Percutaneous Discectomy : What is It?

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Do you have any idea what a percutaneous discectomy is? I do as I've had one!

A percutaneous discectomy is a minimally invasive procedure that is performed with a catheter through the skin, dissecting an intervertebral disc. It wasn't all that long ago that the alternative to back pain meant invasive and often dangerous back surgery with not too attractive scars. 

There was a family friend who played football for the Washington Redskins; Dave had such a surgery.  We've lost touch over the years, but I'd bet that he's probably had to have follow-up care to relieve his back pain.

I prefer to be conservative with having a minimally invasive procedure, such as a percutaneous discectomy, to relieve back pain.  How about you? It has been over fifteen years since I had this procedure; it seems like yesterday.

Photo Credit:  Lumbar Discectomy, www.orthogate.com.
Percutaneous Discectomy : What is It? was originally created on December 25, 2007.


X-Ray Depicting Back Pain Spine and Pelvis X-RayX-Ray Depicting Back Pain Spine and Pelvis X-RayX-Ray Depicting Back Pain Spine and Pelvis X-RayX-Ray Depicting Back Pain Spine and Pelvis X-RayX-Ray Depicting Back Pain Spine and Pelvis X-RayX-Ray Depicting Back Pain Spine and Pelvis X-Ray

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“I personally had a percutaneous discectomy on the L-4/L-5 discs in May 1996.”

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Low back pain causes

Apophyseal osteoarthritis
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Early success rates

64.3% (18/28 patients) had a satisfactory outcome after percutaneous discectomy.

Research Results: Lumbar percutaneous discectomy

C. Faubert1 and W. Caspar2

(1) Neuroradiological Institute, University of Saarland, Homburg/Saar, Germany
(2) Department of Neurosurgery, University of Saarland, Homburg/Saar, Germany

Received: 11 May 1990


Summary Since november 88, 28 patients with lumbar L5 radiculopathy refractory to conservative care and with a radiologically verified central or mediolateral disc herniation at the level of L4/L5 had had a percutaneous discectomy. Radiological verification consisted of spinal CT +/- myelography, +/- myelo-CT, +/- MRI. A shortterm follow-up analysis of at least 2 months taking the clinical and functional status as well as the professional reintegration into account revealed a 64.3% (18/28 patients) satisfactory outcome and a 32.1% (10/28 patients) failure rate. Of the latter 28.6% (8/28 patients) required further open surgery. One patient whose pain had only partially in regressed was shown at open operation to have a sequestered cranial prolapse as revealed by spinal CT after the percutaneous procedure. There were no major complications. One patient developed a sequestered extraforaminal herniation through the nucleotomy canal three weeks after the procedure. One patient bled for 2 minutes. There were no major vessel injuries. One patient reported local muscular pain, and enhanced nerve root pain after introduction of the trocar sleeve.
--www.springerlink.com.

Success Rates Vary

Standard Discectomy can achieve 85%-95% success rates.

Percutaneous Discectomy can achieve 75% success rates.

Success Rates: Current Diagnosis & Treatment in Orthopedics by Harry B. Skinner 

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Discectomies

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Low back pain exercises

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Important!

Relatively Pain Free After a Percutaneous Discectomy

Since my procedure, I've been relatively pain free in my lower back. I keep active, maintain a regular exercise program, and do not stress my back.

Drop me a line -- Heard of or had a Percutaneous Discectomy ???

Actually Percutaneous Discectomy sounds worse than it can be!

Have you suffered with back pain or know someone who has? Have you had surgery or treatment? Had success? I'd love to hear from you.

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Percutaneous Discectomy : What is It? was originally created on December 25, 2007.
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