Nucleoplasty also utilizes a percutaneous approach to decompress disc material. This is accomplished by a multifunctional bipolar radiofrequency device that features Coblation technology to ablate, or remove tissue, while alternating with thermal energy for coagulation. Coblation technology has been used in more than 1 million procedures since 1997, primary in orthopedic arthroscopy (55). With nucleo-plasty, a curved wand is introduced into the nucleus via a 17-gauge needle. At least six passes are made through the nucleus to create channels in the disc. Nucleoplasty with the Perc-D Spine Wand was developed in 2000.
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