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Response of extruded intervertebral herniated discs to percutaneous laser disc decompression – Laser Spine Clinic

This article describes a study conducted on 21 patients with extruded herniated intervertebral discs who underwent treatment with percutaneous laser disc decompression (PLDD). The study aimed to describe the clinical features of these patients before and after treatment. PLDD is a relatively noninvasive technique for the treatment of herniated intervertebral discs. Previously, only uncomplicated disc herniations were treated with PLDD. However, after accumulating clinical data for 12 years, it became feasible to attempt treatment of more complicated cases. The results of the study showed that 18 out of 21 patients achieved good pain relief and, in some cases, reversal of neurologic deficits. The study concludes that patients with extruded but nonsequestered disc herniations can now be considered for PLDD treatment

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : top day surgery hospital in UK

Published article

CONCLUSIONS: Patients with extruded but nonsequestered disc herniations may now be included in the group selected for PLDD.

Laser Spine Surgery Expert. Best Spinal Surgeon UK
Abstract Objective: To describe the clinical features of 21 patients with extruded (but nonsequestered) herniated intervertebral discs before and after treatment with percutaneous laser disc decompression (PLDD). Background data: PLDD was introduced in February, 1986, by Choy and Ascher. This relatively noninvasive technique for the treatment of herniated intervertebral discs has been extensively described elsewhere.,

Abstract

Objective: To describe the clinical features of 21 patients with extruded (but nonsequestered) herniated intervertebral discs before and after treatment with percutaneous laser disc decompression (PLDD).

Background data: PLDD was introduced in February, 1986, by Choy and Ascher. This relatively noninvasive technique for the treatment of herniated intervertebral discs has been extensively described elsewhere. Previously, only uncomplicated disc herniations were treated with PLDD, with a success rate according to the MacNab criteria of 89% and a complication rate of 0.4 to 1.0%. Until 1998, the author and others adhered to strict criteria of patient selection to produce “clean” data that could be analyzed without complications. However, after 12 years of accumulating clinical data, it became feasible and desirable to “expand the envelope” and attempt treatment of more complicated cases.

Methods: Twenty-one patients with magnetic resonance imaging (MRI)-documented extruded, but nonsequestered, herniated discs with appropriate pain syndromes were treated with PLDD.

Results: Eighteen of the 21 patients treated achieved the top category of the MacNab criteria, with good pain relief, and in some instances, reversal of neurologic deficits.

Conclusions: Patients with extruded but nonsequestered disc herniations may now be included in the group selected for PLDD.

The London Spine Unit : top day surgery hospital in UK

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Response of extruded intervertebral herniated discs to percutaneous laser disc decompression

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Abstract Objective: To describe the clinical features of 21 patients with extruded (but nonsequestered) herniated intervertebral discs before and after treatment with percutaneous laser disc decompression (PLDD). Background data: PLDD was introduced in February, 1986, by Choy and Ascher. This relatively noninvasive technique for the treatment of herniated intervertebral discs has been extensively described elsewhere.

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