RT Book, Section A1 Demesmin, Didier A1 Parikh, Sagar A2 Diwan, Sudhir A2 Staats, Peter S. SR Print(0) ID 1107197540 T1 Hydrosurgery of Disc T2 Atlas of Pain Medicine Procedures YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 9780071738767 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1107197540 RD 2024/03/28 AB Hydrodiscectomy is a form of disc decompression within the realm of minimally invasive discectomy that is an effective, predictable method of nucleus removal in disc pathology such as contained disc herniation or disc budge. Though the gold standard for surgical treatment of herniated disc disease is open micro­discectomy, minimally invasive treatments like hydrodiscectomy has gained momentum as an alternative treatment option. As with other forms of disc decompression, the primary goal is to remove herniated disc material to relieve compression of a nerve root or other neural structures. Patients requiring this procedure often have nerve impingement causing radicular pain symptoms that have not been relieved with conservative treatment over a 2 months span or epidural steroid injections. Hydrodiscectomy is an effective and predictable method of nucleus removal, removing hydrated or desiccated nucleus pulposus, and poses no risk for thermal damage. Its blunt tip design minimizes risk of end plate and annular damage. This means there is maximum safety within the disc.