Bmc Musculoskeletal Disorders Effectiveness of Percutaneous Laser Disc Decompression versus Conventional Open Discectomy in the Treatment of Lumbar Disc Herniation; Design of a Prospective Randomized Controlled Trial

Paper

Bmc Musculoskeletal Disorders Effectiveness of Percutaneous Laser Disc Decompression versus Conventional Open Discectomy in the Treatment of Lumbar Disc Herniation; Design of a Prospective Randomized Controlled Trial

Published 2009 · P. Brouwer, W. Peul, R. Brand

UNKNOWN SJR score

30

Citations

4

Influential Citations

Semantic Scholar

Abstract

Background: The usual surgical treatment of refractory sciatica caused by lumbar disc herniation, is open discectomy. Minimally invasive procedures, including percutaneous therapies under local anesthesia, are increasingly gaining attention. One of these treatments is Percutaneous Laser Disc Decompression (PLDD). This treatment can be carried out in an outpatient setting and swift recovery and return to daily routine are suggested. Thus far, no randomized trial into cost-effectiveness of PLDD versus standard surgical procedure has been performed. We present the design of a randomized controlled trial, studying the cost-effectiveness of PLDD versus conventional open discectomy in patients with sciatica from lumbar disc herniation.

RCT

Study Snapshot

Percutaneous Laser Disc Decompression (PLDD) may be a cost-effective alternative to conventional open discectomy for treating lumbar disc herniation in patients.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

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Paper

Bmc Musculoskeletal Disorders Effectiveness of Percutaneous Laser Disc Decompression versus Conventional Open Discectomy in the Treatment of Lumbar Disc Herniation; Design of a Prospective Randomized Controlled Trial

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References

Physical therapy plus general practitioners’ care versus general practitioners’ care alone for sciatica: a randomised clinical trial with a 12-month follow-up

Adding physical therapy to general practitioners' care is more effective in improving patients' global perceived effect than care alone, but not cost-effective.

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Percutaneous laser disc decompression (PLDD) shows promise as a minimally invasive treatment for lumbar disc herniation, with promising preclinical results.

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Microendoscopic discectomy may be more cost-effective than conventional open discectomy for treating lumbar disc herniation, as it allows early ambulation and quick resumption of daily activities.

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Prolonged conservative treatment may be effective for patients with lumbar disc herniation-induced sciatica, but the optimal timing of intervention remains unclear.

Surgical and Nonsurgical Management of Sciatica Secondary to a Lumbar Disc Herniation: Five-Year Outcomes From the Maine Lumbar Spine Study

Surgical treatment for moderate or severe sciatica patients led to greater improvement and satisfaction over 5 years, but the relative benefit of surgery decreased over time.

Citations

Efficacy of Percutaneous Laser Disc Decompression (PLDD) Combined with an Oral Food Supplement for Lumbar Disc Herniation

Combining percutaneous laser disc decompression with an oral food supplement can effectively reduce leg pain and enhance sensory fiber function in lumbar nerve roots after surgery.

Treatment of protrusion of Lumbar Intervertebral Disc (LID) with percutaneous laser disc decompression - a follow-up study of 108 patients

Percutaneous laser disc decompression is a safe, effective, and minimally invasive treatment for lumbar intervertebral disc protrusion, with stable long-term postoperative efficacy.

The Long-term Effects of Percutaneous Laser Disc Decompression (PLDD) Treatment on Lumbar Disc Protrusion: A 2-Year Follow-up.

Percutaneous laser disc decompression (PLDD) is a low-invasive, safe, and effective treatment for chronic low back pain caused by disc protrusions, with significant improvements in pain and functional disability after two years.

Outcomes with transforaminal endoscopic versus percutaneous laser decompression for contained lumbar herniated disc: a survival analysis of treatment benefit.

Transforaminal endoscopic decompression is an effective and durable surgical treatment for alleviating sciatica-type and back symptoms in the majority of patients with good long-term outcomes.

Improvement in determining the risk of damage to the human lumbar functional spinal unit considering age, height, weight and sex using a combination of FEM and RSM

The proposed method improves determining the risk of damage to the human lumbar functional spinal unit by considering age, height, weight, and sex, and identifies a healthy weight range.

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

Percutaneous laser disc decompression (PLDD) effectively reduces pain and disability in patients with lumbar disc herniation, offering a noninvasive treatment option.

Comparison of percutaneous intradiscal ozone injection with laser disc decompression in discogenic low back pain

Intradiscal ozone injection is an effective and cost-effective alternative to laser disc decompression for treating discogenic low back pain.

Percutaneous laser disc decompression versus microdiscectomy for sciatica: Cost utility analysis alongside a randomized controlled trial

Percutaneous laser disc decompression (PLDD) for lumbar disc herniation significantly lowers healthcare costs and appears economically neutral from a societal perspective.