266 results match your criteria Laser Discectomy


Safety and Efficiency of Cervical Disc Arthroplasty in Ambulatory Surgery Centers vs. Hospital Settings.

Int J Spine Surg 2018 Oct 15;12(5):557-564. Epub 2018 Oct 15.

SPIRITT Research, St Louis, Missouri.

Background: Outpatient surgery has been shown safe and effective for anterior cervical discectomy and fusion (ACDF), and more recently, for 1-level cervical disc arthroplasty (CDA). The purpose of this analysis is to compare the safety and efficiency of 1-level and 2-level CDA performed in an ambulatory surgery center (ASC) and in a hospital setting.

Methods: The study was a retrospective collection and analysis of data from consecutive CDA patients treated in ASCs compared to a historical control group of patients treated in hospital settings who were classified as outpatient (0 or 1-night stay) or inpatient (2 or more nights). Read More

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http://ijssurgery.com/lookup/doi/10.14444/5068
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http://dx.doi.org/10.14444/5068DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198634PMC
October 2018
1 Read

Percutaneous Lumbar Laser Discectomy: Literature Review and a Retrospective Analysis of 65 Cases.

Photomed Laser Surg 2018 Oct 18;36(10):518-521. Epub 2018 Sep 18.

Anesthesiology and Pain Management, California Back and Pain Specialist , Van Nuys, California.

Background: Percutaneous lumbar laser discectomy is a minimally invasive treatment option for patients with a contained disc herniation with back and/or leg pain.

Objective: The goal of this study was to present our experience and results with patients who underwent percutaneous lumbar laser discectomy in our practice.

Methods: A total of 65 patients were included, and their charts were retrospectively reviewed. Read More

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http://dx.doi.org/10.1089/pho.2018.4460DOI Listing
October 2018
1 Read

Sacral epiduroscopic laser decompression for complex regional pain syndrome after lumbar spinal surgery: A case report.

Medicine (Baltimore) 2018 May;97(19):e0694

Department of Anesthesiology and Pain Medicine, Haeundae Paik Hospital of Inje University, Busan, Republic of Korea.

Rationale: CRPS after a lumbar surgery has symptoms that are similar to PSSS. However, standard criteria for distinguishing CRPS from PSSS do not exist. We present a case report of a 31-year-old female with CRPS symptoms after lumbar spinal surgery treated by performing SELD. Read More

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http://Insights.ovid.com/crossref?an=00005792-201805110-0003
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http://dx.doi.org/10.1097/MD.0000000000010694DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5959414PMC
May 2018
4 Reads

Trans-sacral epiduroscopic laser decompression versus the microscopic open interlaminar approach for L5-S1 disc herniation.

J Spinal Cord Med 2018 Feb 28:1-11. Epub 2018 Feb 28.

b Department of Neurosurgery , Kangwon National University, College of Medicine , Chuncheon , Korea.

Context/objective: Trans-sacral epiduroscopic laser decompression (SELD) is an alternative to microscopic open lumbar discectomy (OLD). SELD and OLD for L5-S1 lumbar disc herniation (LDH) have not been compared. We compared clinical results, including pain control, between SELD and OLD. Read More

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https://www.tandfonline.com/doi/full/10.1080/10790268.2018.1
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http://dx.doi.org/10.1080/10790268.2018.1442285DOI Listing
February 2018
17 Reads

Influences of different lower cervical bone graft heights on the size of the intervertebral foramen: multiple planar dynamic measurements with laser scanning.

Lasers Med Sci 2018 Apr 30;33(3):627-635. Epub 2018 Jan 30.

Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yan Jiang Road West, Guangzhou, Guangdong, 510045, China.

The aim of this study is to evaluate the influences of different bone graft heights on the size of the intervertebral foramen, which will help determine the optimal graft height in clinical practice. Six fresh adult cadavers were used, with the C5-C6 vertebral column segment defined as the functional spinal unit (FSU). After discectomy, the C5/6 intervertebral height was set as the baseline height (normal disc height). Read More

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http://dx.doi.org/10.1007/s10103-018-2452-6DOI Listing
April 2018
15 Reads

Comparison of 7 Surgical Interventions for Lumbar Disc Herniation: A Network Meta-analysis.

Pain Physician 2017 09;20(6):E863-E871

Wuhan University Zhongnan Hospital, China.

Background: The number of interventions on intervertebral discs rapidly increased and the treatment options for lumbar disc surgery quickly evolved. It is important that the safety and efficacy of all new innovative procedures be compared with currently accepted forms of treatment; however, the previous pairwise meta-analyses could not develop the hierarchy of these treatments.

Objectives: The purpose of the study is to perform a network meta-analysis to evaluate the clinical results of 7 surgical interventions for the treatment of lumbar disc herniation. Read More

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September 2017
8 Reads

Laser biostimulation effects on invertebral disks: histological evidence on intra-observer samples. Retrospective double-blind study.

