Sure, these other kinds of surgeries can be made according to the state of the art because pldd uses only a tiny needle without cutting skin, without dissection of muscles from bone, without removing, even if in a small amount, of bone from the vertebral laminas and without removing legaments. The pldd aim is only to vaporize 20 – 30 milligrams of nucleus pulposus . Often it is not true the contrary : patients that have had unsuccessful surgical treatment (you can read the most important publications regarding the wide scientific chapter called “failed back surgery syndrome”) with the other techniques (traditional o r endoscopic surgery) cannot always fit pldd.