Role of Percutaneous Laser Disc Decompression in Patients with Lumbar Disc Herniation on Pain Relief: A Quasi-Experimental Pilot Study

  • Sajjad Saghebdoust 1. Department of Neurosurgery, Razavi Hospital, Mashhad, Iran
  • Seyed Ghavam Shafagh 2. Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran
  • Neda Pak 3. Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  • Reza Fekrazad 4. Radiation Sciences Research Center, Laser Research Center in Medical Sciences, AJA University of Medical Sciences, Tehran, Iran 5. International Network for Photo Medicine and Photo Dynamic Therapy (INPMPDT), Universal Scientific Education and Research Network (USERN), Tehran, Iran
  • Masoud Khadivi 6. Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  • Morteza Faghih Jouibari 6. Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  • Mohammad Reza Boustani 6. Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran 7. Department of Neurosurgery, AJA University of Medical Sciences, Tehran, Iran
Keywords: Lumbar Disc Herniation, Pain, Percutaneous Laser Disc Decompression

Abstract

Background: Disc herniation is broadly defined as a localized or focal displacement of disc material beyond the limits of the intervertebral disc space. The disc material may be the nucleus, cartilage, fragmented apophyseal bone, annular tissue, or any combination thereof. Laser surgery is one of the treatment modalities for treating patients with lumbar disc herniation. This study aims to examine the effect of Percutaneous Laser Disc Decompression (PLDD) in patients with lumbar disc herniation. Materials and Methods: This study was conducted on 58 patients who underwent PLDD (optical fiber inserted through an 18G needle, 8 joules, and 8 watts). Individuals were monitored before and after treatment using the comparing visual analog scale (VAS) pain score (from 0 [no pain] to 10 [severe pain]). Results: The mean age of participants was 63.19±13.48 years. Regarding gender, 24 patients (41.4%) were female. The mean VAS score before surgery was 8.73±1.29, and VAS score after surgery was 55.2±2.71, which means pain was significantly reduced (P<0.001). Conclusion: The patients’ post-PLDD pain may decrease; hence, PLDD can use as an appropriate method for treating lumbar disc herniation. [GMJ.2022;11:e2382]

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Published
2022-03-25
How to Cite
Saghebdoust, S., Shafagh, S. G., Pak, N., Fekrazad, R., Khadivi, M., Faghih Jouibari, M., & Boustani, M. R. (2022). Role of Percutaneous Laser Disc Decompression in Patients with Lumbar Disc Herniation on Pain Relief: A Quasi-Experimental Pilot Study. Galen Medical Journal, 11, e2382. https://doi.org/10.31661/gmj.v11i.2382