Laser Ther 2016 Dec;25(4):285-290

University Rey Juan Carlos; Madrid.

The intervertebral disk degeneration is a pathological process determined by a decrease of mucopolysaccharides in the nucleus pulposus with the consequent dehydration and degeneration of the elastic fibers in the annulus fibrosus of the disk. The laser is a therapeutic tool that has, on the treated tissues, biostimulation effects with an increase of oxidative phosphorylation and production of ATP with an acceleration of the mucopolysaccharides synthesis with a consequent rehydration, biostimulation and production of new elastic fibers. The goal of this project is studying whether the laser stimulation may treat degenerated intervertebral disks. Read More

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http://dx.doi.org/10.5978/islsm.16-OR-23DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5532168PMC
December 2016
11 Reads

Percutaneous cervical laser diskectomy, thermoannuloplasty, and thermonucleoplasty; comparable results without surgery.

Authors:
Nancy E Epstein

Surg Neurol Int 2017 21;8:128. Epub 2017 Jun 21.

Chief of Neurosurgical Spine/Education, NYU Winthrop Hospital, Mineola, New York, USA.

Background: Utilizing the literature, the results of three different minimally invasive surgery (MIS) anterior cervical percutaneous operations for neck/mild radicular pain and magnetic resonance (MR)-documented "contained" (not extruded/sequestrated) discs were evaluated. Results were compared with patients treated nonsurgically for comparable/greater neurological compromise, and even more severe cervical disc disease.

Methods: There were three MIS percutaneous anterior cervical discectomy procedures. Read More

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http://dx.doi.org/10.4103/sni.sni_164_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5502292PMC
June 2017
7 Reads

Percutaneous laser disc decompression versus microdiscectomy for sciatica: Cost utility analysis alongside a randomized controlled trial.

Interv Neuroradiol 2017 Oct 5;23(5):538-545. Epub 2017 Jul 5.

1 Leiden University Medical Center, Leiden, Netherlands.

Background Percutaneous laser disc decompression (PLDD) for patients with lumbar disc herniation is believed to be cheaper than surgery. However, cost-effectiveness has never been studied. Materials and Methods A cost utility analysis was performed alongside a randomized controlled trial comparing PLDD and conventional surgery. Read More

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http://dx.doi.org/10.1177/1591019917710297DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5624405PMC
October 2017
39 Reads

A Novel Combination of Percutaneous Endoscopic Lumbar Discectomy and Epiduroscopic Laser Neural Decompression for Down-migrated Disc Herniation.

Pain Physician 2017 05;20(4):E605-E609

Department of Neurosurgery, Leon Wiltse Memorial Hospital, Suwon, Korea.

Although percutaneous endoscopic lumbar discectomy (PELD) is an effective treatment for herniated discs, its application in a disc with extensive migration is still challenging. As such, epiduroscopic laser neural decompression (ELND) provides a new view of the epidural space as well as an alternative treatment for a herniated disc and epidural fibrosis. In this paper the authors introduce the novel combination of PELD and ELND for high grade down-migrated disc herniation. Read More

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May 2017
14 Reads

Percutaneous laser disc decompression versus conventional microdiscectomy for patients with sciatica: Two-year results of a randomised controlled trial.

Interv Neuroradiol 2017 Jun 28;23(3):313-324. Epub 2017 Apr 28.

5 Department of Neurosurgery, Leiden University Medical Center, Leiden, The Netherlands.

Background Percutaneous laser disc decompression is a minimally invasive treatment, for lumbar disc herniation and might serve as an alternative to surgical management of sciatica. In a randomised trial with two-year follow-up we assessed the clinical effectiveness of percutaneous laser disc decompression compared to conventional surgery. Materials and methods This multicentre randomised prospective trial with a non-inferiority design, was carried out according to an intent-to-treat protocol with full institutional review board approval. Read More

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http://dx.doi.org/10.1177/1591019917699981DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5490869PMC
June 2017
27 Reads

Propionibacterium acnes biofilm is present in intervertebral discs of patients undergoing microdiscectomy.

PLoS One 2017 3;12(4):e0174518. Epub 2017 Apr 3.

Department of Molecular Oncology, Central European Institute of Technology (CEITEC), Masaryk University, Brno, Czech Republic.

Background: In previous studies, Propionibacterium acnes was cultured from intervertebral disc tissue of ~25% of patients undergoing microdiscectomy, suggesting a possible link between chronic bacterial infection and disc degeneration. However, given the prominence of P. acnes as a skin commensal, such analyses often struggled to exclude the alternate possibility that these organisms represent perioperative microbiologic contamination. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0174518PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5378350PMC
September 2017
35 Reads

Should anyone perform percutaneous endoscopic laser diskectomy and percutaneous lumbar disc decompressions?

