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

Tassi, Gian Paolo

doi:10.1089/pho.2004.22.439

Cited by 16 publications

(2 citation statements)

References 10 publications

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“…In our study, pain relief and functional improvement were found to be significantly greater statistically in the TELA group when compared to control group 1 year postoperative, indicating better E649 TELA vs. STEB in HLD long-term sustainability. Clinically, numerous multicenter studies with patients undergoing percutaneous disc decompression augmented with laser ablation reported increased success rates ranging from 70 to 85% with laser ablation (2,(8)(9)(10)(11)(12)(13). In our study, 76.4% of the TELA group had a > 50% reduction in VAS 1 year post-surgery compared to 50.0% in the STEB group.…”

Section: Discussionmentioning

confidence: 43%

“…Numerous studies have reported laser ablation with the use of laser as an alternative treatment to spinal surgeries, but the mechanisms of action of laser ablation has not been fully elucidated (2,(8)(9)(10)(11)(12)(13). Studies have shown that the biophysical mechanism of laser involves high-energy ablation which ablates the NP, decreases NP volume, and produces pain relief (7,14,15).…”

Section: Discussionmentioning

confidence: 99%

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Safety and Effectiveness of Transforaminal Epiduroscopic Laser Ablation in Single Level Disc Disease: A Case-Control Study

Shin

2018

Pain Phys

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Background: The non-operative treatment of herniated intervertebral discs has long been a fundamental challenge. A novel technique of laser ablation to ablate the nucleus pulposus under a transforaminal epiduroscope (TELA system, Lutronics, Seoul, Republic of Korea) was recently developed. Objective: The purpose of this study was to evaluate the safety and effectiveness of transforaminal epiduroscopic laser ablation (TELA) for selective ablation of the nucleus pulposus in single-level disc disease. Study Design: Prospective case control study Setting: Multicenter study Methods: This study included a group of 56 patients who underwent transforaminal epiduroscopic laser ablation (TELA) and 56 patients who underwent selective transforaminal epidural block (STEB) for single-level disc disease. Visual analog scale (VAS), Oswestry Disability Index (ODI), and SF-12 were assessed at admission and at 1, 3, 6, and 12 months postoperatively. Results: The mean VAS of back pain was lower for the TELA group than for the STEB group 12 months postoperative (P < 0.05). The mean ODI was lower in the TELA group than in the STEB group at 12 months postoperatively (P < 0.05). There were no major complications related to the TELA and STEB procedures. Limitations: The primary limitation is a small sample size. The control group was created from a database which was prospectively collected in a different time line. Conclusions: The TELA procedure is superior to the STEB procedure in terms of patients reporting less pain and better quality of life over a year. TELA may be a reasonable alternative to conventional interventions or open surgery in single-level disc disease. Key words: Laser-assisted spinal endoscopy, disc decompression, Nd:YAG laser, laser ablation, intervertebral disc disease, lumbar spine

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