290 results match your criteria Laser Discectomy


Laser Therapy in Lumbar Disc Surgery - A Narrative Review.

J Lasers Med Sci 2020 3;11(4):390-394. Epub 2020 Oct 3.

MD-MPH, Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Low back pain is one of the most chronic debilitating conditions involving considerable loss of cash, work, and quality time. Lasers are utilized in different fields of drugs, providing unique advantages. They are useful and advantageous in treating lumbar disc disease. Read More

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October 2020

Evaluation of the Efficacy of Epiduroscopic Laser Neural Discectomy in Lumbar Disc Herniations: Retrospective Analysis of 163 Cases- Evaluation of the Efficacy of ELNP.

Pain Res Manag 2020 29;2020:7361691. Epub 2020 Oct 29.

Department of Anesthesiology and Pain Medicine, Sakarya University Training and Research Hospital, Serdivan, Sakarya, Turkey.

Background: Epiduroscopy, or spinal endoscopy, is the visualisation of the epidural space using a percutaneous and minimally invasive imaging fiberoptic device. Recently, as a result of some studies, it has been reported that laser therapy with epiduroscopic laser neural discectomy (ELND) was applied during multiple lesions.

Methods: In this study, ELND performed between January 2012 and July 2016 at the Algology Clinic of the Department of Anesthesiology and Reanimation, Sakarya University Training and Research Hospital, was examined retrospectively. Read More

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Long-term clinical and radiological follow-up after anterior endoscopic cervical discectomy: a case report.

AME Case Rep 2020 30;4:31. Epub 2020 Oct 30.

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

Anterior endoscopic cervical discectomy (AECD) using laser and micro forceps for cervical intervertebral disc herniation has been considered as an effective treatment modality in selected cases. However, several spine surgeons are concerned about the adverse outcomes of discectomy without fusion, such as postoperative instability, disc space narrowing, and segmental kyphosis. We report two cases of AECD that was performed 19 and 21 years ago. Read More

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October 2020

Stand-Alone Anterior Cervical Discectomy and Fusion Using an Additive Manufactured Individualized Bioactive Porous Titanium Implant without Bone Graft: Results of a Prospective Clinical Trial.

Asian Spine J 2020 Sep 22. Epub 2020 Sep 22.

Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

The purpose of this study was to introduce our patient-specific bioactive porous titanium implant manufactured using selective laser melting (SLM) and to establish the efficacy and safety of the implant for stand-alone anterior cervical discectomy and fusion (ACDF) based on a prospective clinical trial. We designed a customized ACDF implant using patient-specific data and manufactured the implant using SLM. We produced a bioactive surface through a specific chemical and thermal treatment. Read More

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September 2020

A Historical Review of Endoscopic Spinal Discectomy.

Authors:
Yong Ahn

World Neurosurg 2021 01 8;145:591-596. Epub 2020 Aug 8.

Department of Neurosurgery, Gil Medical Center, Gachon University College of Medicine, Incheon, South Korea. Electronic address:

As an essential component of minimally invasive spine surgery, endoscopic spine surgery (ESS) has continuously evolved and has been accepted as a practical procedure by the worldwide spine community. Especially for lumbar disc herniation (LDH), the percutaneous endoscopic or full-endoscopic discectomy technique has been scientifically proven through randomized controlled trials and meta-analyses to be a good alternative to open discectomy. The initial concept of endoscopic spine discectomy was concerned with indirect disc decompression using various instruments such as blind forceps, a nucleotome, laser, radiofrequency coblation, and some chemical agents. Read More

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January 2021

A comparison of experimental compressive axial loading testing with a numerical simulation of topologically optimized cervical implants made by selective laser melting.

J Biotechnol 2020 Oct 13;322:33-42. Epub 2020 Jul 13.

Department of Pneumology and Phthisiology, Louis Pasteur University Hospital, Košice, Slovakia. Electronic address:

In recent years, the number of cervical interventions has increased. The stress shielding effect is a serious complication in cervical spine interventions. Topological optimization is based on finite element method structural analysis and numerical simulations. Read More

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October 2020

Modified Full-Endoscopic Interlaminar Discectomy via an Inferior Endplate Approach for Lumbar Disc Herniation: Retrospective 3-Year Results from 321 Patients.

World Neurosurg 2020 09 31;141:e537-e544. Epub 2020 May 31.

