Lim Ji-Hoon, Lee Hye-Jin, Lee Sang-Heon
Department of Physical Medicine and Rehabilitation, Korea University School of Medicine, Seoul, Korea.
Ann Rehabil Med. 2013 Oct;37(5):730-4. doi: 10.5535/arm.2013.37.5.730. Epub 2013 Oct 29.
Recent years, various percutaneous procedures including cervical nucleoplasty have been developed for disc decompressions to relieve radicular pains caused by disc herniations. We report the application of percutaneous cervical nucleoplasty (PCN) by using the navigable disc decompression device in two patients of cervical herniated intervertebral discs (HIVD). A 38-year-old female diagnosed with C4-C5 disc extrusion with bilateral C5 roots impingement received nucleoplasty twice at C4-C5 disc level. After second procedure, her pain was improved from 6-7/10 to 1-2/10 by visual analog scale (VAS). The second case, a 51-year-male was diagnosed with C6-C7 disc extrusion with right C7 roots impingement and received the procedure at C6-C7 disc level. The pain improved from 8/10 to 3-4/10 by VAS. Successfully, we decompressed cervical herniated discs in 2 HIVD patients without major complications. The PCN with the navigable device will be recommended as an alternative treatment method for cervical HIVD.
近年来,包括颈椎间盘成形术在内的各种经皮手术已被开发用于椎间盘减压,以缓解椎间盘突出引起的神经根性疼痛。我们报告了使用可导航椎间盘减压装置对两名颈椎间盘突出症(HIVD)患者进行经皮颈椎间盘成形术(PCN)的应用情况。一名38岁女性被诊断为C4-C5椎间盘突出伴双侧C5神经根受压,在C4-C5椎间盘水平接受了两次椎间盘成形术。第二次手术后,通过视觉模拟评分法(VAS),她的疼痛从6-7/10改善到1-2/10。第二例,一名51岁男性被诊断为C6-C7椎间盘突出伴右侧C7神经根受压,并在C6-C7椎间盘水平接受了该手术。通过VAS,疼痛从8/10改善到3-4/10。我们成功地为2例HIVD患者减压了颈椎间盘,且无重大并发症。使用可导航装置的PCN将被推荐作为颈椎HIVD的一种替代治疗方法。