PLDD in a safe, effective and minimally invasive treatment option!
Authors: Daniel S.J. Choy,, Gian Paolo Tassi, Johannes Hellinger, Stefan Hellinger, Sang-Ho Lee
Country: USA, Italy, Germany, South Korea
Conclusion: PLDD has been performed worldwide for 23 years and has demonstrated the safety, efficacy and minimally invasive character of the technique for outpatient treatment of herniated disease of the cervical, thoracic, and lumbar spine. Complications can be minimized by performing PLDD in an outpatient setting thereby avoiding the special bacteriological hazards of hospitals. The reproducible excellent results in the hands of laser surgeons worldwide have established PLDD as a firstline therapy for herniated disc disease
Authors: Kresimir Rotim, Robert Safic, Goran Lakicevic
Country: Croatia
Conclusion: The percutaneous laser disk herniation is a safer, more simple and more effective method in treating patients with lumbar disk herniation in relation to open methods of treating lumbar disk herniation like microdisectomy. The advantages of the contemporary treatments by intervertebral disk herniation by using PLDD are manifested in shorter surgeries, beter success of the treatment, shorter postsurgical stay in a hospital, and a faster beginning with the physical treatment, minor number of relapsing herniations and postsurgical complications, and the patients’ faster return to every-day activities. The results of the conducted research have afrmated the comparative advantages of contemporary surgical methods in treating lumbar disk herniation in reference to classical treating methods.
Authors: Ren L, Guo H, Zhang T, Han Z, Zhang L, Zeng Y.
Country: China
Conclusion: The clinical outcome of PLDD improved significantly within 3 months, and can maintain a higher level in 3 years. The efficacy of treatment with PLDD is fairly good for both selected younger and older patients.
Authors: Ren L, Guo H, Zhang T, Han Z, Zhang L, Zeng Y.
Country: China
Conclusion: T-PLDD can significantly decrease pain and improve function of patients who have extruded but nonsequestered lumbar intervertebral disc herniation.
Authors: Duarte R, Costa JC.
Country: Portugal
Conclusion: PLDD is effective treatment for lumbar discogenic radicular pain, associated with only minimal discomfort to the patient. This minimally invasive technique is a valid alternative for those patients not responding to conservative medical treatment, allowing in many cases to obviate the need of spine surgery.
Authors: Brouwer PA, Brand R, van den Akker-van Marle ME, Jacobs WC, Schenk B, van den Berg-Huijsmans AA, Koes BW, van Buchem MA, Arts MP, Peul WC.
Country: Netherlands/Holland
Conclusion: At 1 year, a strategy of PLDD, followed by surgery if needed, resulted in noninferior outcomes compared with surgery.
Authors: Ren L, Han Z, Zhang J, Zhang T, Yin J, Liang X, Guo H, Zeng Y.
Country: China
Conclusion: PLDD had certain positive efficacy on the treatment of lumbar spinal stenosis, which was more significant on LSS dominated by the anterior compression than that by the posterior compression.
Authors: Ren L, Guo H, Zhang T, Han Z, Zhang L, Zeng Y.
Country: China
Conclusion: The clinical outcome of PLDD improved significantly within 3 months, and can maintain a higher level in 3 years. The efficacy of treatment with PLDD is fairly good for both selected younger and older patients.
Authors: Ren L, Guo H, Zhang T, Han Z, Zhang L, Zeng Y.
Country: China
Conclusion: PLDD did not obviously lower the height of the intervertebral space, instead, it could effectively promote the reduction of discherniation. By analyzing the medical images, we found that PLDD is a safe and effective minimal invasive surgery for cervical and lumbar discdiseases.
Authors: Yang YG, Ren XS, Yang C, Cheng JP.
Country: China
Conclusion: Cervical intervertebral disc protrusion and cervical spine instability irrigate the neck sympathetic nerve, result in the spasm of vertebral artery, which is the main cause of cervical vertigo. Percutaneous laser disc decompression can decrease intradiscal pressure, increase local temperature, remove the spasm of the vertebral artery. The therapeutic effect for the treatment of cervical vertigo was remarkable..
Authors: Maksymowicz W, Barczewska M, Sobieraj A.
Country: Poland
Conclusion: Our conclusion is that PLDD is an effective treatment method for low back pain and ischialgia caused by protrusion or herniation of the nucleus pulposus, with elimination or significant reduction in symptoms in over 75% of those treated; reduction or resolution of neurological deficits that arise in the course of lumbar discopathy has also been observed. This method enables one-stage treatment of multi-level degenerative changes in the intervertebral disc. The only absolute contraindications for PLDD are the presence of sequestration, disturbances in blood coagulation, and bacterial infection.
Authors: Morelet A, Boyer F, Vitry F, Ackah-Miezan S, Berquet R, Langlois S, Brochot P, Breidt D, Eschard JP, Etienne JC.
Country: France
Conclusion: Percutaneous laser disc decompression is effective, noninvasive and well tolerated for patients with radicular pain due to lumbardisc hernia.
Authors: Tassi GP.
Country: Italy
Conclusion: The analysis of results for the two groups supports the conclusion that percutaneous laser disc decompression is a safe, minimally invasive, and strong alternative treatment to microdiscectomy in patients affected by herniated discs.
Authors: Black W, Fejos AS, Choy DS.
Country: USA
Conclusion: PLDD is a safe, effective, and minimally invasive procedure that can be used to treat patients with discogenic back pain.
Authors: Ko–ichi Iwatsuki, Toshiki Yoshimine, Manabu Sasaki, Keitaro Yasuda, Chihiro Akiyama & Rie Nakahira
Country: Japan
Conclusion: One of the mechanisms thought to be responsible for PLDD's effectiveness is a decrease in the chemical factors through protein alteration in the intervertebral disc by laser irradiation.