Percutaneous Laser Disc Decompression: Basic Research and Clinical Results

Siebert, W.; Berendsen, B T; Schlangmann, B A; Schmolke, S.; Tollgaard, J

doi:10.1097/00013611-199501040-00003

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Percutaneous discectomy using an automated probe [7] and laser nucleolysis [2,10] are performed without benefit of fiberoptic visualization and involve an attempted decompression by limited medial nucleotomy. Biportal arthroscopic microdiscectomy [4] entails annulectomy and removal of disc material from the unaffected side to allow extensive exploration of the intervertebral space.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous lumbar discectomy with a working endoscope and laser assistance

Savitz

Doughty

Burns

1998

FOC

View full text Add to dashboard Cite

The authors describe percutaneous disc surgery performed via the unilateral monoportal method with a C-arm image intensifier, a working endoscope, and an yttrium-aluminum-garnet laser in 300 patients at three community hospitals over a 6-year period. Visualizing the area of the annulus to be fenestrated, verifying the status of the nerve root, inspecting the cavity created, and monitoring laser hemostasis and vaporization all contributed to patient safety. Fewer than 2% of the cases required a second surgery. The only postoperative sequelae recorded were one psoas hematoma, which resolved, and sympathetic mediated pain in 5% of the patients who responded to appropriate treatment. For treatment of a prolapsed lumbar disc, a 1-hour endoscopic procedure performed while the patient receives a neuroleptanalgesic continues to be a significant surgical alternative.

show abstract

Section: Discussionmentioning

confidence: 99%

Percutaneous lumbar discectomy with a working endoscope and laser assistance

Savitz

Doughty

Burns

1998

FOC

View full text Add to dashboard Cite

show abstract

“…With the development of minimally invasive spine surgery, the development of endoscopy has made remarkable achievements [18][19][20][21]. Micro Endoscopic Discectomy (MED) [19,22] and percutaneous endoscopic assisted intervertebral foramen expansion and nucleus removal [21,23] are widely used at present.…”

Section: Introductionmentioning

confidence: 99%

A Long-Term Control Study of the Treatment of Cervical Radiculopathy by Percutaneous Endoscopic Posterior Cervical Discectomy and Anterior Cervical Decompression, Bone Graft Fusion and Internal Fixation

Huang

Wang

Meng³

et al. 2020

Preprint

View full text Add to dashboard Cite

BackgroundCervical spondylotic radiculopathy (CSR) is very common all over the world. However, there are only a few reports about the efficacy of percutaneous endoscopic posterior cervical discectomy (PEPCD) in the treatment of CSR. Anterior cervical decompression and fusion (ACDF) and PEPCD which is a better way to treat CSR need further study.MethodsFrom January 2015 to December 2016. A retrospective study of 70 patients undergoing surgery for CSR (33 using PEPCD and 37 using ACDF). The intra-operative parameters, neck disability index (NDI), neck and arm visual analog scale (VAS) score were used to assessed clinical outcome. Radiological outcomes were assessed by measuring cervical 2-7 (C2-7) lordosis, disc height index (DHI), and degree of degenerative changes at the corresponding level.ResultsThe mean follow-up period was 48.5 month (36 –66 months). Two groups can significantly improve the clinical symptoms. There was no significant difference between the two groups in clinical results (VAS, NDI). Compared with preoperative, the lordosis of C2-7 increased significantly at the last follow-up. At the last follow-up, C2-7 lordosis in the ACDF group was significantly higher than that in the PEPCD group. In PEPCD, compared with preoperative, there was no significant difference in the DHI, but the degree of disc degeneration was significantly increased at the last follow-up.ConclusionFor patients with CSR, PEPCD had similar clinical early and intermediate outcomes when compared with ACDF, with the advantages of minimally invasive. PEPCD is a sufficient and safe supplement and alternative to conventional surgery.

show abstract

Percutaneous Laser Disc Decompression: Basic Research and Clinical Results

Cited by 2 publications

References 0 publications

Percutaneous lumbar discectomy with a working endoscope and laser assistance

Percutaneous lumbar discectomy with a working endoscope and laser assistance

A Long-Term Control Study of the Treatment of Cervical Radiculopathy by Percutaneous Endoscopic Posterior Cervical Discectomy and Anterior Cervical Decompression, Bone Graft Fusion and Internal Fixation

Contact Info

Product

Resources

About