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Percutaneous laser disc decompression: an update--Spring 1992.

D S Choy1, J Michelsen, G Getrajdman

  • 1Department of Medicine, St. Luke's Roosevelt Hospital Center, Columbia University College of Physicians & Surgeons, New York, NY.

Journal of Clinical Laser Medicine & Surgery
|June 1, 1992
PubMed
Summary
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Percutaneous laser disc decompression (PLDD) offers a minimally invasive treatment option for spinal conditions. This laser therapy avoids scarring and can be repeated, making it a valuable addition to surgical armamentariums.

Area of Science:

  • Minimally Invasive Spine Surgery
  • Laser Therapeutics

Background:

  • Percutaneous laser disc decompression (PLDD) is an established procedure in several countries.
  • The Nd:YAG laser has demonstrated over 75 months of follow-up in PLDD procedures.

Purpose of the Study:

  • To present the accumulated experience with PLDD over the past decade.
  • To detail the surgical procedure, indications, and contraindications for PLDD.

Main Methods:

  • Review of a decade of experience with PLDD in humans and animals.
  • Detailed description of the percutaneous laser disc decompression surgical technique.

Main Results:

  • PLDD is a relatively noninvasive procedure.
  • Absence of perispinal scar formation reduces risks of nerve entrapment.

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  • The procedure can be repeated if necessary.

    • Conclusions:

    • PLDD is an effective treatment for specific spinal conditions.
    • The noninvasive nature and lack of scarring are significant advantages.
    • PLDD warrants continued investigation as a valuable tool for spinal surgeons.