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Percutaneous laser disc decompression with the holmium: YAG laser
G D Casper1, V L Hartman, L L Mullins
1Spine and Joint Institute of the Southwest, Southwest Medical Center of Oklahoma, USA.
Journal of Clinical Laser Medicine & Surgery
|June 1, 1995
Summary
Percutaneous laser disc decompression (PLDD) using holmium:YAG lasers offers advantages for spinal procedures. This review covers techniques, devices, and delivery systems for this minimally invasive treatment.
Area of Science:
- Minimally Invasive Spine Surgery
- Laser Medicine
Background:
- Percutaneous laser disc decompression (PLDD) is an established minimally invasive technique for treating lumbar disc herniation.
- The holmium:YAG laser has emerged as a viable option for PLDD due to its specific tissue interaction properties.
Purpose of the Study:
- To review the evolution and current applications of holmium:YAG laser in PLDD.
- To discuss the advantages of this specific laser wavelength for disc decompression.
- To outline various techniques and available technologies for holmium:YAG laser PLDD.
Main Methods:
- Literature review of studies and articles on percutaneous laser disc decompression.
- Focus on research detailing the use of holmium:YAG laser technology.
- Analysis of surgical techniques, device advancements, and delivery systems.
Main Results:
- The holmium:YAG laser demonstrates favorable characteristics for soft tissue ablation and coagulation in PLDD.
- Various techniques have been developed to optimize laser energy delivery and treatment efficacy.
- Current devices and delivery systems are tailored for safe and effective holmium:YAG laser application in PLDD.
Conclusions:
- Holmium:YAG laser PLDD represents an evolving minimally invasive treatment option for discogenic pain.
- The continued development of techniques and technology enhances the potential of this laser modality.
- Further research may solidify holmium:YAG laser PLDD as a standard procedure.