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Percutaneous endoscopic laser cervical discectomy

 
Guidance issued
 
Number: IPG303

Summary

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on percutaneous endoscopic laser cervical discectomy.

 

The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on percutaneous endoscopic laser thoracic discectomy in June 2004. It was considered for review as part of the Institute's work programme. Although it did not meet the criteria to be re-assessed, percutaneous endoscopic laser cervical discectomy and percutaneous endoscopic laser lumbar discectomy were identified for consideration.

 

Description

Symptomatic cervical disc herniation is when one of the discs in the top of the back which act as cushions between the bones bursts and pushes against the spinal cord or nerve roots that run through the backbone, causing: pain in the neck or back, weakness and numbness in the arms or legs, or bladder problems.

The aim of a percutaneous endoscopic laser discectomy is to remove the part of the disc that is pushing against the spinal cord or nerve root. A small cut is made in the skin and special equipment including a  laser is used to heat and destroy some of the disc and remove the part that is sticking out to relieve pressure on the spinal cord or nerve root.

OPCS code:

Details

Arrangement:
Special
Topic area:
Diagnostic procedures
Musculoskeletal
Surgical procedures
Specialty:
Trauma and orthopaedic surgery
Specialist advice has been sought from:
  • British Orthopaedic association
  • Society of British Neurological Surgeons
  • British Cervical Spine society
Date notified to NICE:
04 March 2008
Provisional consultation date:
Winter 2008/9
Guidance issue date:
24 June 2009

Contact details:

Project manager (for general enquiries or comments)
(for general enquiries or comments)
Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA

Links: