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PLDD procedures are performed under local anaesthesia. An optical fibre is inserted into a working cannula under fluoroscopic guidance. Using fluoroscopy alongside a contrast medium, the cannulas position and the condition of the disc bulge can be confirmed. The laser will then initiate decompression and lower intradiscal pressure.
A posterior-lateral approach with no interference to the vertebral canal, PLDD minimises the possibility of damaging the dural sac when operating on higher segments or spinal roots. It is important to note this is a reparative treatment and will not reinforce the annulus fibrosus. Using the laser to perform disc decompression results in a small amount of the nucleus pulposus evaporating; meaning there is a minimal decrease in the volume of the disc, however disc pressure can be significantly reduced.
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- Day case procedure
- No general anaesthesia
- No arthrodesis (fusion)
- Minimally invasive
- Excellent patient outcomes
- Minimal recovery time
- Minimal scar tissue formation
Software:
- 4 specialised modes to choose from
- The ability to create and save bespoke programs
- Multiple safety features including a warning signal
- in case of optical fibre disconnection
- Full application of the 12W power range available at the optical fibre tip
- Intuitive touch screen panel with black or white interface
- Degenerative disc disease
- Bulging disc
- Pinched nerve (nerve root compression)
- Sciatica
Indications for laser nucleoplasties include disc bulges without ruptures in the annulus fibrosus and disc space collapse. The best results are obtained when the disc bulge is no bigger than 6 mm.
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