogic Score (VAS) of patients has reduced from a...

  • Posteriorlateral Endoscopic Thoracic Microdecompressive Discectomy. Chiu, John C.; Javidan, Nosrat; Thacker, James // Internet Journal of Minimally Invasive Surgical Technology;2008, Vol. 2 Issue 3, p17 

    The article discusses the surgical technique, safety and efficacy of posteriorlateral endoscopic thoracic microdecompressive discectomy (PETD) for treating thoracic disc protrusions. According to it, PETD with added laser tightening of the disc is an easier, safe and effective procedure which...

  • DISCECTOMY BY HEMILAMINECTOMY FOR LUMBAR DISC SYNDROME. RAO, NARASIMHA; VISHAL, AMAR // International Journal of Pharma & Bio Sciences;Apr2014, Vol. 5 Issue 2, pB-914 

    Our objective is to study and evaluate the clinical outcome of surgical treatment of lumbar disc prolapse by hemilaminectomy and discectomy technique. 32 patients were operated in ASRAM medical college and hospital , eluru. All patients were available for follow up by visits or questionnaire by...

  • The post-discectomy syndrome : Aetiology, diagnosis, treatment, prevention. Ivanic, G.M.; Pink, T.P.; Homann, N.C.; Scheitza, W.; Goyal, S. // Archives of Orthopaedic & Trauma Surgery;Sep2001, Vol. 121 Issue 9, p494 

    The post-discectomy syndrome (PDS) is a common diagnosis in patients with problems following a disc operation. The different causes of PDS make the establishment of the correct diagnosis and its corresponding efficient treatment difficult. A general overview published in the bibliographical data...

  • COMPARISON BETWEEN MICROLUMBAR DISCECTOMY VERSUS OPEN LAMINECTOMY AND DISCECTOMY IN LUMBAR INTERVERTEBRAL DISC PROLAPSE. SHAREEF, ABDUL HADI; KUMAR, E. G. MOHAN; MANOHER, P. V. // International Journal of Pharma & Bio Sciences;Apr2014, Vol. 5 Issue 2, pP-492 

    Back pain as a presenting complain may account for 2% of patients seen by general practitioners, but 60% for orthopedic outpatient department. Among which Disc Prolapse in lumbar region is commonest. Intevertebral disc prolapse was found to be most important cause for loss of working hours in...

  • Painful Schmorl's node treated by lumbar interbody fusion. Hasegawa, K.; Ogose, A.; Morita, T.; Hirata, Y. // Spinal Cord;Feb2004, Vol. 42 Issue 2, p124 

    STUDY DESIGN:: A case report of painful lumbar Schmorl's node is presented. OBJECTIVE:: To describe diagnostic evidence and the result of surgical treatment of a rare case of painful Schmorl's node. SETTING:: Niigata, Japan. CASE REPORT:: A 55-year-old housewife was diagnosed with painful...

  • Microendoscopic discectomy for prolapsed lumbar intervertebral disc. Ranjan, Alok; Lath, Rahul // Neurology India;Jun2006, Vol. 54 Issue 2, p190 

    Background: Lumbar disc prolapse is a common problem and the current surgical standard for its treatment is a microsurgical discectomy. Microendoscopic discectomy (MED) is a minimally invasive spinal procedure being done successfully for prolapsed intervertebral disc disease. Aims: We report...

  • Anterior Endoscopic Assisted Cervical Microdecompression of Disc and Foramen. Chiu, John C.; Reuter, Merrill W. // Internet Journal of Minimally Invasive Surgical Technology;2007, Vol. 1 Issue 2, p1 

    The anterior endoscopic assisted cervical microdecompression (AECM) of disc and foramen with added application of nonablative lower holmium laser energy for disc shrinkage (laser thermodiskoplasty) has proven to be safe, less traumatic, easier, and more efficacious than conventional methods with...

  • Interlaminar Biportal Endoscopic Lumbar Discectomy: 7 Years of Experience. Gaffar, A. // Internet Journal of Minimally Invasive Surgical Technology;2007, Vol. 1 Issue 2, p9 

    The purpose of this paper is to detail my experience since 1998, including 'pearls and pitfalls', with the technique of Inter-laminar endoscopic lumbar discectomy. This is a technique in which through two 5 mm portals in the midline of the back, the disc is approached through an inter-laminar...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics