Percutaneous Laser Disc Decompression in Spinal Stenosis

Choy, Daniel S.J.; Ngeow, Jeffrey

doi:10.1089/clm.1998.16.123

Cited by 24 publications

(6 citation statements)

References 5 publications

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“…These criteria excluded patients previously operated upon, patients with even first-degree spondylolisthesis, moderate osteoarthritis, scoliosis, and spinal stenosis. As more experience was gained worldwide, all of these "contraindications," including spinal stenosis, 10 have been discarded, and PLDD has been found to be effective in these conditions. Until now, extruded, nonsequestered discs were still considered a contraindication to PLDD.…”

Section: Discussionmentioning

confidence: 99%

Response of Extruded Intervertebral Herniated Discs to Percutaneous Laser Disc Decompression

Choy

2001

Journal of Clinical Laser Medicine & Surgery

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Section: Discussionmentioning

confidence: 99%

Response of Extruded Intervertebral Herniated Discs to Percutaneous Laser Disc Decompression

Choy

2001

Journal of Clinical Laser Medicine & Surgery

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“…Among the 84 studies identified, 67 were excluded. Table 6 shows the reasons for exclusion of selected articles (35,46,145,146,149,(151)(152)(153)(154)(155)(157)(158)(159)(161)(162)(163)165,167,169,171,172,(174)(175)(176)(179)(180)(181)(182)(183)(184)(185)(186)(187)(189)(190)(191)(192)(193)195,196,(202)(203)(204)(205)(206)208,210,212,216,…”

Section: Limited or Poormentioning

confidence: 99%

Percutaneous Lumbar Laser Disc Decompression: An Update of Current Evidence

Singh¹

2013

Pain Phys

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Background: Since the descriptions by Mixter and Barr of surgical treatment for rupture of the intervertebral disc in 1934, open surgical procedures have become a common practice. Disc herniations are often classified as being contained or non-contained. The results of open surgical discectomy for contained disc herniation have been poor. Consequently, several less invasive techniques have been developed including percutaneous lumbar laser disc decompression. Study Design: A systematic review of the literature of percutaneous lumbar laser disc decompression. Objective: The objective of this systematic review is to evaluate and update the clinical effectiveness of percutaneous lumbar laser discectomy in managing radicular pain secondary to contained disc herniation. Methods: The available literature on lumbar laser disc decompression in managing chronic low back and lower extremity pain was reviewed. Quality assessment and clinical relevance of randomized trials were graded according to the Cochrane Musculoskeletal Review Group criteria for interventional techniques, and observational studies according to the Newcastle-Ottawa Scale criteria. The level of evidence was classified as good, fair, and limited or poor based on the quality of evidence developed by the U.S. Preventive Services Task Force (USPSTF). Data sources included relevant literature identified through searches of PubMed and EMBASE from 1966 to September 2012, and manual searches of the bibliographies of known primary and review articles. Outcome Measures: Pain relief was the primary outcome measure. Other outcome measures were functional improvement, improvement of psychological status, opioid intake, and return-to-work. Short-term effectiveness was defined as effectiveness lasting one year or less, whereas, long-term effectiveness was defined as benefit persisting for greater than one year. Results: Based on USPSTF criteria, the indicated level of evidence for percutaneous lumbar laser disc decompression is limited for short- and long-term relief. Limitations: Although laser discectomy has been utilized for many years, there is a paucity of randomized clinical trials. Conclusion: This systematic review shows limited evidence for percutaneous lumbar laser disc decompression. Key words: Intervertebral disc disease, chronic low back pain, disc herniation, disc protrusion, radiculitis, contained disc herniation, mechanical disc decompression, percutaneous lumbar laser discectomy, laser assisted spinal endoscopy

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“…Since then, the development of laser therapy for spinal diseases has focused on lumbar disc disease, and PLDD became an active treatment following FDA approval in 1991 5) . Also, its application range has been expanding in recent times to include treatment of lumbar spinal stenosis and endoscopic treatment of ruptured cervical disc 8,9) . This report aims to introduce the different methods of laser treatment and their effects on surgical treatment of spinal diseases.…”

Section: Introductionmentioning

confidence: 99%

Laser Therapy for Spinal Diseases

Kim¹,

Kim²,

Hong³

et al. 2015

Asian J Pain

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Since its introduction in 1980s, laser therapy, a minimally invasive, outpatient-based, effective, and relatively safe procedure for spine disease, has established itself worldwide. Percutaneous laser disc decompression (PLDD) was mainly applied to treat lumbar disc herniation with a satisfactory efficacy. Recently, the laser therapy has been used for various diseases including lumbar spinal stenosis and cervical disc diseases. In this article, the advantages and disadvantages of laser therapy will be discussed. Technical and clinical aspects of current applications for spinal diseases will be also presented. Such applications include percutaneous lumbar disk decompression (PLDD), percutaneous endoscopic laser annuloplasty (PELA), epiduroscopic laser neural decompression (ELND), and laser disc decompression in cervical disc diseases.

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Percutaneous Laser Disc Decompression in Spinal Stenosis

Abstract: It was our conclusion that PLDD compares favorably with open surgery in the treatment of lumbar spinal stenosis that is partially or completely due to bulging or protruding discs.

Cited by 24 publications

References 5 publications

Response of Extruded Intervertebral Herniated Discs to Percutaneous Laser Disc Decompression

Response of Extruded Intervertebral Herniated Discs to Percutaneous Laser Disc Decompression

Percutaneous Lumbar Laser Disc Decompression: An Update of Current Evidence

Laser Therapy for Spinal Diseases

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