Contained Herniated Lumbar Disc: CT- and Fluoroscopy-Guided Automated Percutaneous Discectomy—A Revival

Nicolas Amoretti; Giacomo Gallo; Stacoffe Nicolas; Torre Federico; Nicolas Theumann; Sylvain Guinebert; Yann Thouvenin; François Cornelis; Olivier Hauger

doi:10.1055/s-0038-1673361

Seminars in Interventional Radiology, Table of Contents

Semin intervent Radiol 2018; 35(04): 255-260
DOI: 10.1055/s-0038-1673361

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Contained Herniated Lumbar Disc: CT- and Fluoroscopy-Guided Automated Percutaneous Discectomy—A Revival

Authors

Nicolas Amoretti

¹Nice University Hospital, Pasteur Hospital, Nice, France
Giacomo Gallo

¹Nice University Hospital, Pasteur Hospital, Nice, France
Stacoffe Nicolas

¹Nice University Hospital, Pasteur Hospital, Nice, France
Torre Federico

¹Nice University Hospital, Pasteur Hospital, Nice, France
Nicolas Theumann

²Bois-Cerf Radiology Institute, Lausanne, Switzerland
Sylvain Guinebert
Yann Thouvenin

³Department of Medical Imaging, Lapeyronie Hospital, University of Montpellier, France
François Cornelis

⁴Interventional Radiology/Interventional Oncology Department, Tenon Hospital, APHP Paris, France
Olivier Hauger

⁵Department of Diagnostic and Interventional Radiology, Pellegrin University Hospital, Bordeaux, France

Abstract

The combination of a new device and dual guidance (computed tomography [CT] and fluoroscopy) is similar to other percutaneous devices in achieving a mechanical decompression of the disc. The difference, however, is that the target of the decompression with the current technique is the herniated disc itself. The goal of this combined technique is to create a space, an “olive” around the probe, allowing a decrease in pressure inside the hernia. Percutaneous discectomy under combined CT and fluoroscopic guidance is a minimally invasive spine surgery that should be considered as an alternative to surgery in properly selected patients.

Keywords

percutaneous - discectomy - computed tomography - disc herniation - fluoroscopy - spine - interventional radiology

Full Text

References

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