Department of Spine Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China. Electronic address:

Background: Percutaneous endoscopic interlaminar discectomy (PEID) is a widely used minimally invasive procedure that shows satisfying outcomes for the treatment of L5-S1 and even L4-5 disc herniation. PEID can be divided into direct and indirect approaches according to the established method of the working channel. The direct approach mainly uses the puncture needle directly through the intervertebral space into the intervertebral disc under indirect vision and insertion of the guidewire into the puncture needle to guide the dilator and into the working channel to retract the ligamentum flavum, dural sac, and nerve roots. Read More

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September 2020

Complication rates of different discectomy techniques for symptomatic lumbar disc herniation: a systematic review and meta-analysis.

Eur Spine J 2020 07 9;29(7):1752-1770. Epub 2020 Apr 9.

Spine Labs, Level 3, WR Pitney Building, St. George and Sutherland Clinical School, University of New South Wales, Kogarah, NSW, 2217, Australia.

Purpose: This meta-analysis aims to compare the complication rates of discectomy/microdiscectomy (OD/MD), microendoscopic discectomy (MED), percutaneous endoscopic lumbar discectomy (PELD), percutaneous laser disc decompression (PLDD), and tubular discectomy for symptomatic lumbar disc herniation (LDH) using general classification and modified Clavien-Dindo classification (MCDC) schemes.

Methods: We searched three online databases for randomized controlled trials (RCTs) and cohort studies. Overall complication rates and complication rates per the above-mentioned classification schemes were considered as primary outcomes. Read More

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The Effects of the Amount of Fluid Used in Epiduroscopic Laser Neural Discectomy Procedures on Intraocular Pressure and an Evaluation of the Ocular Findings.

Pain Med 2020 11;21(7):1357-1361

Ophthalmology, Sakarya University Training and Research Hospital, Sakarya, Republic of Turkey.

Introduction: During epiduroscopic laser neural discectomy (ELNP) procedures, the amount of fluid used in the epidural area may cause increased intracranial pressure. This study aimed to investigate the effect of increased epidural pressure on intraocular pressure and other ocular findings due to the amount of fluid delivered to the epidural area and the rate of delivery of the fluid.

Material And Methods: After obtaining approval from the Ethics Committee of Sakarya University Faculty of Medicine, patients who underwent ELNP in the Department of Anesthesiology and Reanimation Department, Algology Clinic, between January 2017 and May 2017 were included in this retrospective study. Read More

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November 2020

Effectiveness of intradiscal injection of radiopaque gelified ethanol (DiscoGel) percutaneous laser disc decompression in patients with chronic radicular low back pain.

Korean J Pain 2020 Jan;33(1):66-72

Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: Low back pain secondary to discopathy is a common pain disorder. Multiple minimally invasive therapeutic modalities have been proposed; however, to date no study has compared percutaneous laser disc decompression (PLDD) with intradiscal injection of radiopaque gelified ethanol (DiscoGel). We are introducing the first study on patient-reported outcomes of DiscoGel PLDD for radiculopathy. Read More

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January 2020

Modified Full-Endoscopic Interlaminar Discectomy via an Inferior Endplate Approach for Lumbar Disc Herniation: Retrospective 3-Year Results from 321 Patients.

World Neurosurg 2019 Oct 16. Epub 2019 Oct 16.

Department of Orthopedics, the Third Hospital of Xiamen, Xiamen, China; and. Electronic address:

Background: Percutaneous endoscopic interlaminar discectomy (PEID) is widely used as a minimally invasive procedure that shows satisfying outcomes for the treatment of L5/S1 and even L4/5 disc herniation. PEID can be divided into direct and indirect approaches according to the established method of the working channel. The direct approach mainly utilizes the puncture needle directly through the intervertebral space into the intervertebral disc under non-direct vision and insertion of the guidewire into the puncture needle to guide the dilator and working channel to retract the ligamentum flavum, dural sac and nerve roots. Read More

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October 2019

Complication rates of different discectomy techniques for the treatment of lumbar disc herniation: a network meta-analysis.

Eur Spine J 2019 11 16;28(11):2588-2601. Epub 2019 Sep 16.

Spine Labs, Department of Orthopaedic Surgery, St. George and Sutherland Clinical School, University of New South Wales, Level 3, WR Pitney Building, Kogarah, NSW, 2217, Australia.

