Preliminary Italian Experience of Lumbar Spine Percutaneous Laser Disc Decompression According to Choy's Method

Tassi, Gian Paolo

doi:10.1089/1549541042555550

Cited by 7 publications

(11 citation statements)

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“…Microdiscectomy, which began nearly 30 years ago, [2][3][4][5][6][7][8][9][10][11][12][13][14][15] was the first minimally invasive surgical approach for herniated discs. Percutaneous laser disc decompression (PLDD), which began 20 years ago, 4 represents an even less invasive surgical technique for discogenic pain caused by protrusion or herniation of the intervertebral disc.…”

Section: Introduction M Inimally Invasive Spine Techniques Have Prolimentioning

confidence: 99%

“…The author, a neurosurgeon, began his experience in the treatment of lumbar herniated discs using microdiscectomy, according to the Caspar technique 15 years ago, and using PLDD, according to the Choy technique, 3 years ago. [6][7][8][9][10][11][12][13] The neurosurgical point of view regarding disc surgery is that microsurgery continues to be the better treatment for patients for discogenic pain. There is a consensus that microdiscectomy has improved outcome results and, from the beginning, has been of paramount importance in the treatment of disc hernias.…”

Section: Introduction M Inimally Invasive Spine Techniques Have Prolimentioning

confidence: 99%

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Comparison of Results of 500 Microdiscectomies and 500 Percutaneous Laser Disc Decompression Procedures for Lumbar Disc Herniation

Tassi

2006

Photomedicine and Laser Surgery

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Section: Introduction M Inimally Invasive Spine Techniques Have Prolimentioning

confidence: 99%

Section: Introduction M Inimally Invasive Spine Techniques Have Prolimentioning

confidence: 99%

Comparison of Results of 500 Microdiscectomies and 500 Percutaneous Laser Disc Decompression Procedures for Lumbar Disc Herniation

Tassi

2006

Photomedicine and Laser Surgery

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“…Table 7 illustrates the characteristics of the studies considered for inclusion. There were no randomized trials, 17 observational studies (148,150,160,164,168,170,173,177,178,188,194,(197)(198)(199)(200)207,211,217), and 2 studies with duplicate (164,170) or triplicate publications (173,188,217). Follow-up periods of less than 12 months were considered short-term, and > 12 months were designated as long-term.…”

Section: Limited or Poormentioning

confidence: 99%

Percutaneous Lumbar Laser Disc Decompression: An Update of Current Evidence

Singh¹

2013

Pain Phys

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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 of percutaneous lumbar laser disc decompression. Objective: The objective of this systematic review is to evaluate and update the clinical effectiveness of percutaneous lumbar laser discectomy in managing radicular pain secondary to contained disc herniation. Methods: The available literature on lumbar laser disc decompression in managing chronic low back and lower extremity pain was reviewed. Quality assessment and clinical relevance of randomized trials were graded according to the Cochrane Musculoskeletal Review Group criteria for interventional techniques, and observational studies according to the Newcastle-Ottawa Scale criteria. The level of evidence was classified as good, fair, and limited or poor based on the quality of evidence developed by the U.S. Preventive Services Task Force (USPSTF). Data sources included relevant literature identified through searches of PubMed and EMBASE from 1966 to September 2012, and manual searches of the bibliographies of known primary and review articles. Outcome Measures: Pain relief was the primary outcome measure. Other outcome measures were functional improvement, improvement of psychological status, opioid intake, and return-to-work. Short-term effectiveness was defined as effectiveness lasting one year or less, whereas, long-term effectiveness was defined as benefit persisting for greater than one year. Results: Based on USPSTF criteria, the indicated level of evidence for percutaneous lumbar laser disc decompression is limited for short- and long-term relief. Limitations: Although laser discectomy has been utilized for many years, there is a paucity of randomized clinical trials. Conclusion: This systematic review shows limited evidence for percutaneous lumbar laser disc decompression. Key words: Intervertebral disc disease, chronic low back pain, disc herniation, disc protrusion, radiculitis, contained disc herniation, mechanical disc decompression, percutaneous lumbar laser discectomy, laser assisted spinal endoscopy

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“…Previous study indicated the wide distribution of Tumor Necrosis Factor α (TNF-α) and its receptor in neurons, with various biological functions including facilitating body blood clotting, elevating permeability of vascular endothelial cells, and enhancing expression of adhesion molecules and inflammatory related factors. TNF-α can facilitate occurrence of inflammation, and induce the entry of neurons into degenerative disc tissues, working as one neuromodulator with high expression level in those discs with degeneration [4][5][6]. Neural Stem Cells (NSCs) can differentiate into dopaminergic neurons, during which multiple signal pathways including Interleukin (IL) were involved.…”

Section: Introductionmentioning

confidence: 99%

Effects of plasma vaporization ablation on expression of inflammatory factors in rabbit model of intervertebral disc degeneration

Peng¹,

Xu²,

Shan³

et al. 2018

biomedicalresearch

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Intervertebral Disc Degeneration (IDD) is one common disease presented as wrist pain. Plasma vaporization ablation is a novel method treating IDD. This study utilized vaporization ablation on rabbit IDD model, whose expression of inflammatory factors was analysed along with the correlation with plasma vaporization ablation. Rabbit IDD model was generated by puncture approach and treated with plasma vaporization ablation. Control group received no treatment after surgery. MRI scanning was performed on rabbit intervertebral disc. Serum and intervertebral disc tissue samples were collected and tested for expression of Tumor Necrosis Factor α (TNF-α), Interleukin-2 (IL-2) and IL-4 by Enzyme Linked Immunosorbent Assay (ELISA) or Immunohistochemistry (IHC) methods. 2 w after puncture, rabbit had rupture of intervertebral disc fibrous ring, plus change of low-strength T2 signal but not in T1 signal. 4 w after surgery, model rats had further decreased intervertebral disc T2 signals. Both serum and intervertebral disc levels of TNF-α, IL-2 and IL-4 were significantly elevated in model group, and were gradually decreased with elongated treatment (p<0.05). Plasma vaporization ablation can decrease expression of TNF-α, IL-2 and IL-4 in both serum and intervertebral disc tissues, probably forming one mechanism of IDD.

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Preliminary Italian Experience of Lumbar Spine Percutaneous Laser Disc Decompression According to Choy's Method

Cited by 7 publications

References 0 publications

Comparison of Results of 500 Microdiscectomies and 500 Percutaneous Laser Disc Decompression Procedures for Lumbar Disc Herniation

Comparison of Results of 500 Microdiscectomies and 500 Percutaneous Laser Disc Decompression Procedures for Lumbar Disc Herniation

Percutaneous Lumbar Laser Disc Decompression: An Update of Current Evidence

Effects of plasma vaporization ablation on expression of inflammatory factors in rabbit model of intervertebral disc degeneration

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