Abstract
Neodynium:YAG (Nd:YAG) PLDD was first introduced by Ascher in 1986 and has become an accepted minimally invasive procedure for prolapsed disc protrusions, subject to strict inclusion criteria (Ascher and Choy 1986). Since then, many clinical results have been published (Ascher 1991; Choy et al. 1992; Siebert et al. 1996). The reported early success rate is between 70–80% and it therefore lies within the same range as other minimally invasive disc-treating procedures (e.g., Choy 1991; Davis et al. 1994; Hellinger 1994; Siebert 1996). In 7–20% of PLDD-treated cases, open discectomy is required (Choy 1991; Leu et al. 1994; Siebert et al. 1996).
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References
Ascher DW, Holzer P, Sutter B, Tritthart H (1991) Nucleuspulposus Denaturierung bei Bandscheibenprotrusionen. In: Siebert WE, Wirth CJ (eds) Laser in der Orthopädie. Thieme, Stuttgart pp 169–172
Bonati AO (1991) Arthroscopic lumbar laser discectomy. In: Abstracts of the 1st international symposium on lasers in orthopaedic surgery, San Francisco pp 4–5
Buchelt M, Kitschera HP, Katterschafka T, Kiss H, Schneider R, Ullrich R (1992) Erb:YAG and Hoi:YAG laser ablation of meniscus and intervertebral disc. Lasers Surg Med 12: 375–381
Choy DSJ, Case RB, Ascher P (1987) Percutaneous laser ablation of lumbar discs. In: 33rd anual meeting of the orthopaedic research society 1:19
Choy DSJ, Ascher PW, Saddekui S, Alkaitis D, Liebler W, Hughes J, Diwan S, Altmann P (1992) Percutaneous laser disc decompression. Spine 12:949–956
Choy DSJ, Michelsen J, Getrajdman G, Diwan S. (1992) Percutaneous laser disc decompression. An update-Spring 1992. J Clin Laser Med Surg 177–184
Choy DSJ (1991) Percutaneous laser disc decompression (PLDD). In: Abstracts of the 1st international sympsium on lasers in orthopaedic surgery. San Francisco pp 24
Davis JK (1994) Laser-assisted percutaneus lumbar discectomy. Laserscope, San Jose
Gropper GR, Robertson JH, McClellan G (1984) Comparative histological and radiographic effects of C02 laser versus standard surgical anterior cervical discectomy in the dog. Neurosurgery 14:42–47
Leu HJ, Imhoff A, Schrieber A (1994) Perkutane Nukleotomie mit Diskoskopie. Erste Erfahrungen mit der Excimer-Photoablation. In: Siebert WE, Wirth CJ (eds) Laser in der Orthopädie. Thieme, Stuttgart pp 163–167
Hellinger J (1994) Nonendoscopic percutaneous 1064-Nd:YAH laser decompression: mechanism, technique and experience. In: Abstracts of the 3rd symposium on laserassisted endoscopic intervention in orthopaedics, Orthopaedic University Clinic Balgrist, Zurich, 1
Qi Q, Dang GD, Cai QL (1994) Laser ablation of intervertebral disc: animal experiment. Chung Hua Wai Ka Chin. 32:187–189
Scott JE, Boswoth TR, Cribb AM (1994) The chemical morphology of age-related changes in human intervetebral disc glycosaminoglycans from cervical thoracal and lumbar nucleus pulposus and annulus fibrosus. J Anat 184:73–82
Siebert WE, Ksinsik B, Wirth CJ (1991) In-vitro-Untersuchungen zur thermischen Belastung der Bandscheibe bei der Laserablation. In: Siebert WE, Wirth J (eds) Laser in der Orthopädie. Thieme, Stuttgart, pp 150–153
Siebert WE, Berendsen BT, Tollgard J (1996) Die perkutane Laserdiskusdekompression (PLDD). Orthopäde 25:42–48
Turgut M, Ozcan OE, Sungur A, Sargin H (1996) Effect of Nd:YAG laser on experimental disc degeneration. Acta Neurochir 138:1355–1361
Yonezawa T, Onomura T, Kosaka R (1990) The system and procedures of percutaneous intradiscal laser nucleotomy. Spine 15:1175–1185
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Mahlfeld, K., Kayser, R., Radig, K., Mahlfeld, U., Greinert, JU., Grasshoff, H. (2001). Open Lumbar Discectomy After Percutaneous Laser Disc Decompression (PLDD): Clinical and Histological Results. In: Gerber, B.E., Knight, M.T.N., Siebert, W.E. (eds) Lasers in the Musculoskeletal System. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56420-8_33
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DOI: https://doi.org/10.1007/978-3-642-56420-8_33
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