21 Jan Nucleoplasty Bangkok Thailand(Last Updated On: July 3, 2018)
Neucleoplasty Bangkok Thailand at Vejthani Hospital
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 in Thailand.
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 guidance
Elimination of general anesthesia
Elimination of complications that may result from open surgery
No overnight hospitalization required
Lasts from 1-2 hours
Rapid recovery time
Patients go home the same day of treatment
Quick symptom relief within two weeks for most patient
Treating Contained Disc Herniations
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 major surgery.
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 thermal treatment.