Advertisement

Mid-term efficacy of percutaneous laser disc decompression for treatment of cervical vertigo

  • Longxi Ren
  • Baofeng Guo
  • Jianhua Zhang
  • Zhengfeng Han
  • Tongtong Zhang
  • Qiutie Bai
  • Yanjun ZengEmail author
Original Article

Abstract

Objective

To observe and analyze the mid-term efficacy of percutaneous laser disc decompression (PLDD) for the treatment of cervical vertigo.

Methods

Thirty-five patients with cervical vertigo were admitted from September 2002 to December 2006, including 14 males and 21 females, aged between 35 and 79 years with an average of 59.1 years. All patients were treated with PLDD by the Nd:YAG laser therapy (wavelength: 1,064 nm) and were followed up. The improvement of vertigo and associated symptoms was evaluated by numerical rating scale (NRS) assessment, while fineness rate and efficient rate were evaluated using modified MacNab assessment criteria.

Results

No intraoperative and postoperative complication was reported. The patients were followed up for 24–66 months. At the end of the follow-up, the average NRS scores of the dizziness and complications are significantly smaller. The overall efficacy was evaluated based on modified MacNab criteria: excellent, 18 cases; good, 7 cases; acceptable, 5 cases; and poor, 5 cases. No statistical difference existed between age groups (P > 0.05) and also between gender groups (P > 0.05).

Conclusion

PLDD treatment of cervical vertigo trauma has many advantages, such as minimal trauma, high safety, and satisfactory mid-term efficacy with no significant difference in clinical efficacy between different age and gender groups.

Keywords

Percutaneous laser disc decompression (PLDD)  Cervical vertigo  Mid-term efficacy 

Notes

Conflict of interest

There is no conflict of interest among the authors of this study and no objection to the selection and order of the authors.

References

  1. 1.
    Hafez MI, Zhou S, Coombs RR et al (2001) The effect of irrigation on peak temperatures in nerve root, dura and intervertebral disc during laser-assisted foraminoplasty. Laser Surg Med 29:33–37CrossRefGoogle Scholar
  2. 2.
    Choy DS (1995) Techniques of percutaneous laser disc decompression with the Nd:YAG laser. J Clin Laser Med Surg 13:187–193PubMedGoogle Scholar
  3. 3.
    Zhang J, Song B, Shang B (2007) Treatment of 21 cases of cervical vertigo by percutaneous laser disc decompression. Shandong Med J 47:35–36Google Scholar
  4. 4.
    Machaly SA, Senna MK, Sadek AG (2011) Vertigo is associated with advanced degenerative changes in patients with cervical spondylosis. Clin Rheumatol 30(12):1527–1534PubMedCrossRefGoogle Scholar
  5. 5.
    Yacovino DA (2012) Cervical vertigo: myths, facts, and scientific evidence. Neurologia 13(12):211–213Google Scholar
  6. 6.
    Kahrstrom J, Hardebo JE, Owman C et al (1996) Neonatal chronic sympathectomy in normotensive rats affects pial arteries: enhanced stiffness and reduced capacity to dilate. Acta Physiol Scand 157:217–224PubMedCrossRefGoogle Scholar
  7. 7.
    Choy DS (1998) Percutaneous laser disc decompression (PLDD): twelve years’ experience with 752 procedures in 518 patients. J Clin Laser Med Surg 16:325–331PubMedGoogle Scholar
  8. 8.
    Choy DS, Altman P (1995) Fall of intradiscal pressure with laser ablation. J Clin Laser Med Surg 13:149–151PubMedGoogle Scholar
  9. 9.
    Iwatsuki K, Yoshimine T, Sasaki M et al (2005) The effect of laser irradiation for nucleus pulposus: an experimental study. Neurol Res 27:319–323PubMedCrossRefGoogle Scholar
  10. 10.
    Hellinger J, Linke R, Heller H (2001) A biophysical explanation for Nd:YAG percutaneous laser disc decompression success. J Clin Laser Med Surg 19:235–238PubMedCrossRefGoogle Scholar
  11. 11.
    Yonezana T, Onomura T, Kossaka R et al (1990) The system and procedure of percutaneous intradiscal laser nucleotomy. Spine 15:1175–1185CrossRefGoogle Scholar

Copyright information

© Springer-Verlag France 2013

Authors and Affiliations

  • Longxi Ren
    • 1
  • Baofeng Guo
    • 1
  • Jianhua Zhang
    • 2
  • Zhengfeng Han
    • 1
  • Tongtong Zhang
    • 1
  • Qiutie Bai
    • 1
  • Yanjun Zeng
    • 3
    Email author
  1. 1.Department of OrthopaedicsBeijing Chuiyangliu HospitalBeijingPeople’s Republic of China
  2. 2.Department of AutomationEast China University of Science and TechnologyShanghaiPeople’s Republic of China
  3. 3.Biomedical Engineering CenterBeijing University of TechnologyBeijingPeople’s Republic of China

Personalised recommendations