Spinal surgery in Spinal Center
Bangkok Thailand goes beyond its former limits
here at Vejthani Hospital's Orthopedic Center.
Our Spinal Center offers a wide
range of premium service including consultation
and diagnosis, treatment, rehabilitation, and
physiotherapy. Vejthani Spinal Center make use
of only the latest hi-technology medical facilities
such as CT scan. All is to guarantee our patients
receive the finest treatment in spinal surgery
Nucleoplasty is a means of reducing the production
of breakdown products within the disc which
may be irritant when the percolates (ooze) through
the disc wall and on to adjacent structures
such as the Posterior Longitudinal Ligament
or nearby nerves. The technique utilises "cool"
radiofrequency to interupt the production of
these products and to gradually effect a reduction
in a disc wall bulge. The techniques is performed
by a posterolateral approach woith the patient
in the aware state with all the diagnostic and
safety benefits that accrue to its use and are
reviewed on this site.
It is used for soft broad based bulges of the
disc where the disc is in an early stage of
degeneration. It may be used to compliment an
Endoscopic Decompression and Foraminoplasty
at an adjacent level or as a primary procedure
in early stage degeneration.
Benefits of Nucleoplasty:
- Minimally invasive; performed using x-ray
- Elimination of general anesthesia
- Elimination of complications that
may result from open surgery
- Outpatient procedure
- No overnight hospitalization required
- Lasts from 1-2 hours
- Rapid recovery time
- Patients go home the same day of
- Quick symptom relief within two weeks
for most patient
Historically, patients with contained disc herniations
have been treated with conservative care including
rest, medications, injections, and/or physical
therapy. Some patients move on to surgery which
can require weeks or months to recover. These
treatments may result in long recovery times
and major disruption of daily life. Nucleoplasty
is an option for those people that have failed
conservative care, and are not yet ready for
Nucleoplasty is a minimally
invasive procedure that allows the patient to
go home the day of the procedure with only a
small bandage on their back. The procedure is
performed by specialties including pain management,
physiatry, interventional radiology, and surgeons
using x-ray guidance to accurately place a needle
in the disc, much like an epidural steroid injection.
A patented plasma device is then inserted through
the needle into the disc, where excess tissue
is removed. Similar to letting air out of a
bicycle tire, removing some of the tissue from
the center of a disc causes a reduction in disc
pressure, which in turn, eases symptoms.
The nucleoplasty device is a catheter that creates
a small, highly localized plasma field. This
catheter is percutaneously inserted into the
intervertebral disc through a stylet. The location
is confirmed using fluoroscopy. In nucleoplasty
the catheter is activated and gentle movements
are made to the catheter as it lies within the
disc space. In this way, small amounts of disc
material may be ablated within the disc space
and disc decompression may be effected.
The nucleoplasty technique is percutaneous and
does not require any incision. It is most useful
in patients with nerve root irritation due to
smaller disc bulges or contained ruptures.
Nucleoplasty is usually performed on an outpatient
basis. Local anesthesia and mild sedation may
be used to reduce discomfort during the procedure.
Nucleoplasty patients will be awake to provide
important feedback to the physician.
With the guidance of x-ray images, the physician
first advances a needle into the disc. A specialized
device known as a SpineWand?, will then be introduced
through the needle into the disc. Therapy consists
of creating a series of channels in your disc
and then thermally treating the tissue immediately
adjacent to the wand. The nucleoplasty process
usually takes approximately one hour.
Who may benefit from nucleoplasty therapy?
Patients with contained disc herniations may
benefit from this therapy. Nucleoplasty is a
minimally invasive procedure developed for these
patients, combining disc decompression with