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KMID : 1040020220130010001
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International Journal of Pain
2022 Volume.13 No. 1 p.1 ~ p.10
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Focal Selective Nucleoplasty Using Navigable and Plasma-Generating Catheter: A Narrative Review
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Kim Nack-Hwan
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Abstract
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The development of surgical intervention for intervertebral disc disorders with clinical symptoms and signs developed under the concept of the minimally invasive approach. In particular, a straight wand equipped with radiation frequency generation tips was deployed on a commercial scale in the 2000s, and its clinical efficacy and safety had been proved. There is a consensus among clinical physicians about a nucleoplasty as effective intervention based on the accuracy of clinical diagnosis and advances in biomedical engineering technology. The authors developed a navigable and plasma-generating catheter for direct access to protruded herniation for the purpose of changing the annular contour as well as alleviating the nuclear pressure, and verified its efficacy and safety through clinical trials. The catheter could be placed in the intervertebral disc and approach to posterior annulus difficult to access in conventional fashion. The final position of the wand tip and detailed manipulation can increase the efficiency of the disc tissue removal. Effective interventions to reduce the social and economic opportunity costs of the workers in the younger generation who are suffering from disc herniation as well as the development of safer and less complicated procedures for older patients are positively necessary in this field. From the perspective of development, as the principles of many pre-existing devices and procedures become the foundation for overcoming the clinical difficulties, we are looking forward to more safe and effective devices and procedures through detailed guidance of this manuscript.
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KEYWORD
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discogenic pain, low back pain, herniated disc, minimally invasive surgical procedures, percutaneous catheter ablation
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