Authors:
Nancy E Epstein

Surg Neurol Int 2016 26;7(Suppl 42):S1080-S1084. Epub 2016 Dec 26.

Chief of Neurosurgical Spine and Education, Winthrop University Hospital, Mineola, New York - 11501, USA.

Background: Increasingly, pain management specialists (P-S) (e.g., anesthesiologists, radiologists, or physiatrists), who are not spinal surgeons, are performing percutaneous endoscopic laser diskectomy (PELD), percutaneous lumbar disc decompression (PLDD), and target percutaneous laser disc decompression (T-PLDD) in patients with minimal/mild disc herniations. Read More

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http://dx.doi.org/10.4103/2152-7806.196764DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5234304PMC
December 2016
8 Reads

Recurrence of disk herniation following percutaneous laser disk ablation in dogs with a history of thoracolumbar intervertebral disk herniation: 303 cases (1994-2011).

J Am Vet Med Assoc 2016 Dec;249(12):1393-1400

OBJECTIVE To determine rate of recurrence of disk herniation in dogs that underwent percutaneous laser disk ablation (PLDA) because of a previous episode of suspected or confirmed thoracolumbar intervertebral disk herniation (IVDH). DESIGN Retrospective case series. ANIMALS 303 dogs that underwent PLDA and for which a minimum of 3 years of follow-up information was available (n = 294) or for which recurrence was documented within 3 years after the procedure (9). Read More

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http://avmajournals.avma.org/doi/10.2460/javma.249.12.1393
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http://dx.doi.org/10.2460/javma.249.12.1393DOI Listing
December 2016
10 Reads

Sedation for Percutaneous Endoscopic Lumbar Discectomy.

Authors:
Menekse Oksar

ScientificWorldJournal 2016 22;2016:8767410. Epub 2016 Sep 22.

Department of Anesthesiology and Reanimation, Mustafa Kemal University Faculty of Medicine, 31100 Hatay, Turkey.

Although anesthetic requirements for minimally invasive neurosurgical techniques have been described in detail and applied successfully since the early 2000s, most of the literature on this subject has dealt with cranial cases that were operated on in the supine or sitting positions. However, spinal surgery has also used minimally invasive techniques that were performed in prone position for more than 30 years to date. Although procedures in both these neurosurgical techniques require the patient to be awake for a certain period of time, the main surgical difference with minimally invasive spinal surgery is that the patients are in the prone position, which may result in increased requirement of airway management because of deep sedation. Read More

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http://dx.doi.org/10.1155/2016/8767410DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5055968PMC
November 2017
7 Reads

Sedation Monitoring and Management during Percutaneous Endoscopic Lumbar Discectomy.

Case Rep Anesthesiol 2016 19;2016:3931567. Epub 2016 May 19.

Anesthesiology and Reanimation Department, Ankara Ataturk Training and Research Hospital, 06800 Ankara, Turkey.

Percutaneous endoscopic laser discectomy (PELD) is a painful intervention that requires deep sedation and analgesia. However, sedation should be light at some point because cooperation by the patient during the procedure is required for successful surgical treatment. Light sedation poses a problem for endotracheal intubation, while patients placed in the prone position during percutaneous endoscopic discectomy pose a problem for airway management. Read More

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http://dx.doi.org/10.1155/2016/3931567DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4889805PMC
June 2016
14 Reads

Facetoplasty Using Radiofrequency Thermocoagulation for Facet Joint Hypertrophy.

Pain Physician 2016 05;19(4):E649-52

Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea, Daejeon, Korea.

Unlabelled: Lumbar spinal stenosis is one of most common pathologic conditions affecting the lumbar spine. Pain and/or disability in the low back and lower extremities with or without neurogenic claudication may occur as a result of compression of dural sac contents or nerve roots in the narrowed space. Bulging and protrusion, facet joint hypertrophy, and disc herniation combined with osteophytes and arthritic changes of facet joints can be the cause of lumbar spinal stenosis. Read More

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May 2016
41 Reads

Current Evidence of Minimally Invasive Spine Surgery in the Treatment of Lumbar Disc Herniations.

Bull Hosp Jt Dis (2013) 2016 Mar;74(1):88-97

With the advent of new instrumentation and better imaging techniques that allowed less tissue trauma compared with traditional open procedures, while providing adequate or enhanced visualization of the pathologic site and based upon the successful experience of outpatient spine surgery to assist early ambulation, the trend and evolution toward ''minimal access'' or minimally invasive spine surgery began to develop with greater intensity. Many surgical techniques have flourished with the promise of delivering a safe and efficient alternative, including chemonucleolysis, manual percutaneous discectomy (MPD), automated percutaneous lumbar discectomy (APLD), and percutaneous lumbar laser discectomy (PLLD). Unfortunately, most of these techniques have been demonstrated to be inefficient with high complication rates. Read More

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March 2016
6 Reads

Comparison of open surgical discectomy versus plasma-laser nucleoplasty in patients with single lumbar disc herniation.

