Comparison of 500 Microdiscectomies and 500 Percutaneous Laser Disc Decompression Procedures for Lumbar Disc Herniation
MINIMALLY INVASIVE spine techniques have proliferated during the past 10 years. Microdiscectomy, which began nearly 30 years ago, was the first minimally invasive surgical approach for herniated discs. Percutaneous laser disc decompression (PLDD), which began 20 years ago, represents an even less invasive surgical technique for discogenic pain caused by protrusion or herniation of the intervertebral disc. The author, a neurosurgeon, began his experience in the treatment of lumbar herniated discs using microdiscectomy, according to the Caspar technique 15 years ago, and using PLDD, according to the Choy technique, 3 years ago. The neurosurgical point of view regarding disc surgery is that microsurgery continues to be the better treatment for patients for discogenic pain. There is a consensus that microdiscectomy has improved outcome results and, from the beginning, has been of paramount importance in the treatment of disc hernias.
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