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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

Nicolas Amoretti
1   Nice University Hospital, Pasteur Hospital, Nice, France
,
Giacomo Gallo
1   Nice University Hospital, Pasteur Hospital, Nice, France
,
Stacoffe Nicolas
1   Nice University Hospital, Pasteur Hospital, Nice, France
,
Torre Federico
1   Nice University Hospital, Pasteur Hospital, Nice, France
,
Nicolas Theumann
2   Bois-Cerf Radiology Institute, Lausanne, Switzerland
,
Sylvain Guinebert
,
Yann Thouvenin
3   Department of Medical Imaging, Lapeyronie Hospital, University of Montpellier, France
,
François Cornelis
4   Interventional Radiology/Interventional Oncology Department, Tenon Hospital, APHP Paris, France
,
Olivier Hauger
5   Department of Diagnostic and Interventional Radiology, Pellegrin University Hospital, Bordeaux, France
› Author Affiliations
Further Information

Publication History

Publication Date:
05 November 2018 (online)

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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
 

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