J Res Med Sci 2015 Dec;20(12):1133-7

Departmentt of Epidemiology, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Intervertebral disc herniation is a major cause of low back pain. Several treatment methods are available for lumbar disc herniation including Chemonucleolysis, open surgery, nucleoplasty, laser disc decompression, and intradiscal electrothermal therapy. The high prevalence of lumbar disc herniation necessitates a minimally invasive yet effective treatment method. Read More

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http://dx.doi.org/10.4103/1735-1995.172979DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4766818PMC
December 2015
30 Reads

Evaluation of different laser wavelengths on ablation lesion and residual thermal injury in intervertebral discs of the lumbar spine.

Lasers Med Sci 2016 Apr 21;31(3):421-8. Epub 2016 Jan 21.

Department of Surgery, Federal University of São Paulo, São Paulo, Brazil, 04023-900.

Laser discectomy or nucleotomy is an increasingly important method for less invasive procedures of column, but the ideal kind of laser is still not established. As the wavelength is an important parameter for water absorption, this study was performed to investigate the action of the laser emission in the near infrared (808 to 1908 nm) region in the context of surgical procedures for percutaneous intervertebral disc decompression (nucleotomy). Forty intervertebral discs from pigs lumbar spines were irradiated with laser (λ = 808, 980, 1470 and 1908 nm), 1-s on/off time cycles, for 120 cycles and 10 W of power (808, 980, and 1470 nm) or 240 cycles and 5 W of power (1908 nm), with total power of 1200 J, and subjected to microscopic evaluation through hematoxylin-eosin (HE) staining in order to measure the ablation lesions and the residual thermal injury. Read More

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http://dx.doi.org/10.1007/s10103-016-1865-3DOI Listing
April 2016
18 Reads

Posterior Cervical Microscopic Foraminotomy and Discectomy with Laser for Unilateral Radiculopathy.

Chonnam Med J 2015 Dec 11;51(3):129-34. Epub 2015 Dec 11.

Department of Neurosurgery, Chonnam National University Hospital&Research Institute of Medical Sciences, Gwangju, Korea.

Surgical decompression for cervical radiculopathy includes anterior cervical discectomy and fusion, anterior or posterior cervical foraminotomy, and cervical arthroplasty after decompression. The aim of this study was to evaluate the usefulness of a CO2 laser in posterior-approach surgery for unilateral cervical radiculopathy. From January 2006 to December 2008, 12 consecutive patients with unilateral cervical radiculopathy from either foraminal stenosis or disc herniation, which was confirmed with imaging studies, underwent posterior foraminotomy and discectomy with the use of a microscope and CO2 laser. Read More

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http://dx.doi.org/10.4068/cmj.2015.51.3.129DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4697113PMC
December 2015
15 Reads

New instrument for percutaneous posterolateral lumbar foraminoplasty: case series of 134 with instrument design, surgical technique and outcomes.

Int J Clin Exp Med 2015 15;8(9):14672-9. Epub 2015 Sep 15.

Department of Orthopedics, The First Affiliated Hospital of General Hospital of People's Libertion Army Beijing 100048, China.

Current solutions for treating uncontained lumbar disk herniation include laser assisted endoscopic foraminoplasty and Transforaminal Endoscopic Spine System, both of which have some issues in clinical practice. This study aims to report the design of a new instrument for percutaneous posterolateral foraminoplasty. 148 patients with uncontained lumbar disk herniation were treated with percutaneous foraminoplasty followed by transforaminal endoscopic discectomy. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4658838PMC
December 2015
47 Reads

[Sciatica. From stretch rack to microdiscectomy].

Authors:
P Gruber T Böni

Unfallchirurg 2015 Dec;118 Suppl 1:53-65

Institut für Evolutionäre Medizin, Universität Zürich, Zürich, Schweiz.

In ancient times as well as in the Middle Ages treatment options for discogenic nerve compression syndrome were limited and usually not very specific because of low anatomical and pathophysiological knowledge. The stretch rack (scamnum Hippocratis) was particularly prominent but was widely used as a therapeutic device for very different spinal disorders. Since the beginning of the nineteenth century anatomical knowledge increased and the advances in the fields of asepsis, anesthesia and surgery resulted in an increase in surgical interventions on the spine. Read More

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http://dx.doi.org/10.1007/s00113-015-0099-3DOI Listing
December 2015
14 Reads

Percutaneous Laser Disc Decompression: Retrospective Analysis of 197 Cases and Review of The Literature.

