The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Clinical Outcomes of Percutaneous Lumbar Discectomy Using Dekompressor(R)

Dekompressor(R)를 이용한 요부의 경피적 추간판 감압술의 임상 결과

  • Han, Sun Sook (Department of Anesthesiology and Pain Medicine, Seoul National University of College of Medicine) ;
  • Sim, Sung Eun (Department of Anesthesiology and Pain Medicine, Seoul Municipal Boramae Hospital) ;
  • Kim, Yang Hyun (Department of Anesthesiology and Pain Medicine, Seoul National University of College of Medicine) ;
  • Lee, Eun Hyoung (Department of Anesthesiology and Pain Medicine, Seoul National University of College of Medicine) ;
  • Joh, Ju Yeon (Department of Anesthesiology and Pain Medicine, Seoul National University of College of Medicine) ;
  • Kim, Ji Young (Department of Anesthesiology and Pain Medicine, Seoul National University of College of Medicine) ;
  • Lee, Sang Chul (Department of Anesthesiology and Pain Medicine, Seoul National University of College of Medicine)
  • 한선숙 (서울대학교 의과대학 마취통증의학교실) ;
  • 심성은 (서울시립 보라매병원 마취통증의학과) ;
  • 김양현 (서울대학교 의과대학 마취통증의학교실) ;
  • 이은형 (서울대학교 의과대학 마취통증의학교실) ;
  • 조주연 (서울대학교 의과대학 마취통증의학교실) ;
  • 김지영 (서울대학교 의과대학 마취통증의학교실) ;
  • 이상철 (서울대학교 의과대학 마취통증의학교실)
  • Received : 2005.09.20
  • Accepted : 2005.12.09
  • Published : 2005.12.10
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Abstract

Background: Discogenic leg pain is a major cause of health problems, often due to herniation of the intervertebral disc, and has traditionally been treated conservatively or with an open surgical discectomy. Conventional open surgery has many complications, such as nerve root injury, discitis and a relatively high mortality rate; failure of conservative treatments is also common. Recently, the $Dekompressor^{(R)}$ Percutaneous Lumbar Discectomy probe was developed. Herein, we present the early results for a percutaneous lumbar discectomy in herniated lumbar disc disease. Methods: Eleven patients, including 8 men and 3 women, with ages ranging from 22 to 78 years, were enrolled in this study. Those patients with a previous history of back surgery were not excluded from the study. All patients were postoperatively evaluated for their clinical outcomes, such as visual analogue scale (VAS) for pain after 1 and 3 months, reduction in analgesics, functional improvement and overall satisfaction. Results: The percutaneous lumbar discectomy was completed in 11 patients (17 levels), with average reductions in pre-VAS of 61.3 and 60.2% at 1 and 3 months, respectively. Also, 72.7% of patients reported functional improvement, with 81.1% expressing overall satisfaction. There were no procedural related complications. Conclusions: We concluded that a percutaneous lumbar discectomy is a safe and effective treatment modality for a herniated lumbar disc.

Keywords

References

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