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Journals & Clinical Evidence

Percutaneous laser disc decompression versus conventional microdiscectomy for patients with sciatica: Two-year results of a randomised controlled trial

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1 publication

Procedure evidence2017 · Brouwer PA et al.

PLDD vs microdiscectomy: two-year evaluation

Percutaneous laser disc decompression versus conventional microdiscectomy for patients with sciatica: Two-year results of a randomised controlled trial
Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences

Multicentre randomised trial · Surgical candidates with contained disc herniation

Findings: A PLDD strategy with surgery when needed had non-inferior two-year outcomes compared with a microdiscectomy strategy. 48% of the PLDD group avoided surgery.

Points to consider: Reintervention was higher after PLDD: 52% versus 21%. Results apply to selected patients with herniation occupying less than one-third of the spinal canal.

Device & relevance: PLDD procedure research; a match to current biolitec device models has not been verified.

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DOI: 10.1177/1591019917699981