Turk Neurosurg 2015 ;25(5):766-70

Bilgi Hospital, Department of Neurosurgery, Ankara, Turkey.

Aim: Percutaneous laser disc decompression (PLDD) is a one of the well-known minimal invasive treatment methods of disc herniations. The aim of this study is to present our clinical experience and to show the benefits of this technique.

Material And Methods: A total of 197 patients, who met the criteria of PLDD, underwent treatment between 2007 and 2009. Read More

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http://dx.doi.org/10.5137/1019-5149.JTN.14692-15.2DOI Listing
May 2016
21 Reads

[Interventions on the intervertebral discs. Indications, techniques and evidence levels].

Radiologe 2015 Oct;55(10):868-77

Zentrum für Muskuloskeletale Chirurgie, Campus Virchow Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Deutschland.

Clinical Issue: Over the last decades a number of different minimally invasive interventions have been proposed for the treatment of intervertebral disc herniation and degeneration. All of these interventions aim at relieving pressure from compressed nerve roots by mechanical ablation, chemical dissolution, evaporation or coagulation of disc tissue.

Standard Treatment: Microsurgical sequestrectomy with direct visualization of the spinal canal. Read More

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http://dx.doi.org/10.1007/s00117-015-0012-7DOI Listing
October 2015
17 Reads

[Minimally invasive surgery in treatment of lumbar intervertebral disc herniation].

Lijec Vjesn 2015 Mar-Apr;137(3-4):96-9

Surgical treatment of lumbar intervertebral disc herniation is one of the most common neurosurgical procedures. Besides conventional surgical techniques, in the last more than 30 years, different methods with minimal damage to neuromuscular spine structures are being developed and introduced, all having the purpose of reducing postoperative back pain. The advantages of the minimally invasive spine surgery include: possibility of performing procedures under local anaesthesia, reduced hospital stay, limited blood loss with consecutively reduced fibrous tissue development. Read More

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October 2015
16 Reads

Early individualised manipulative rehabilitation following lumbar open laser microdiscectomy improves early post-operative functional disability: A randomized, controlled pilot study.

J Back Musculoskelet Rehabil 2016 ;29(1):23-9

Department of Health Science, Graduate School of Korea University, Seoul, Korea.

Background: Lumbar open laser microdiscectomy has been shown to be an effective intervention and safe approach for lumbar disc prolapse. However early post-operative physical disability affecting daily activities have been sporadically reported.

Objective: To evaluate the feasibility of using early individualised manipulative rehabilitation to improve early post-operative functional disability following lumbar discectomy. Read More

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http://dx.doi.org/10.3233/BMR-150591DOI Listing
October 2016
44 Reads

Percutaneous laser disc decompression versus conventional microdiscectomy in sciatica: a randomized controlled trial.

Spine J 2015 May 20;15(5):857-65. Epub 2015 Jan 20.

Department of Neurosurgery, Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, The Netherlands; Department of Neurosurgery, Medical Center Haaglanden The Hague & Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, The Netherlands.

Background Context: Percutaneous laser disc decompression (PLDD) is a minimally invasive treatment for lumbar disc herniation, with Food and Drug Administration approval since 1991. However, no randomized trial comparing PLDD to conventional treatment has been performed.

Purpose: In this trial, we assessed the effectiveness of a strategy of PLDD as compared with conventional surgery. Read More

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http://dx.doi.org/10.1016/j.spinee.2015.01.020DOI Listing
May 2015
29 Reads

Clinical and radiographic changes after percutaneous endoscopic cervical discectomy: a long-term follow-up.

Photomed Laser Surg 2014 Dec;32(12):663-8

Department of Neurosurgery, Wooridul Spine Hospital , Seoul, South Korea .

Objective: Results following anterior cervical discectomy (ACD) without fusion are not well reported because of skepticism that the disturbed cervical spine anatomy after ACD might compromise clinical outcome. The purpose of this study was to determine whether ACD without fusion prompts the degenerative process significantly, and whether it is necessary to preserve disc height and cervical alignment for the sake of better clinical outcome following cervical spine surgery.

Background Data: Out of 56 consecutive patients, 37 patients who replied and consequently underwent postoperative MRI from April to June 2009 were included in this study. Read More

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http://dx.doi.org/10.1089/pho.2014.3806DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4267406PMC
December 2014
16 Reads

Percutaneous Disc Decompression for Lumbar Radicular Pain: A Review Article.

Pain Pract 2016 Jan 29;16(1):111-26. Epub 2014 Oct 29.

Department of Anaesthesiology, Intensive Care and Pain Medicine, Tan Tock Seng Hospital, Singapore City, Singapore.

