Percutaneous laser microdiscectomy in the treatment of thoracic intervertebral disc protrusions
DOI:
https://doi.org/10.25305/unj.275413Keywords:
thoracalgia, thoracic intervertebral discs, laser microdiscectomyAbstract
One of the causes of thoracalgia is a protrusion of the thoracic intervertebral discs (IVD). Treatment of these protrusions is often ineffective.
Objective: To improve the outcomes of treatment of thoracalgia caused by protrusions of the thoracic IVD, using the method of puncture laser microdiscectomy (PLM).
Materials and methods. A retrospective analysis of treatment outcomes of 64 patients with thoracalgia at the "Endoscopic Neurosurgery" Medical Center in the period from 2000 to 2023 was carried out. The patients ranged in age from 24 to 67 years. There were 48 (75.5%) men, 16 (24.5%) women. Puncture laser microdiscectomy was performed in 42 patients under the control of a C-Arm operating fluoroscope (Philips, the Netherlands), 22 - under CT-assisted method (Toshiba, Japan).
Results. In 10 cases, PLM was performed on two IVDs. The rate of positive results of treatment of thoracic IVD by the PLM method is 89%. The rate of excellent results was 71.4% in the group of operations under operating fluoroscope control, in the operations group under CT assisted method - 72.7%. Complications were registered only in 3 patients operated on under the fluoroscope control.
Conclusions. Puncture laser microdiscectomy in case of thoracic IVD protrusions is an effective method for treatment of persistent thoracalgia. Performing PLM under CT assisted method does not increase the efficacy of the surgery, but it allows avoiding complications.
References
1. Kolisnyk PF. Lektsiyi z klinichnoyi vertebrolohiyi: navchalʹnyy posibnyk. Nova Knyha; 2019.Ukrainian.
2. Pedachenko EG, ed. [Diagnosis and surgical treatment of discogenic neurocompression syndromes of the spine]. Kyiv: VIK-PRINT, 2014. Ukrainian.
3. MlakaJ, RapcanR, BurianekM, RapcanovaS, GajdosM, KocanovaM, GrigerM, KovalicovaL, VaskovaJ, Kocan L. Endoscopic discectomy as an effective treatment of a herniated intervertebral disc. Bratisl Lek Listy. 2020;121(3):199-205. [CrossRef] [PubMed]
4. Choi KY, Eun SS, Lee SH, Lee HY. Percutaneous endoscopic thoracic discectomy; transforaminal approach. Minim Invasive Neurosurg. 2010 Feb;53(1):25-8. [CrossRef] [PubMed]
5. Kasliwal MK, Deutsch H. Minimally invasive retropleural approach for central thoracic disc herniation. Minim Invasive Neurosurg. 2011 Aug;54(4):167-71. [CrossRef] [PubMed]
6. Haufe SM, Mork AR, Pyne M, Baker RA. Percutaneous laser disc decompression for thoracic disc disease: report of 10 cases. Int J Med Sci. 2010 Jun 1;7(3):155-9. [CrossRef] [PubMed] [PubMed Central]
7. Abrishamkar S, Kouchakzadeh M, Mirhosseini A, Tabesh H, Rezvani M, Moayednia A, Ganjeifar B, Mahabadi A, Yousefi E, Kooshki AM. Comparison of open surgical discectomy versus plasma-laser nucleoplasty in patients with single lumbar disc herniation. J Res Med Sci. 2015 Dec;20(12):1133-7. [CrossRef] [PubMed] [PubMed Central]
8. Chua NH, Gültuna I, Riezebos P, Beems T, Vissers KC. Percutaneous thoracic intervertebral disc nucleoplasty: technical notes from 3 patients with painful thoracic disc herniations. Asian Spine J. 2011 Mar;5(1):15-9. [CrossRef] [PubMed] [PubMed Central]
9. Hellinger J, Stern S, Hellinger S. Nonendoscopic Nd-YAG 1064 nm PLDN in the treatment of thoracic discogenic pain syndromes. J Clin Laser Med Surg. 2003 Apr;21(2):61-6. [CrossRef] [PubMed]
10. Choy DS. Percutaneous laser disc decompression: a 17-year experience. Photomed Laser Surg. 2004 Oct;22(5):407-10. [CrossRef] [PubMed]
11. Budrovac D, Radoš I, Tot OK, Haršanji Drenjančević I, Omrčen I. Percutaneous Laser Disc Decompression in the Treatment of Lumbar Radicular Pain. Southeastern European Medical Journal: SEEMEDJ. 2020 Nov 12;4(2):62-8.
12. Gevargez A, Groenemeyer DW, Czerwinski F. CT-guided percutaneous laser disc decompression with Ceralas D, a diode laser with 980-nm wavelength and 200-microm fiber optics. Eur Radiol. 2000;10(8):1239-41. [CrossRef] [PubMed]
13. Momenzadeh S, Koosha A, Kazempoor Monfared M, Bairami J, Zali A, Ommi D, Hosseini B, Hashemi M, Sayadi S, Aryani R, Nematollahi F, Nematollahi L, Barati M. The Effect of Percutaneous Laser Disc Decompression on Reducing Pain and Disability in Patients With Lumbar Disc Herniation. J Lasers Med Sci. 2019 Winter;10(1):29-32. [CrossRef] [PubMed] [PubMed Central]
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Mykola O. Zorin, Tamara V. Zorina
This work is licensed under a Creative Commons Attribution 4.0 International License.
Ukrainian Neurosurgical Journal abides by the CREATIVE COMMONS copyright rights and permissions for open access journals.
Authors, who are published in this Journal, agree to the following conditions:
1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the Journal under the terms of Creative Commons Attribution License, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this Journal.
2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form of which it has been published by the Journal (for example, to upload the work to the online storage of the Journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this Journal is included.
