Skip to main content
SpringerLink
Log in

Automated percutaneous lumbar discectomy (APLD) — Method and 1-Year follow-up

  • Original Articles
  • Interventional Radiology
  • Published:
European Radiology Aims and scope Submit manuscript

Abstract

From July 1989 to June 1991 135 discs on 129 patients were treated, in about twothirds at level L4/5 and at the remaining one third L5/S1.15% (n = 2) failed technically. Sixty eight patients are in the 1-year follow-up. Average age was 41 years (range 16–68 years). Average pain duration was 12 months, and average aspiration time was 25.8 min (range 15–45 min). All patients had contained disc lesions, suffered from radicular symptoms and had not responded to conservative treatment. 67,1% (group A, n =45) had a failure rate of 17,8%. Patients with associated degenerations (group B, n = 7) had a failure rate of 35,3%. 80% of the patients with recurrent radicular symptoms (group C, interval patients, n = 6) were free of symptoms. Re herniation rate in all patients was 2.9%, and the laminectomy rate 4.4%. No major complications were noted. Treated disc level, patient aage, aspirated nucleus material and CT changes revealed no correlation to clinical success. Patients with associated degenerations (group B) as wellas those with longer pain duration and larger contained disc lesions had a significantly worse outcome.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Onik G, Mooney V, Maroon J, Wiltse L, Helms C, Schweigel J, Watkins R, Kahanowitz N, Day A, Morris J, McCullough JA, Reicher M, Croissant P, Dunsker S, Davis W, Brown C, Hochschuler S, Saul T, Ray C (1990) Automated percutaneous discectomy: a prospective multi-institutional study. Neurosurgery 26: 2

    Google Scholar 

  2. Weigand H (1991) Perkutane Nukleotomie — eine nichtoperative, perkutane Behandlungsmethode des lumbalen Bandscheibenvorfalles. In: Jahrbuch der Radiologie Biermann Verlag, pp 169–176

    Google Scholar 

  3. Gobin P, Thron J, Courtheoux F, Huet H, Chos D, Loyau G (1990) Nucléotomie lombaire percutanée automatisée. J Radiol 71: 401–406

    Google Scholar 

  4. Kahanowitz N, Viola K, Goldstein T, Dawson E (1989) A multicenter analysis of percutaneous discectomy. Spine 15: 713–715

    Google Scholar 

  5. Davis GW, Onik G, Helms C (1989) Automated percutaneous discectomy. Spine 16: 3

    Google Scholar 

  6. Davis GH (1989) Die automatisierte perkutane lumbale Nucleotomie. Oper Orthop Traumat 2: 123–133

    Google Scholar 

  7. Allen RC, Morrow RE (1989) Comparative analysis of automated versus manual percutaneous lumbar discectomy. J Neurol Orthop Med Surg 2: 115–120

    Google Scholar 

  8. Weigand H, Weissner B (1989) Percutaneous nucleotomy: a new interventional radiological technique for lumbar disk removal. Ann Radiol 32: 34–37

    Google Scholar 

  9. Indemini E, Tabasso G, Faletti C, Massazza G (1989) Nucleotomia percutanea secondo onik. Minerva Ortop Traumatol 41: 337–342

    Google Scholar 

  10. Kaps HP, Cotta H (1989) Early results of automated percutaneous lumbar discectomy. In: Mayer HM, Brock M (eds) Percutaneous lumbar discectomy. Springer, Berlin Heidelberg New York, pp 153–156

    Google Scholar 

  11. Cartolari R, Davidovits P, Gagliardelli M (1989) Automated percutaneous lumbar discectomy. In: Mayer HM, Brock M (eds) Percutaneous lumbar discectomy. Springer, Berlin Heidelberg New York, pp 157–162

    Google Scholar 

  12. Cooney FD (1989) Comparison of chemonucleolysis with chymopapavain to percutaneous automated discectomy: a surgeon's first 50 cases to each. In: Mayer HM, Brook M (eds) Percutaneous lumbar discectomy. Springer, Berlin Heidelberg New York, pp 163–168

    Google Scholar 

  13. Maroon JC, Onik G, Sternau L (1988) Percutaneous automated discectomy — A new approach to lumbar surgery. Clin orthop 238: 64–70

    Google Scholar 

  14. Davis GW, Onik G (1988) Clinical experience with automated percutaneous lumbar discectomy. Clin Orthop 238: 98–103

    Google Scholar 

  15. Onik G, Helms CA (1988) Automated percutaneous lumbar discectomy. University of California Printing Department, San Francisco

