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Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves pp 97–101Cite as

Automated Nucleotomy and Nucleolysis with Ozone

Part of the Acta Neurochirurgica Supplementum book series (NEUROCHIRURGICA,volume 108)

Abstract

Lumbar and radicular pain due to HNP has been described since 1934. It is thought that the pain is caused by compression and by other local chemical mediators that are present in the area of interaction between the root and the disc.

With the objective of treating patients suffering from this syndrome and with a percutaneous minimally invasive approach, we designed a mixed technique: percutaneous automated nucleotomy plus nucleolysis and periradicular infiltration with ozone.

A retrospective study of 105 patients was conducted, including 60 men and 45 women with an average age of 43 years. All patients were treated with that technique between November 2006 and August 2008. Clinical follow-up of 15.2 months was provided by telephone, utilizing a modified Mac Nab scale. The results were as follows: 60% excellent, 22.8% good (82.8% success), 9.6% acceptable, 7.6% poor. From the eight patients that reported poor results, five were considered to have recurrent symptoms (4.8%), because they had initially shown a period of significant improvement post operatively. Morbidity was manifested by transient pain and muscle spasms in the post operative area (2.8%).

We conclude that this new mixed technique, compared to automated percutaneous nucleotomy alone, may be more widely utilized by broadening the indications, with acceptable results.

Keywords

  • Blocks
  • Hernia
  • Nucleolysis
  • Nucleotomy
  • Nucleus pulposus
  • Ozone
  • Percutaneous
  • Radicular pain

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Conflict of interest statement We declare that we have no conflict of interest.

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Authors and Affiliations

  1. Hospital Clínico Universidad de Chile, 11 de Septiembre 1363 of. 1502 Providencia, Santiago de Chile, Chile

    Marcos G. Baabor & Pedro F. Vázquez

  2. Avda. Carlos Gráez Fernández 154 of. 106 Plaxala Santa Fe Cuajinualta, México, DF, 05300, Mexico

    José A. Soriano Sánchez

Authors
  1. Marcos G. Baabor
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  2. Pedro F. Vázquez
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  3. José A. Soriano Sánchez
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Corresponding author

Correspondence to Marcos G. Baabor .

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Editors and Affiliations

  1. Istituto per lo studio e la cura delle, mallettie del sistema nervoso perif., European Neurosurgical Institut, Via Ghirada 2, Treviso, 31100, Italy

    Alberto Alexandre

  2. University of Planalto Central and South, School of Medicine, SCN Qd 05 Bl. A Sala 912, Brazil, Brazil

    Marcos Masini

  3. Florence and Rome University, Via Jacopo Nardi 15, Florence, 50132, Italy

    Pier Paolo Maria Menchetti

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Baabor, M.G., Vázquez, P.F., Sánchez, J.A.S. (2011). Automated Nucleotomy and Nucleolysis with Ozone. In: Alexandre, A., Masini, M., Menchetti, P. (eds) Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves. Acta Neurochirurgica Supplementum, vol 108. Springer, Vienna. https://doi.org/10.1007/978-3-211-99370-5_14

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  • DOI: https://doi.org/10.1007/978-3-211-99370-5_14

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