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Percutaneous laser disc decompression: a 17-year experience – Laser Spine Clinic

The article presents a review on the effectiveness of a new approach for treating herniated disc disease using Nd:YAG laser energy. The review analyzed 2400 procedures performed in 1275 patients over a period of 18 and a half years. The overall success rate of the procedure was 89% according to the MacNab criteria, with a low complication rate of 0.4%. The recurrence rate was 5% and usually occurred due to reinjury. No cases of nerve or cord damage or deaths were reported. The study concludes that the procedure, known as PLDD, is a safe and effective outpatient treatment for herniated disc disease, with the advantages of minimal invasiveness, immediate pain relief, early return to work, and a low complication and recurrence rate

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : top day surgery unit on Harley Street UK

Published article

In this review, we analyze our effort to demonstrate the effectiveness of a new approach to the treatment of herniated disc disease using Nd:YAG laser energy introduced into a herniated disc under fluoroscopic control and local anesthesia. 2400 PLDD procedures (combined number of decompressions in cervical, thoracic, and lumbar discs were performed in the past 18(1/2) years in 1275 patients. The overall success rate according to the MacNab criteria was 89%. The complication rate (only infectious…

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Abstract In this review, we analyze our effort to demonstrate the effectiveness of a new approach to the treatment of herniated disc disease using Nd:YAG laser energy introduced into a herniated disc under fluoroscopic control and local anesthesia. 2400 PLDD procedures (combined number of decompressions in cervical, thoracic, and lumbar discs were performed in the,

Abstract

In this review, we analyze our effort to demonstrate the effectiveness of a new approach to the treatment of herniated disc disease using Nd:YAG laser energy introduced into a herniated disc under fluoroscopic control and local anesthesia. 2400 PLDD procedures (combined number of decompressions in cervical, thoracic, and lumbar discs were performed in the past 18(1/2) years in 1275 patients. The overall success rate according to the MacNab criteria was 89%. The complication rate (only infectious disciitis) was 0.4%; all 10 patients with complications were cured with appropriate antibiotics. The recurrence rate was 5%, and usually due to reinjury. There were no deaths, and no cases of nerve or cord damage. PLDD is a safe and effective outpatient procedure for the treatment of herniated disc disease with the advantages of relative non-invasiveness, usually immediate relief of back and sciatic pain, early return to work (generally 5-6 days), and a low complication and recurrence rate. It can also be repeated if necessary as many as five times.

The London Spine Unit : top day surgery unit on Harley Street UK

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Percutaneous laser disc decompression: a 17-year experience

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Abstract In this review, we analyze our effort to demonstrate the effectiveness of a new approach to the treatment of herniated disc disease using Nd:YAG laser energy introduced into a herniated disc under fluoroscopic control and local anesthesia. 2400 PLDD procedures (combined number of decompressions in cervical, thoracic, and lumbar discs were performed in the

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