From the Research
Percutaneous Laser Disc Decompression (PLDD) is typically performed by interventional radiologists, neurosurgeons, or orthopedic spine surgeons who have specialized training in minimally invasive spine procedures. These specialists must have expertise in both spinal anatomy and the technical aspects of laser application. The procedure requires precise needle placement under imaging guidance (usually fluoroscopy or CT) to ensure the laser energy is delivered accurately to the herniated disc without damaging surrounding neural structures.
Key Points to Consider
- Physicians performing PLDD should have completed specific training in this technique beyond their standard medical specialty training 1.
- The procedure is generally performed in an outpatient setting under local anesthesia with mild sedation, allowing for same-day discharge.
- Due to the specialized nature of the equipment and the technical skill required, PLDD is usually available only at larger medical centers or specialized spine clinics where practitioners maintain sufficient case volume to ensure proficiency.
Recent Evidence
A recent study published in 2023 found that ultrasound-guided PLDD with fluoroscopic validation is a minimally invasive technique for patients affected by herniated cervical discs, but proper choice of patients is critical 1.
Training and Expertise
It is essential to note that this approach should not be performed except after adequate training under close supervision of surgeons experienced in this procedure and in interventional US 1.
Morbidity, Mortality, and Quality of Life
The goal of PLDD is to reduce pain and disability in patients with lumbar disc herniation, and recent studies have shown that it can be an effective treatment option 2, 1.