Background: Open discectomy remains the standard of treatment for patients with lumbar radicular pain secondary to a prolapsed intervertebral disc. Open discectomy performed in patients with small, contained herniations may result in poor outcomes. The various techniques of percutaneous disc decompression (PDD) have been developed to address this population. Read More

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http://dx.doi.org/10.1111/papr.12250DOI Listing
January 2016
14 Reads

[Correlation of clinico-neurological peculiarities and morphological signs of small hernias (protrusion) of the lumbar intervertebral discs in formation of discogenic pain syndromes in patients of different age].

Klin Khir 2014 Jan(1):41-3

Morphological signs of small hernias (protrusion) of intervertebral discs (IVD), the results of a neurovisualizing methods of investigation and clinico-neurological features of osteochondrosis as well, were summarized. In young and middle age patients morphological chatacteristics of small hernias (protrusion) of IVD, data of neurovisualizing methods of investigation have had correlated with clinico-neurological features of the disease and were the key determinants while performance of the puncture laser microdiscectomy. In a middle age and elderly patients a weak correlation was noted between the IVD protrusion dimensions and intensity of a lumbar and radicular pain syndromes, functional activity (Osvestry index), what have had permitted to apply a pathogenetically substantiated method of a durable epidural pharmacotherapy. Read More

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January 2014
7 Reads

Evaluation of CD24 as a marker to rapidly define the mesenchymal stem cell phenotype and its differentiation in human nucleus pulposus.

Chin Med J (Engl) 2014 ;127(8):1474-81

Department of Orthopaedics Surgery, Da Yi Hospital, Shanxi Medical University, Taiyuan, Shanxi 030032, China.

Background: Recent studies have indicated that human nucleus pulposus contain mesenchymal stem cells (NP-MSCs). However, the immunophenotypic variation of NP-MSCs in vitro was unclear. The present study was conducted to address the immunophenotypic variation of mesenchymal stem cells in nucleus pulposus under continuous proliferation in vitro and show the difference between mesenchymal stem cells and nucleus pulposus cell. Read More

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April 2015
7 Reads

Endoscopic transforaminal thoracic foraminotomy and discectomy for the treatment of thoracic disc herniation.

Minim Invasive Surg 2013 18;2013:264105. Epub 2013 Dec 18.

Atlantic Spine Center, 475 Prospect Avenue, Suite 110, West Orange, NJ 07052, USA.

Thoracic disc herniation is a relatively rare yet challenging-to-diagnose condition. Currently there is no universally accepted optimal surgical treatment for symptomatic thoracic disc herniation. Previously reported surgical approaches are often associated with high complication rates. Read More

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http://dx.doi.org/10.1155/2013/264105DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3880763PMC
January 2014
10 Reads

Deuk Laser Disc Repair(®) is a safe and effective treatment for symptomatic cervical disc disease.

Surg Neurol Int 2013 28;4:68. Epub 2013 May 28.

Deuk Spine Foundation, Melbourne, Florida, USA.

Background: Deuk Laser Disc Repair(®) is a new full-endoscopic surgical procedure to repair symptomatic cervical disc disease.

Methods: A prospective cohort of 66 consecutive patients underwent cervical Deuk Laser Disc Repair(®) for one (n = 21) or two adjacent (n = 45) symptomatic levels of cervical disc disease and were evaluated postoperatively for resolution of headache, neck pain, arm pain, and radicular symptoms. All patients were candidates for anterior cervical discectomy and fusion (ACDF) or arthroplasty. Read More

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http://dx.doi.org/10.4103/2152-7806.112610DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3683169PMC
June 2013
20 Reads

Medium-term follow-up findings in imaging manifestation after percutaneous laser disc decompression.

Photomed Laser Surg 2013 Jun;31(6):247-51

Department of Orthopaedics, Beijing Chuiyangliu Hospital, Beijing, China.

Objective: The purpose of this study was to observe the midterm follow-up findings of the change in imaging manifestation after percutaneous laser disc decompression (PLDD), and to evaluate the safety and efficacy of this operation.

Materials And Methods: A retrospective review of the imaging manifestation of the 22 patients with cervical and lumbar vertebra disease who were treated by PLDD was analyzed.

Results: There was no significant difference in the anterior, middle, and posterior height of the intervertebral spaces of pathological discs before and after operation in the last follow-up (p>0. Read More

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http://dx.doi.org/10.1089/pho.2012.3433DOI Listing
June 2013
18 Reads

An updated review of automated percutaneous mechanical lumbar discectomy for the contained herniated lumbar disc.

Pain Physician 2013 Apr;16(2 Suppl):SE151-84

Pain Management Center of Paducah, Paducah, KY, USA.