Purpose: The aim of this network meta-analysis (NMA) was to compare the complication rates of discectomy/microdiscectomy, percutaneous laser disc decompression (PLDD), percutaneous endoscopic lumbar discectomy (PELD), microendoscopic discectomy (MED), and tubular discectomy for symptomatic lumbar disc herniation (LDH).

Methods: We searched three online databases for randomized controlled trials (RCTs). Overall complication rates, complication rates per general and modified Clavien-Dindo classification schemes, and reoperation rates were considered as primary outcomes. Read More

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November 2019

Current Concepts in Intradiscal Percutaneous Minimally Invasive Procedures for Chronic Low Back Pain.

Asian J Neurosurg 2019 Jul-Sep;14(3):657-669

Department of Orthopaedic Surgery, University Hospital of Ioannina, Ioannina, Greece.

Study Design: A systemic review of thermal annular procedures (TAPs) and percutaneous disk decompression procedures (PDDPs) for the treatment of discogenic chronic low back pain (CLBP) was conducted.

Objective: The objective of this review is to evaluate and to compare the effectiveness of TAPs and PDDPs in treating discogenic CLBP and to assess the frequency of complications associated with those procedures.

Materials And Methods: English-language journal articles were identified through computerized searches of the PubMed database and bibliographies of identified articles and review papers. Read More

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September 2019

Percutaneous Intervertebral Disc Coagulation Therapy (PDCT) by Plasma Light: Preliminary Data from the First Experience in Europe.

Cardiovasc Intervent Radiol 2020 Jan 13;43(1):94-102. Epub 2019 Aug 13.

Dipartimento di Scienze Neurologiche e Motorie, UOC Neuroimmagini e Neurointerventistica, Azienda Ospedaliera Universitaria Senese, Viale Bracci 16, 53100, Siena, Italy.

Purpose: To retrospectively assess safety and potential effectiveness of percutaneous intervertebral disc coagulation therapy (PDCT) using plasma thermal reaction for the treatment of lumbar and cervical disc hernias resistant to medical therapy.

Materials And Methods: Forty-four patients (age range 18-87 years, mean 52.7) with contained and extruded symptomatic lumbar (N = 48) and cervical (N = 6) disc hernias in the absence of free fragments causing radiculopathy without improvement after 6-week conservative therapy were enrolled. Read More

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January 2020

The Effect of Percutaneous Laser Disc Decompression on Reducing Pain and Disability in Patients With Lumbar Disc Herniation.

J Lasers Med Sci 2019 15;10(1):29-32. Epub 2018 Dec 15.

Laser Application in Medical Sciences Research Center (LAMSRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

As low back pain incidence is increasing, noninvasive modalities are gaining attention for their ability to achieve the best possible outcome with the least complications. Percutaneous laser disc decompression (PLDD) is currently popular for this purpose. This study aims to evaluate the effect of PLDD on disability and pain reduction in patients with lumbar disc herniation. Read More

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December 2018

Effects of Ho:YAG Laser Ablation on Postoperative Low Back Pain and Functional Status After Transforaminal Endoscopic Lumbar Discectomy: Minimum of 2-Year Follow-Up.

World Neurosurg 2019 Jul 3;127:e793-e798. Epub 2019 Apr 3.

Department of Spine Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

Objective: To evaluate effects of holmium:yttrium-aluminum-garnet (Ho:YAG) laser ablation on postoperative low back pain and improving functional status in patients with lumbar disc herniation undergoing transforaminal endoscopic lumbar discectomy (TELD).

Methods: The study enrolled 220 patients with lumbar disc herniation who underwent TELD or TELD with Ho:YAG laser from August 2015 to September 2016. Parameters including operative time, hospitalization, complications, and recurrence were recorded. Read More

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Abandoned techniques in spine surgery.

Neurocirugia (Astur : Engl Ed) 2020 Jan - Feb;31(1):37-41. Epub 2019 Feb 18.

Servicio de Neurocirugía, Hospital Universitario de Burgos, Burgos, España.

In spine surgery, certain surgical techniques and devices are currently in marked decline or have been completely abandoned. Although used in thousands of patients, such treatments failed to demonstrate durable and sound effectiveness, and sometimes associate inacceptable morbidity. Chemopapain injections, percutaneous discectomy, laser discectomy or antiadhesion gels are examples of abandoned therapies. Read More

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Percutaneous plasma laser disc coagulation and navigable ablation decompression in the treatment of cervical disc herniation: a single center experience

Turk J Med Sci 2019 Feb 11;49(1):258-264. Epub 2019 Feb 11.

