Nucleoplasty for disc protrusion: A novel percutaneous decompression technique

Nucleoplasty is an FDA-approved minimally invasive technique for percutaneous decompression of intervertebral disc protrusion. It is indicated for radicular pain, but there are emerging data related to management of discogenic pain. The evolution of minimally invasive spine techniques provides an impetus for pain specialists to ensure the safest and most effective use of these technologies. Due to its relatively recent release, pain management specialists are still exploring its best possible use. In this article, research regarding this technique is summarized and the technique is described. Recent research has been positive in carefully selected populations, and a current, multicenter, randomized, controlled trial should soon clarify its role in treatment of chronic low back pain from the degenerative disc.

Keywords: Decompression methods, Percutaneous methods, Low back therapy, Intervertebral disk surgery, Discectomy methods, Lumbar vertebrae