Background: Lumbar disc prolapse, protrusion, and extrusion are the most common causes of nerve root pain and surgical interventions, and yet they account for less than 5% of all low back problems. The typical rationale for traditional surgery is that it is an effort to provide more rapid relief of pain and disability. It should be noted that the majority of patients do recover with conservative management. Read More

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April 2013
20 Reads
3.542 Impact Factor

An update of the systematic assessment of mechanical lumbar disc decompression with nucleoplasty.

Pain Physician 2013 Apr;16(2 Suppl):SE25-54

Pain Management Center of Paducah, Paducah, KY, USA.

Background: Lumbar disc prolapse, protrusion, and extrusion account for less than 5% of all low back problems, but are the most common causes of nerve root pain and surgical interventions. The primary rationale for any form of surgery for disc prolapse is to relieve nerve root irritation or compression due to herniated disc material. The primary modality of treatment continues to be either open or microdiscectomy, although several alternative techniques are also utilized, including nucleoplasty, automated percutaneous discectomy and laser discectomy. Read More

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April 2013
13 Reads
3.542 Impact Factor

Percutaneous lumbar laser disc decompression: an update of current evidence.

Pain Physician 2013 Apr;16(2 Suppl):SE229-60

Spine Pain Diagnostics Associates, Niagara, WI 54151, USA.

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. Read More

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April 2013
22 Reads

Percutaneous lumbar mechanical disc decompression utilizing Dekompressor®: an update of current evidence.

Pain Physician 2013 Apr;16(2 Suppl):SE1-24

Pain Management Center of Paducah, Paducah, KY, USA.

Background: The primary goal of the surgical treatment of nerve root compression from a disc protrusion continues to be the relief of compression by removing the herniated nuclear material with open discectomy. However, poor results have been reported for contained disc herniations with open surgical interventions. In recent years, a number of minimally invasive nuclear decompression techniques for lumbar disc prolapse, protrusion, and/or herniation have been introduced, including the Dekompressor®. Read More

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April 2013
8 Reads
3.542 Impact Factor

Occurrence of trochlear nerve palsy after epiduroscopic laser discectomy and neural decompression.

Korean J Pain 2013 Apr 3;26(2):199-202. Epub 2013 Apr 3.

Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Daejeon, Korea.

Epiduroscopic laser discectomy and neural decompression (ELND) is known as an effective treatment for intractable lumbar pain and radiating pain which develop after lumbar surgery, as well as for herniation of the intervertebral disk and spinal stenosis. However, various complications occur due to the invasiveness of this procedure and epidural adhesion, and rarely, cranial nerve damage can occur due to increased intracranial pressure. Here, the authors report case in which double vision occurred after epiduroscopic laser discectomy and neural decompression in a patient with failed back surgery syndrome (FBSS). Read More

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http://dx.doi.org/10.3344/kjp.2013.26.2.199DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3629352PMC
April 2013
19 Reads

Efficacy evaluation of percutaneous laser disc decompression in the treatment of lumbar disc herniation.

Photomed Laser Surg 2013 Apr;31(4):174-8

Department of Orthopaedics, Beijing Chuiyangliu Hospital, Beijing, China.

Objective: The purpose of this study was to evaluate the efficacy of percutaneous laser disc decompression (PLDD) in the treatment of lumbar disc herniation (LDH) and identify the relationship between PLDD efficacy and age.

Background Data: Many articles have shown that the short-term clinical outcome of PLDD was fairly good. However, the continuous follow-up results over 3 years of PLDD for LDH treatment are rarely reported, and little is known about the relationship between PLDD efficacy and age. Read More

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http://dx.doi.org/10.1089/pho.2012.3402DOI Listing
April 2013
13 Reads

The survey of the patient received the epiduroscopic laser neural decompression.

Korean J Pain 2013 Jan 4;26(1):27-31. Epub 2013 Jan 4.

Department of Anesthesiology and Pain Medicine, Konyang University Hospital, Daejeon, Korea.

Background: Neuroplasty using a Racz catheter or epiduroscope and percutaneous endoscopic laser discectomy are performed as treatment for chronic refractory low back and/or lower extremity pain, but they are limited in that they cannot completely remove the causing pathology. Lately, epiduroscopic laser neural decompression (ELND) has been receiving attention as an alternative treatment, but there are insufficient reports of results. Hence we aimed to investigate and report the data in our hospital. Read More

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http://dx.doi.org/10.3344/kjp.2013.26.1.27DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3546206PMC
January 2013
16 Reads

Cervical Deuk Laser Disc Repair(®): A novel, full-endoscopic surgical technique for the treatment of symptomatic cervical disc disease.

Surg Neurol Int 2012 27;3:142. Epub 2012 Nov 27.

Deuk Spine Foundation, Deuk Spine Institute, Melbourne, Florida.

