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This is a minimally invasive procedure performed under local anesthesia and is completed within 30-45 minutes. It performed on an out patient basis and the patient is allowed to go home after the procedure on the very same day.
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Nucleoplasty Spine Surgery in India, Nucleoplasty Spine Hospital in India, Spine Surgery in India , Nucleplasty Spine Surgery
Nucleoplasty is a relatively new advancement in the field of spine surgery. It is a procedure used to reduce disc pressure in patients suffering from discogenic (disc related) backache. It is a percutaneous procedure in which some of the disc
material is disintegrated to relieve the intra discal pressure using a low temperature resistor. As it does not require any incision over the body, it is beneficial for patients complaining of back pain with disc pathology and unwilling to undergo full fledged discectomy.
The intervertebral discs are soft, cushion like structures between two adjacent vertebral bones in the human spine. Their main function is shock absorption. These discs are hydrated and are made up of a central structure called the nucleus pulposus and a
surrounding structure called as annulus fibrosis. But with age they lose their water content and the disc becomes hard and begins to degenerate.
The wear and tear process is aggravated by faulty spine movements, faulty posture, lack of exercise, obesity etc. The inner disc material pushes the outer annulus wall causing it bulge. This bulge can be large enough to compress the surrounding structures like the spinal cord and the spinal nerves resulting in
severe back pain and radiating pain in the arm or leg. This condition can affect the cervical (neck) or lumbar (low back) region of the spine.
Candidates for Disc Nucleoplasty
You are a candidate for disc nucleoplasty if:
o If you are suffering from chronic back pain, back fatigue and rest, medications, medical interventions like steroid injections and physical therapy has not been of help.
o If you suffer from disc herniationo If you suffer from contained spinal disc herniation, i.e, pain radiating
down the leg or arm accompanied by back pain not improving with medication and physical therapy.
o Inflammation and chronic pain, particularly in cases where the nerve roots are pinched or irritated.
Details of the Procedure
This is a minimally invasive procedure performed under local anesthesia and is completed within 30-45 minutes. It performed on an out patient basis and the patient is allowed to go home after the procedure on the very same day.
Under fluoroscopy, a needle is advanced into the involved disc. A specialized catheter is then introduced through the needle into the disc and positioned where the ablation is desired. The catheter has a low-temperature resister at its tip which generates a plasma field. This plasma field disintegrates disc material into its hydrogen and oxygen constituents which escape through the needle. The tissue ablation and thermal treatment create a series of channels within the disc, reducing the pressure from the contained disc herniation or the nerve root and other pain generating structures. The patient is relieved immediately after the procedure .
If The Disc Nucleoplasty Does Not Work, Will It Cause A Problem If I Then Need An Open Spine Surgery?
No. If the nucleoplasty is not effective, there will be no problem if the patient decides or ultimately requires an open spine surgery. The nucleoplasty does not damage or alter the tissue around the spine, nor does it change the internal spine
anatomy except for the expected and desired changes inside the disc itself.
If I Have Had Previous Spine Surgery, Can I Still Have A Disc Nucleoplasty?
Maybe. If there has been previous spinal fusion at the level of concern, it will be difficult, if not impossible, to perform a nucleoplasty. If the disc in question is outside the area of previous spine surgery, it is quite possible that a nucleoplasty can be performed.
Who Should Not Have A Disc Nucleoplasty?
If you are on a blood thinning medication, if you have an active infection, or if you have poorly controlled diabetes or heart disease, you should not have the procedure. Also, if you have a large extruded disc without an intact disc wall or disc rim, nucleoplasty may not be helpful.
Benefits of Disc Nucleoplasty for herniated or slipped disc, chronic lower back pain, Sciatica
o Outpatient procedure done under local anaesthesia and thus no risks associated with general anaesthesia
o Procedure time is less than an houro Minimally invasiveo No scarso Minimal pain and discomfort to the patiento Quick recoveryo Quick relief
Cost of Disc Nucleoplasty in India at Best Spine surgery Hospitals in India
The all inclusive cost of Disc Nucleoplasty spine surgery in India varies between $5500- $7000.
The Cost includes 4 days stay in a Private Room where a Companion can stay with the patient, surgeon's fee, medicines and consumables, nursing care, food and Airport Pick & Drop.
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