Evaluation of the resection efficiency and safety of an enhanced power plasma generator using cadaveric intervertebral discs

. 2022 Dec 19;13(1):57-64.


doi: 10.1007/s13534-022-00253-9.


eCollection 2023 Feb.

Affiliations

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Youngki Hong et al.


Biomed Eng Lett.


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Abstract

Plasma energy has been used to provide minimally invasive interventional treatment for spinal problems. However, this procedure has been used for limited indications mainly because of its small resection range. To overcome this problem, we designed the enhanced power plasma device. This device seeks to maximize the resection area by modifying the electrode arrangement and enhancing the maximum electric power. The purpose of this study is to assess the efficiency and safety of this newly designed plasma generator, a device for percutaneous disc decompression. We performed an intradiscal procedure on 7 fresh human cadaver lumbar spine specimens using the enhanced power plasma under C-arm fluoroscopic guidance at various voltages. As a result, the volume of the removed area was proportional to the applied magnitude of the electric power level. In particular, under the high-power level condition after 500 s treatment, nearly the entire nucleus pulposus was eliminated. The generated plasma density also tends to grow along with the given electric power. The highest level of temperature rise did not exceed the level that would lead to degeneration in the collagen tissue of the intervertebral disc. Histopathologic examination also demonstrated that there was no thermal damage to the surrounding neural tissues. In conclusion, we speculate that the concepts of this newly designed enhanced plasma generator could be applied to remove huge disc materials without thermal or structural damage to the adjacent target tissues in future spine clinics.


Keywords:

Back pain; Herniated intervertebral disc; Interventional spine procedure; Percutaneous plasma disc decompression.

Conflict of interest statement

Competing interestsThe authors have no relevant financial or non-financial interests to disclose.

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