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KMID : 1040020130040010051
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International Journal of Pain
2013 Volume.4 No. 1 p.51 ~ p.55
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Lumbar Disc Decompression with Yesdiscⓡ (M-Care, Seoul, Korea): Case Series
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Kim Eun-Jung
Park Keun-Suk
Hur Min
Lee Ho-Jin
Moon Jee-Youn
Choi Eun-Joo
Sung Joon-Kyung
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Abstract
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Internal disc disruption (IDD) was defined as disruption of the internal architecture of the disc without signs of disc protrusions or without positive signs for nerve root compression. Discogenic pain is easy to be misdiagnosed for other disease and can be overlooked by pain physicians. Still now the exact mechanism of discogenic pain was not completely revealed and there are many kinds of approaches to relieve discogenic pain. However, conventional treatment has several limitations such as inevitable injury to normal tissue, necessity of general anesthesia and high recurrence rate. For these reasons, minimal invasive intradiscal treatments are emerging as an alternative therapy. One of intradiscal intervention devices, Yesdiscⓡ (M-Care, Seoul, Korea) is recently introduced. In contrast to the other devices which already have been introduced were rigid and had uncontrolled tip, the wand of Yesdiscⓡ can be angled by 360o and approach even in the direction of 6 or 7 o’clock inside annulus. It can vaporize the lesion using radiofrequency current similar to nucleoplasty and coagulate annular fiber raising the catheter tip temperature from 65oC to 85oC. In these cases, Yesdiscⓡ was applied to three patients who have IDD and all patients felt that pain was relived during the follow up period.
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KEYWORD
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decompression, Intervertebral Disc Degeneration, discogenic, lumbar
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