Twenty-three years of percutaneous laser disc decompression (PLDD) - State of the art and future prospects

被引：0

作者：

Choy, Daniel S.J. ^{[1
]}

Tassi, Gian Paolo ^{[2
]}

Hellinger, Johannes ^{[3
]}

Hellinger, Stefan ^{[3
]}

Lee, Sang-Ho ^{[4
]}

机构：

[1] Laser Spine Center, Columbia University, New York, NY 10075

[2] Casa Di Cura Villa Anna, 63013 San Benedetto del Tronto (AP)

[3] Isar Klinik, 80333 Munich

[4] Wooridul Spine Hospital, Seoul, 135-100, 47-4 Chungdam-dong, Gangnam-Gu

来源：

Medical Laser Application | 2009年 / 24卷 / 03期

关键词：

Decompression; Disc; Herniation; Laser; Percutaneous; Sciatica;

D O I：

10.1016/j.mla.2009.05.006

中图分类号：

学科分类号：

摘要：

In mid-February 1986, Peter Ascher and Daniel Choy performed the first percutaneous laser disc decompression (PLDD) at the Neurosurgical Department, University of Graz, Graz, Austria. It was planned to deliver 1000 J with a Nd:YAG laser to a herniated L4-L5 disc causing sciatica. At 600 J the procedure was terminated because the pain was gone. Since then, PLDD has spread all over the world, with procedures being performed throughout the entire spine, with exception of T1-T4 because these discs do not permit percutaneous access with a needle. The success rate has ranged from 70% to 89%, and the complication rate, chiefly discitis, from 0.3% to 1.0%. When successful, the return to normal work is on average 1 week. The long-term follow-up of 23 years has yielded a recurrence rate of 5%. © 2009 Elsevier GmbH. All rights reserved.

引用

页码：147 / 157

页数：10

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