percutaneous plasma disc decompression for the treatment of lumbar disc herniation
Main Article Content
Abstract
Case report: Case 1: A 45-year-old male patient presented with pain in the lumbar region radiating to the buttocks, back of the thigh and left leg, the disease progressed for > 3 months. The patient was treated with non-steroid internal medicine, muscle relaxants, and rehabilitation for 2 weeks without improvement. Clinical examination VAS 8, Lasegue (+) 45º, difficulty walking. MRI results showed herniated disc L3/4, L4/5. The patient was indicated for intervention to percutaneous plasma decompressiom disc at the level L3/4, L4/5 under CT scan. After nearly 2 months, the patient's symptoms clearly decreased, VAS 2. MRI scan checked the reduction in the level of posterior disc herniation. Case 2: A 54-year-old male patient presented with pain in the lumbar region radiating to the buttocks, the outer side of the right thigh and calf, the disease progressed for 2 weeks, VAS 8, difficulty walking. MRI results showed a protrusion disc L3/4 with a right paracentral convexity. The patient was treated conservatively with medication combined with rehabilitation. After 4 weeks, the symptoms decreased to VAS 6, when walking a lot, the pain was pulling down the right leg. The patient was indicated for intervention to percutaneous plasma decompressiom disc at the level L3/4 under CT guidance. After more than 2 months of intervention, the patient's symptoms were significantly reduced, walking normally, with slight pain and fatigue in the lumbar region, VAS 1-2, MRI showed no disc herniation. Case 3: A 66-year-old female patient presented with pain in the lumbar region radiating to the buttocks, the outer side of the right thigh and calf, VAS 7, difficulty walking. The disease progressed for about 8 months, and was treated with oriental medicine, acupuncture, thread implantation, leaf poultice, and rehabilitation without improvement. MRI results showed a Protrusion disc L4/5 with a right paracentral convexity causin 2/4 narrowing of the spinal canal. The patient was indicated for intervention to percutaneous plasma decompressiom disc at the level L4/5 under CT guidance. After 1 month of intervention, symptoms were not significantly reduced. The patient had another MRI scan of the lumbar spine and the results showed no change in L4/5 disc herniation. Discussion: Percutaneous Plasma Disc Decompression (PPDD) is a minimally invasive procedure used to treat herniated or bulging discs. The procedure uses heat energy to remove excess tissue from the disc, relieving pressure and relieving pain. The procedure involves inserting a needle into the disc, threading a catheter through the disc, and heating the tip of the needle to a specific temperature, which coagulates and removes some of the disc tissue. The effectiveness and safety of PPDD have been demonstrated through studies. Treatment outcomes depend on clinical characteristics and magnetic resonance imaging. Therefore, selecting the right patient for intervention can bring about positive results.
Keywords
Percutaneous Plasma Disc Decompression, Disc Herniation, MRI.
Article Details
References
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