Image-guided percutaneous mechanical disc decompression for herniated discs: a technical note

Image-guided percutaneous mechanical disc decompression for herniated discs: a technical note

Authors

  • Alessandro Liguori Operative Unit of Radiology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico di Milano, via Francesco Sforza 35, 20122, Milan, Italy
  • Marco Pandolfi Radiology Unit, Istituto Clinico Città Studi Milano, via Niccolò Jommelli, 17, 20131 Milan, Italy
  • Martina Gurgitano Division of Radiology, IEO European institute of oncology IRCCS, Milan, Italy
  • Antonio Arrichiello Postgraduation School in Radiodiagnostics, Università degli studi di Milano, via Festa del Perdono, 7, 20122, Milan, Italy
  • Salvatore Alessio Angileri Operative Unit of Radiology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico di Milano, via Francesco Sforza 35, 20122, Milano, Italy
  • Letizia Di Meglio Postgraduation School in Radiodiagnostics, Università degli studi di Milano, via Festa del Perdono, 7, 20122, Milan, Italy
  • Anna Maria Ierardi Operative Unit of Radiology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico di Milano, via Francesco Sforza 35, 20122, Milan, Italy
  • Aldo Paolucci Operative Unit of Radiology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico di Milano, via Francesco Sforza 35, 20122, Milan, Italy
  • Federica Galli Radiology Unit, Istituto Clinico Città Studi Milano, via Niccolò Jommelli, 17, 20131 Milan, Italy
  • Elvira Stellato Postgraduation School in Radiodiagnostics, Università degli studi di Milano, via Festa del Perdono, 7, 20122, Milan, Italy
  • Gianpaolo Carrafiello Operative Unit of Radiology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico di Milano, via Francesco Sforza 35, 20122, Milan, Italy; Department of Health Sciences, Università degli studi di Milano, Milan, Italy Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico

Keywords:

Disc herniation; percutaneous discectomy; fluoroscopy; spine; interventional radiology; pain management

Abstract

Interventional radiology plays a key role in the treatment of symptomatic herniations of intervertebral discs. Through image-guided techniques, it is possible to use minimally invasive procedures with a percutaneous approach that are usually proposed before classic surgery. Thanks to imaging guidance, it is possible to significantly increase accuracy and decrease complication rates. The pivotal principle of these mini-invasive techniques is to remove a small amount of volume of the nucleus of the intervertebral disc which results in a significant reduction in intradiscal pressure; allowing for a consequent reduction in compression of the nervous structures that generate spinal pain. However, it must be considered that this type of treatment is only addressed to contained disc herniations previously diagnosed with a suitable neuroimaging examination. There are different types of treatment using a variety of chemical, thermal or mechanical processes that result in partial removal of the nucleus pulposus. The purpose of this technical note is to illustrate mechanical disc decompression treatment via a percutaneous approach using the DISKOM device (DISKOM percutaneous discectomy probe, Biopsybell, Mirandola, Italy). Indications, complications and various methods of use are described in relation to the different levels of the spine to be treated.

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Published

23-09-2020

How to Cite

1.
Image-guided percutaneous mechanical disc decompression for herniated discs: a technical note. Acta Biomed [Internet]. 2020 Sep. 23 [cited 2024 Jun. 13];91(10-S):e2020001. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/10247

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