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Related Experiment Videos

Percutaneous endoscopic laser discectomy.

M Boult1, R D Fraser, N Jones

  • 1Australian Safety and Efficacy Register for New Interventional Procedures-Surgical, Royal Australasian College of Surgeons, North Adelaide, SA.

The Australian and New Zealand Journal of Surgery
|July 20, 2000
PubMed
Summary
This summary is machine-generated.

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Percutaneous endoscopic laser discectomy (PELD) has limited evidence regarding its safety and efficacy. Further controlled clinical trials are needed to establish its effectiveness for lumbar disc prolapses.

Area of Science:

  • Minimally Invasive Spine Surgery
  • Spinal Disc Interventions
  • Evidence-Based Medicine

Background:

  • Systematic literature review on percutaneous endoscopic laser discectomy (PELD).
  • Assessed safety and efficacy compared to open discectomy.
  • Focused on lumbar disc prolapses requiring surgical intervention.

Purpose of the Study:

  • To systematically review the literature on PELD.
  • Evaluate the safety and efficacy of PELD.
  • Compare PELD with open discectomy where possible.

Main Methods:

  • Searched MEDLINE, EMBASE, Current Contents, and Cochrane Library databases.
  • Used search terms including PELD, PLDD, laser, spine, lumbar, disc, and disk.
  • Included live human studies and cadaver studies; articles assessed by independent reviewers.

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Main Results:

  • Identified only 12 papers related to PELD.
  • Found a low level of evidence for safety and efficacy.
  • No controlled, blinded, or randomized studies were identified; highest evidence from time series.

Conclusions:

  • The evidence for PELD is currently very limited.
  • PELD should be considered experimental.
  • Recommend controlled clinical trials, ideally randomized, to establish efficacy.