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Combined Use of High Radiofrequency Disk Ablation, Annulus Modulation, and Manual Nucleotomy in a Patient with Extruded Disk Herniation
Author(s) -
Beyaz Serbülent Gökhan,
İnanmaz Mustafa Erkan,
Zengin Ezgi Şen,
Ülgen Ali Metin
Publication year - 2016
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/papr.12426
Subject(s) - medicine , forceps , decompression , annulus (botany) , magnetic resonance imaging , coronal plane , radiofrequency ablation , intervertebral disk , lumbar , ablation , intervertebral disc displacement , radiology , surgery , lumbar vertebrae , botany , biology
Abstract Different minimally invasive procedures are used to treat lumbar disk herniation. It is important to differentiate these techniques due to their specific effects and the disparate technical issues associated with each. This report describes a successful case involving the use of mechanical decompression in conjunction with radiofrequency ablation to treat a patient with pain and neurological deficits due to an extruded disk hernia. Case Report A 43‐year‐old male had magnetic resonance imaging (MRI) demonstrating an extruded disk herniation in the left foraminal region, compression at the left spinal nerve root, and obliteration of the left foraminal entrance of the L5‐S1 distribution. In the operating room, sufficient disk material was removed using grasping forceps, and then, the Disc‐FX system with a Trigger‐Flex probe (Elliquence, Baldwin, NY, U.S.A.) was inserted. Modulation of the annulus was performed in bipolar hemo mode, and nucleus ablation was conducted in bipolar turbo mode within a 1.7‐MHz frequency range. Among the available minimally invasive techniques, newly developed technologies may become important treatment options if they enable faster rehabilitation, lower rates of recurrence, shorter hospital stays, and reduced medical costs.