Lumbar percutaneous KTP532 wavelength laser disc decompression and disc ablation in the management of discogenic pain

Journal of Clinical Laser Medicine & Surgery
Martin Knight, Ankul Goswami

Abstract

The objective of this research was to determine the outcome of laser disc decompression and laser disc ablation in the management of painful degenerative disc disease with or without associated disc prolapse. Nonendoscopic percutaneous laser disc decompression was performed under x-ray control via the posterolateral approach with side-firing probes. All patients with chronic back pain who had reproduced pain during discography of a nature, pattern, and distribution similar to what they experienced normally were included in the study. Magnetic resonance which confirmed stenosis and sequestrated discs, and patients with acute neurological findings were excluded from the study. Laser disc decompression or ablation was done using the KTP532 wavelength. The functional outcome was assessed prospectively using the Oswestry Disability Index. Clinical benefit was considered significant in those patients with a percentage change in the index of > or =50% at review 3-9 years (mean, 5.33 years) following surgery. A total of 52% of patients demonstrated a sustained significant clinical benefit, with an additional 21% in whom functional improvement was noted. Cohort integrity was 67%. Long-term benefit of the laser disc ablation and decompre...Continue Reading

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Citations

Jan 27, 2005·Photomedicine and Laser Surgery·Daniel S J Choy, Arpad S Fejos
Jun 23, 2010·International Journal of Medical Sciences·Scott M W HaufeRyan A Baker
Sep 3, 2013·Lasers in Medical Science·Longxi RenYanjun Zeng
Dec 10, 2002·Journal of Clinical Laser Medicine & Surgery
Jul 9, 2008·Disability and Rehabilitation·A D J Webborn
Jan 10, 2014·Nigerian Medical Journal : Journal of the Nigeria Medical Association·Ibe Michael Onwuzuruike Nnamdi
Mar 17, 2007·Seminars in Arthritis and Rheumatism·Philippe GoupilleJean-Pierre Valat
May 22, 2004·Physics in Medicine and Biology·William H Nau, Chris J Diederich
Jan 7, 2022·Lasers in Surgery and Medicine·Stefan HellingerKai-Uwe Lewandrowski

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