Background: Cervical Deuk Laser Disc Repair(®) is a novel full-endoscopic, anterior cervical, trans-discal, motion preserving, laser assisted, nonfusion, outpatient surgical procedure to safely treat symptomatic cervical disc diseases including herniation, spondylosis, stenosis, and annular tears. Here we describe a new endoscopic approach to cervical disc disease that allows direct visualization of the posterior longitudinal ligament, posterior vertebral endplates, annulus, neuroforamina, and herniated disc fragments. All patients treated with Deuk Laser Disc Repair were also candidates for anterior cervical discectomy and fusion (ACDF). Read More

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http://dx.doi.org/10.4103/2152-7806.103884DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3515925PMC
December 2012
6 Reads

Usefulness of carbon dioxide laser for recurrent lumbar disc herniation.

Photomed Laser Surg 2012 Oct 13;30(10):568-72. Epub 2012 Aug 13.

Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea.

Objective: During revision microdiscectomy for recurrent lumbar disc herniation (rLDH), the major concerns are approach-related complications, including dural tear and nerve root injury, because of adhesion scars and granulation tissue along the previous laminotomy site. In revision microdiscectomy of rLDH, carbon dioxide (CO2) laser can enable precise dissection and removal of adhesion scar. The purpose of this study was to evaluate the clinical usefulness of CO2 laser dissection in patients who had undergone revision microdisectomy of rLDH. Read More

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http://dx.doi.org/10.1089/pho.2012.3288DOI Listing
October 2012
2 Reads

Laser-assisted posterior cervical foraminotomy and discectomy for lateral and foraminal cervical disc herniation.

Photomed Laser Surg 2012 Sep 13;30(9):510-5. Epub 2012 Jul 13.

Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea.

Objective: Posterior cervical foraminotomy and discectomy (PCFD) is regarded as an effective treatment option for cervical radiculopathy. However, limited exposure of the disc space is one of its major disadvantages. To address this problem, we used a CO(2) laser for sophisticated decompression. Read More

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http://dx.doi.org/10.1089/pho.2012.3246DOI Listing
September 2012
11 Reads

Treatment of lumbar intervertebral disc herniation using C-arm fluoroscopy guided target percutaneous laser disc decompression.

Photomed Laser Surg 2012 Feb 9;30(2):92-5. Epub 2011 Dec 9.

Department of Anesthesiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.

Objective: To evaluate the safety and therapeutic efficacy of target percutaneous laser disc decompression (T-PLDD) for the treatment of lumbar disc herniation.

Background Data: PLDD using the Nd:YAG laser has been regarded as an effective alternative treatment for disc herniation. However, all the previous studies were concentrated on vaporizing the nucleus pulposus in the intervertebral space. Read More

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http://dx.doi.org/10.1089/pho.2011.3050DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3270046PMC
February 2012
24 Reads

Biomechanical stability of lower cervical spine immediately after discectomy with grafting.

Orthop Surg 2011 May;3(2):113-8

Department of Orthopaedic Surgery, Weihai Municipal Hospital, China.

Objective: Anterior cervical discectomy is commonly used to treat radiculopathy and myelopathy. Although the size of the implanted graft may influence the clinical outcome of anterior reconstruction of the cervical spine, the ideal graft height remains arguable. The objective of the current study was to study the interrelations of graft height and immediate biomechanical stability in an anterior cervical discectomy model. Read More

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http://dx.doi.org/10.1111/j.1757-7861.2011.00132.xDOI Listing
May 2011
11 Reads

Anterior surgery in selective patients with massive ossification of posterior longitudinal ligament of cervical spine: technical note.

Eur Spine J 2012 Feb 31;21(2):314-21. Epub 2011 Aug 31.

Department of Orthopedics, Changzheng Hospital, Second Military Medical University of China, 415 Fengyang Road, Shanghai 200003, China.

Study Design: The study includes case series, technical note and review of literature.

Objective: The objective of this study was to assess the validity of the radiographic indicator and the result of anterior operation for massive ossification of posterior longitudinal ligament (MOPLL, ossification of posterior longitudinal ligament with an occupying ratio exceeding 50%). Anterior decompression yielded a better outcome than posterior approach in patients with MOPLL of cervical spine. Read More

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http://dx.doi.org/10.1007/s00586-011-1996-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3265583PMC
February 2012
3 Reads

Herniated lumbar disc.

BMJ Clin Evid 2011 Jun 28;2011. Epub 2011 Jun 28.

Arthritis Research UK Primary Care Centre, Primary Care Sciences, Keele University, Keele, UK.

Introduction: Herniated lumbar disc is a displacement of disc material (nucleus pulposus or annulus fibrosis) beyond the intervertebral disc space. The highest prevalence is among people aged 30 to 50 years, with a male to female ratio of 2:1. There is little evidence to suggest that drug treatments are effective in treating herniated disc. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3275148PMC
June 2011
23 Reads