Centers of Excellence in Interventional Cardiology and Radiology

INTERVENTIONAL NEURORADIOLOGY

Nucleoplasty

DR. RARES NECHIFOR most renowned radiologist IS IN ROMANIA

Our center has saved the lives of over 4,500 patients in the last 4 years

The most modern equipped angiography room , an exceptional medical team

The simplest method of treating a herniated disc!

Only 24 hours hospitalization!

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031 9300

Generalities

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Disc herniation is a disease wich can affect patients of any age. It may result secondary of trauma, from injuries to the spine, different accidents or, in some cases, there isn’t an identified cause ( in this case the disease is know as idiopathic disc herniation).

A herniated disc consists of tiny tears or cracks in the outer layer (annulus or capsule) of the disc. The jellylike material inside the disc (nucleus) may be forced out through the tears or cracks in the capsule, which causes the disc to bulge, break open (rupture), or break into fragments. This is causing severe and constant pain.

Until recently, treatment of an herniated disc included pain drugs, physical therapy and for severe cases treatment consists of surgical procedures associated with prolonged recovery. Both, the disease and treatment, were quality of life affecting.

Nucleoplasty is a minimally invasive procedure for the treatment of moderate disc herniation. The doctor use the percutaneous approach and the procedure consists of dissolving a part of affected disc, so his dimension are decreased, and secondary nerve compression is also decreased.

Indications

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Nucleoplasty is an alternative of classic, open surgical procedure.

Indications include:

mechanical lombalgie

lombar pain, less radicular pain ( this is a pain following a nerve territory in legs, in the anterior or posterior face of thigh or shank)

failure of medical treatment

disc herniation lesser than 30% of the spinal canal

discal degenerescence proved by imaging techniques, such as magnetic resonance imaging

preserved high of the disc

There are also several contraindication, such as

• spinal canal stenosis

• instability

• active infection

• pregnancy

Procedure

Nucleoplasty is performed in our Center of Excellence, in the catheterism labs, under local anesthesia ( with xilin), respecting the asepsy rules.

The patient is asked to lie down on the table, either in a prone position, either on one side of the body. The assistent will clean the requested area with iodine substance and, after, will cover it with sterile fields.

After local anesthesia (with xilin), your doctor will introduce a catheter into the affected disc. Radiowaves are emited through this catheter, so the excess tissue is distroyed and the hernia’s sizes are reduced. Secondary, the pression inside the disc will decrease, so the disc can return to his initial, normal position, without any nerve compression. Also, lowering the pressure significantly decrease the pain or, even the pain disappear.

Is it painful?

The doctor will use local anesthesia, with xilin, wich may induced local warmth for 10-20 seconds. You will not feel any pain associated with all puncture manoeuvres.

How long does it take?

The procedure lasts between 15 and 30 minutes.

Risks

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After the procedure is done, you may feel lombar pain because of catheter route through lombar muscles. It’s a transient pain wich is treated with local ice and pain drugs.

Before procedure

You should stop antiagregant or anticoagulant treatment ( drugs like Sintrom, Trombostop, Plavix) – do not do this by yourself, your current physician should be notified about this.

If you’re pregnant you should know that you’re not eligible for this treatment.

Prior to the intervention, your doctor must be prevented about any history of allergic reactions. Blood tests are taken including hemoglobin level, coagulation, renal function, and other specific tests.

Your doctor will explain the procedure to you and offer you the opportunity to ask any questions that you might have about the procedure. You will be asked to sign a consent form that gives permission to do the procedure.

Notify your doctor if you are sensitive to or are allergic to any medications, latex, iodine, tape, contrast dyes, and anesthetic agents (local or general).

After procedure

You can leave the hospital the next day after the procedure. You should rest in bed for the next 2-3 days.

You can restart you professional activity after 1 week. Also, you must start a physical recovery programme.

In most cases, symptoms caused by disc herniation disappear or are significantly reduced after 2 weeks postprocedure.

Important!

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Nucleoplasty is efficient in 70-80% of cases.

The decision for the treatment is made after preoperatory consultation wich consists of physical exam but also imaging studies ( resonance magnetic imaging).

As we pointed above, not all cases of disc herniation are eligible for nucleoplasty. There are severe herniated disc wich will beneffit most if surgical treatment is performed.

Nucleoplasty is a minimally invasive procedure, wich is performed under local anesthesia (so there is no risk associated with general anesthesia), so both hospitalization and recovery are rapids.

DOCTORS
that perform the procedure

X
Sună Mesaj