    Google Scholar 

  16. Wall TW (1990) Hypnotics and sedatives. In: Goodman and Gilman's (ed) The pharmacological basis of therapeutics. Pergamon, New York, pp 355

    Google Scholar 

  17. Patsiaouras T, Bulstrode C, Cook P, Wilson D (1990) Percutaneous nucleotomy — An anatomic study of the risk of root injury. Spine 16: 39–42

    Google Scholar 

  18. Hopper K, Sherman J, Kuethke J, et al. (1987) The retrorenal colon in the supine and prone patient. Radiology 162: 443

    Google Scholar 

  19. Romy M (1985) Chemonucleolysis technique: New oblique approach requires no measurments. J Neurol Orthop Med Surg 6 (1): 47

    Google Scholar 

  20. Thomas JC, Wiltse LL (1988) Patient selection for automated percutaneous discectomy. In: Onik G (ed) Automated percutaneous lumbar discectomy. University of California Printing Department, San Francisco, pp 9–33

    Google Scholar 

  21. Mink JH (1988) Imaging evaluation of the candidate for percutaneous lumbar discectomy. Clin Orthop 238: 83–91

    Google Scholar 

  22. Gill K (1989) Retroperitoneal bleeding after automated percutaneous discectomy — A case report. Spine 15: 12

    Google Scholar 

  23. Grönemeyer H, Seibel F (1989) Perkutane Nukleotomie. In: Grönemeyer H, Seibel F (eds) Interventionelle Computertomographie. Überreiter Wissenschaft, Wein, pp 117–135

    Google Scholar 

  24. Castagnera L, Grenier N, Lavignolle B, Greselle JF, Senegas J, Caille JM (1989) Study of correlation between intradiscal pressure and magnetic resonance imaging data in evaluation of disc degeneration. Spine 16: 3

    Google Scholar 

  25. Castagnera L, Grenier N, Lavignolle B, Caille JM, Senegas J (1989) Prospective evaluation of correlations between discomanometry and MR imaging data: role in the management of disc disease — preliminary results. In: Mayer HM, Brock M (eds) Percuttaneous lumbar discectomy. Springer, Berlin Heidelberg New York, pp 65–71

    Google Scholar 

  26. Choy DSJ, Case RB, Fielding W, Hughes J, Liebler W, Ascher P (1987) Percutaneous laser nucleolysis of lumbar discs. N Engl J Med 317: 12

    Google Scholar 

  27. Freis J, Aboldelk D, Vijungos J et al. (1982) Computer tomography of herniated and extruded nucleus pulposus. J Comput Assist Tomogr 6: 687–887

    Google Scholar 

  28. Onik G, Maroon J, Davis GW (1989) Automated percutaneous discectomy at the L5/S1 level. Clin Orthop 238: 1

    Google Scholar 

  29. Jantea C, Assheuer J, Schöppe K, Schulitz KP (1989) Results of magnetic resonance imaging (MRI) investigation before and after automated percutaneous lumbar discectomy (APLD) —comparison of MRI findings and clinical health status. In: Mayer HM, Brock M (eds) Percutaneous lumbar discectomy. Springer, Berlin Heidelberg New York, pp 72–83

    Google Scholar 

  30. Grafin SR, Rydevik BL, Brown RA (1991) Compressive neuropathy of spinal nerve roots. Spine 16: 2

    Google Scholar 

  31. Lutze M, Bayer HM (1989) Discography and postdiscography CT (disco CT) in percutaneous discectomy. In: Mayer HM, Brock M (eds) Percutaneous lumbar discectomy. Springer, Berlin Heidelberg New York, pp 60–64

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Seilerstätte 2, -4014, Linz, Austria

    C. Luft & W. Horvath

  2. Neurology Krankenhaus der Barmherzigen Brüder, Seilerstätte 2, A-4014, Linz, Austria

    J. Weber & P. Pürgyi

Authors
  1. C. Luft
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. Weber
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. W. Horvath
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. P. Pürgyi
    View author publications

    You can also search for this author in PubMed Google Scholar

Additional information

Correspondence to: C. Luft

Rights and permissions

Reprints and permissions

About this article

Cite this article

Luft, C., Weber, J., Horvath, W. et al. Automated percutaneous lumbar discectomy (APLD) — Method and 1-Year follow-up. Eur. Radiol. 2, 292–298 (1992). https://doi.org/10.1007/BF00175429

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00175429

Key words

Search

Navigation