Intervertebral disc annuloplasty

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Intervertebral disc annuloplasty
Specialty neurosurgery
ICD-9-CM 80.5

The term intervertebral disc annuloplasty indicates any procedure aimed at repairing the annulus of a bulging intervertebral disc before it herniates.

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Intradiscal electrothermal annuloplasty

IDET (Intradiscal Electrothermal Annuloplasty) [1] is a recently developed minimally invasive form of annuloplasty consisting of the insertion in the affected disc of a hollow needle, through which a heating wire is passed; once this has reached the disc, the wire is heated to 90 °C for approximately fifteen minutes. The heat is intended to seal any ruptures in the disc wall and may also burn nerve endings, which can make the area less sensitive to pain.

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<span class="mw-page-title-main">Intervertebral disc</span> Cartilage of spine

An intervertebral disc lies between adjacent vertebrae in the vertebral column. Each disc forms a fibrocartilaginous joint, to allow slight movement of the vertebrae, to act as a ligament to hold the vertebrae together, and to function as a shock absorber for the spine.

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<span class="mw-page-title-main">Schmorl's nodes</span> Medical condition

Schmorl's nodes are protrusions of the nucleus pulposus of the intervertebral disc through the vertebral body endplate and into the adjacent vertebra.

<span class="mw-page-title-main">Spinal canal</span> Passage through the vertebral column containing the spinal cord

In human anatomy, the spinal canal, vertebral canal or spinal cavity is an elongated body cavity enclosed within the dorsal bony arches of the vertebral column, which contains the spinal cord, spinal roots and dorsal root ganglia. It is a process of the dorsal body cavity formed by alignment of the vertebral foramina. Under the vertebral arches, the spinal canal is also covered anteriorly by the posterior longitudinal ligament and posteriorly by the ligamentum flavum. The potential space between these ligaments and the dura mater covering the spinal cord is known as the epidural space. Spinal nerves exit the spinal canal via the intervertebral foramina under the corresponding vertebral pedicles.

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Spondylosis is the degeneration of the vertebral column from any cause. In the more narrow sense it refers to spinal osteoarthritis, the age-related degeneration of the spinal column, which is the most common cause of spondylosis. The degenerative process in osteoarthritis chiefly affects the vertebral bodies, the neural foramina and the facet joints. If severe, it may cause pressure on the spinal cord or nerve roots with subsequent sensory or motor disturbances, such as pain, paresthesia, imbalance, and muscle weakness in the limbs.

<span class="mw-page-title-main">Degenerative disc disease</span> Medical condition

Degenerative disc disease (DDD) is a medical condition typically brought on by the normal aging process in which there are anatomic changes and possibly a loss of function of one or more intervertebral discs of the spine. DDD can take place with or without symptoms, but is typically identified once symptoms arise. The root cause is thought to be loss of soluble proteins within the fluid contained in the disc with resultant reduction of the oncotic pressure, which in turn causes loss of fluid volume. Normal downward forces cause the affected disc to lose height, and the distance between vertebrae is reduced. The anulus fibrosus, the tough outer layers of a disc, also weakens. This loss of height causes laxity of the longitudinal ligaments, which may allow anterior, posterior, or lateral shifting of the vertebral bodies, causing facet joint malalignment and arthritis; scoliosis; cervical hyperlordosis; thoracic hyperkyphosis; lumbar hyperlordosis; narrowing of the space available for the spinal tract within the vertebra ; or narrowing of the space through which a spinal nerve exits with resultant inflammation and impingement of a spinal nerve, causing a radiculopathy.

<span class="mw-page-title-main">Retrolisthesis</span> Posterior displacement (but not dislocation) of a vertebra relative to the one below it

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<span class="mw-page-title-main">Disc biacuplasty</span>

Disk biacuplasty is a medical procedure that applies heat to the annulus of disks that separate the vertebra of the back with the goal of ablating the neurons that generate pain sensations. The procedure is designed to reduce chronic back pain caused by the intervertebral discs. The procedure is in the early stages of testing with some evidence of efficacy.

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Lumbar provocative discography is an invasive diagnostic procedure for evaluation for intervertebral disc pathology. It is usually reserved for persons with persistent, severe low back pain (LBP) who have abnormal spaces between vertebrae on magnetic resonance imaging (MRI), where other diagnostic tests have failed to reveal clear confirmation of a suspected disc as the source of pain, and surgical intervention is being considered.

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Astronauts have expressed an increased incidence of back pain during spaceflight and herniated intervertebral discs (IVD) have been diagnosed upon return of Skylab and Shuttle spaceflight participants.

Radiofrequency thermocoagulation is a thermal pain treatment procedure. For example, percutaneous intradiscal radiofrequency thermocoagulation (PIRFT) involves the placement of an electrode or catheter into the intervertebral disc and applying an alternating radiofrequency current.

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