Background/aim: We aimed to compare the effectivity of percutaneous disc coagulation therapy (PDCT) and navigable ablation decompression treatment (L-DISQ) in patients who were diagnosed with cervical disc herniation.

Materials And Methods: Visual analog scale (VAS) and Neck Pain Index (NPI) scores were recorded initially and at the 1st, 3rd, 6th, and 12th months after the procedures. Patient Satisfaction Scale (PSS) scores were recorded 12 months after the procedures

Results: Mean VAS scores were 7. Read More

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February 2019

Lasers in Spine Surgery.

J Am Acad Orthop Surg 2019 Sep;27(17):621-632

From the Department of Orthopedic Surgery, Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, PA.

Laser spine surgery has been a focus of intense interest in the lay press and among patients. On the Internet, a host of purported benefits to laser surgery exists. Lasers have long been used in pain management procedures such as percutaneous diskectomy. Read More

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September 2019

[Analysis of the effectiveness of Dexmedetomidine in the treatment of degenerative diseases of the lumbar spine with minimally invasive puncture techniques in elderly patients.]

Adv Gerontol 2018;31(3):408-415

Railway Clinical Hospital on the station of Irkutsk-Passazhirkii, Neurosurgical Center, 10, Botkina str., Irkutsk, 664005, Russian Federation.

The aim of the study was a comparative analysis of the effectiveness of the use of Dexmedetomidine and Propofol in the treatment of degenerative diseases of the lumbar spine with minimally invasive puncture techniques in elderly patients. The study included 83 elderly patients (over 60 years old) who underwent laser denervation of facet joints (n=44) and posterolateral transforaminal endoscopic discectomy (n=39): in the first group, Dexmedetomidine (n=32), in the second group - Propofol (n=51). For the comparative analysis, gender characteristics (gender, age), constitutional features (height, weight, body mass index), the degree of physical status by ASA, the intensity of the pain syndrome before surgery, the duration of the operation, the degree of patient satisfaction with the Macnab surgery, the complications. Read More

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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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October 2018

Laser-Assisted Microdiscectomy for Far Lateral Lumbar Disc Herniation at the L5-S1 Level.

Photomed Laser Surg 2018 Oct 21;36(10):555-561. Epub 2018 Sep 21.

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

Objective: Laser-assisted paraspinal microdiscectomy for far lateral lumbar disc herniation (LDH) enables direct access to the foraminal or far lateral zone with minimal tissue injury and preserves facet joints, thereby preventing postoperative segmental instability. We demonstrated the clinical outcomes of this technique and discussed the pros and cons of laser use in lumbar disc surgery.

Background: The microdiscectomy technique for L5-S1 far lateral zone may be difficult due to the limited surgical field with narrowed disc space, hypertrophied facet, and sacral ala. Read More

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October 2018

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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October 2018

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

J Spinal Cord Med 2020 01 28;43(1):46-52. Epub 2018 Feb 28.

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

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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January 2020

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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The design and application of a customized navigation board for lumbar disc ablation.

Comput Assist Surg (Abingdon) 2017 12 31;22(sup1):305-311. Epub 2017 Oct 31.

c Medical School of Nantong University , Nantong , Jiangsu Province , China.

Purpose: This paper aimed to explore the design and application of a customized navigation board for lumbar disc ablation.

Methods: Eight cases of lumbar disc herniation (diagnosed by spiral computerized tomography, CT) to be treated via intervertebral ablation using a path from the skin to the herniated intervertebral disc were included. The lumbar vertebrae, sacrum, and skin (adhered to a standard base, Figure 1) were reconstructed based on continuous spiral CT slices. Read More

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December 2017

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

Transforaminal Epiduroscopic Laser Ablation of Sinuvertebral Nerve in Patients with Chronic Diskogenic Back Pain: Technical Note and Preliminary Result.

J Neurol Surg A Cent Eur Neurosurg 2017 Nov 4;78(6):529-534. Epub 2017 Sep 4.

Department of Neurosurgery, Nanoori Hospital, Gangnam-gu, Seoul, Republic of Korea.

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November 2017