Automated Percutaneous Discectomy: A Prospective Multi-Institutional Study

Author:

Onik Gary1,Mooney Vert2,Maroon Joseph C.3,Wiltse Leon4,Helms Clyde5,Schweigel Joseph6,Watkins Robert7,Kahanovitz Neil8,Day Arthur9,Morris James5,McCullough John A.10,Reicher Murray11,Croissant Paul12,Dunsker Stewart13,Davis William G.14,Brown Courtney15,Hochschuler Stephen16,Saul Thomas13,Ray Charles17

Affiliation:

1. Presbyterian-University Hospital, Pittsburgh, Pennsylvania (GO)

2. University of Texas Health Sciences Center, Dallas, Texas

3. Allegheny General Hospital, Pittsburgh, Pennsylvania

4. California Spine Surgery Medical Group, Long Beach, California

5. University of California, San Francisco, California

6. University of British Columbia, Vancouver, British Columbia, Canada

7. Gentinella Hospital, Inglewood, California

8. Hospital for Joint Diseases, New York, New York

9. University of Florida Health Science Center, Gainesville, Florida

10. Professional Center, Akron, Ohio

11. University of California-Los Angeles Medical Center, Los Angeles, California

12. North Oakland Neurosurgical Associates, Bloomfield, Michigan

13. Mayfield Neurological Clinic, Cincinnati, Ohio

14. Nashville Orthopaedic Clinic, Nashville, Tennessee

15. Lakewood Orthopedic Clinic, Lakewood, Colorado

16. Texas Back Institute, Plano, Texas

17. Institute for Low Back Care, Minneapolis, Minnesota

Abstract

Abstract A prospective multi-institutional study was carried out to evaluate automated percutaneous discectomy in the treatment of lumbar disc herniations. Of the 327 patients who prospectively met the study criteria and were followed for longer than 1 year, 75.2% were successfully treated. When patients (n = 168) who prospectively did not meet the study criteria were treated, the success rate was 49.4%. One case of discitis was reported; otherwise, no other serious complications were noted, and specifically no vascular or nerve damage was encountered. This study indicates that automated percutaneous discetomy can be used successfully to treat lumbar disc herniations with minimal morbidity and emphasizes the need for proper patient selection.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Neurology (clinical),Surgery

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