2013
DOI: 10.36076/ppj.2013/16/se229
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Percutaneous Lumbar Laser Disc Decompression: An Update of Current Evidence

Abstract: Background: Since the descriptions by Mixter and Barr of surgical treatment for rupture of the intervertebral disc in 1934, open surgical procedures have become a common practice. Disc herniations are often classified as being contained or non-contained. The results of open surgical discectomy for contained disc herniation have been poor. Consequently, several less invasive techniques have been developed including percutaneous lumbar laser disc decompression. Study Design: A systematic review of the literature… Show more

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Cited by 34 publications
(13 citation statements)
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References 265 publications
(221 reference statements)
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“…[88,89] The most significant side effect is temporary soreness at the point of needle insertion, [90] whereas discitis, both aseptic and septic, occur with rates between 0% and 1.2%. [34] Beneficial results of nucleoplasty were documented in Al-Zain et al's [86] prospective survey. Participants (n = 69) had a VAS score of 6.59 for back pain preoperatively and 3.36 after 1 year, whereas for radicular pain, the score was 5.68 and 2.5, respectively.…”
Section: Percutaneous Disc Decompression (Nucleoplasty)mentioning
confidence: 99%
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“…[88,89] The most significant side effect is temporary soreness at the point of needle insertion, [90] whereas discitis, both aseptic and septic, occur with rates between 0% and 1.2%. [34] Beneficial results of nucleoplasty were documented in Al-Zain et al's [86] prospective survey. Participants (n = 69) had a VAS score of 6.59 for back pain preoperatively and 3.36 after 1 year, whereas for radicular pain, the score was 5.68 and 2.5, respectively.…”
Section: Percutaneous Disc Decompression (Nucleoplasty)mentioning
confidence: 99%
“…PLDD is one minimally invasive treatment modality for contained lumbar disc herniation, which has been approved by Food and Drug Administration since 1991. [34] In PLDD, laser energy is delivered by a laser fiber through a hollow needle placed into the nucleus pulposus via a percutaneous approach under local anesthesia. [92] Water content of the nucleus pulposus is vaporized due to laser energy, causing a decrease in intradiscal volume and a subsequent reduction in intradiscal pressure.…”
Section: Percutaneous Laser Disc Decompressionmentioning
confidence: 99%
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“…Endoscopic discectomy, which endoscopically removes a portion of the NP, is a good therapeutic treatment for discogenic pain and disc protrusion ( Xu G. et al, 2020 ). Percutaneous lumbar laser discectomy involves using laser energy to vaporize a small volume of the NP resulting in reduced pressure; however, there is limited evidence of the clinical benefits ( Singh et al, 2013 ). Currently there are commercial decompression systems such as the Dekompressor or high RPM devices available for percutaneous discectomies.…”
Section: Introductionmentioning
confidence: 99%
“…Brouwer et al (2009) conducted randomized controlled trial on patients with protrusion of lumbar intervertebral disc treated with PLDD and conventional open operation, showing that PLDD had a clear clinical efficacy in treatment of protrusion of lumbar intervertebral disc. However, Vijay et al (Singh et al, 2013), through literature review and clinical observation, held that, the reporting of systematic research on long-term efficacy evaluation and influencing factors was lacked when PLDD was used for treating protrusion of lumbar intervertebral disc. Retrospective analysis were conducted on 108 cases of patients with protrusion of lumbar intervertebral disc treated with PLDD and getting effective follow-up visits in the period from April 2003 to December 2013, the long-term efficacy of PLDD in treatment of protrusion of lumbar intervertebral disc was evaluated:…”
Section: Introductionmentioning
confidence: 99%