Percutaneous lumbar discectomy using a new nucleotome system. Report of 182 cases.
One hundred eight-two patients underwent percutaneous lumbar discectomy using a new nucleotome system. The curative and effective rates were 84.6% and 89.6% respectively, without serious complications. To overcome the difficulty of puncture and cutting the nucleus pulposus at L5-S1 interspace, an efficient approach was undertaken to drill through the iliac wing at L5-S1 using a self-designed circular drill so that the nucleotome could safely reach L5-S1 disc, the successful rate was 100%. By varying the distance and angle of puncture, it is possible to treat central type of lumbar disc herniation, thereby expanding the indications for this procedure.
Zhou
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YC
Department of Radiology, Tongji Hospital, Tongji Medical University, Wuhan.
Wang
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CY
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007403:Intervertebral Disc / Q000601:surgery*; D007405:Intervertebral Disc Displacement / Q000000981:diagnostic imaging / Q000601:surgery*; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D013514:Surgical Procedures, Operative / Q000379:methods; D014057:Tomography, X-Ray Computed