Application of a modified optical fiber in targeted percutaneous laser disc decompression of lumbar disc herniation: A retrospective study

Meng,Chao; Li,Yujun; Wang,Shijie; Yu,Junmin; Kou,Dewei; Liu,Chuansheng

doi:10.3892/etm.2019.7983

November-2019 Volume 18 Issue 5

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November-2019 Volume 18 Issue 5

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Article Open Access

Application of a modified optical fiber in targeted percutaneous laser disc decompression of lumbar disc herniation: A retrospective study

Authors:
- Chao Meng
- Yujun Li
- Shijie Wang
- Junmin Yu
- Dewei Kou
- Chuansheng Liu
View Affiliations / Copyright

Affiliations: Department of Pain Management, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266000, P.R. China, Department of Pathology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266000, P.R. China

Copyright: © Meng et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 3552-3562
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Published online on: September 6, 2019

https://doi.org/10.3892/etm.2019.7983
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Abstract

Targeted percutaneous laser disc decompression (T‑PLDD) is a minimally invasive technique for the treatment of lumbar disc herniation (LDH). However, the amount of energy required is large and the nerve can be easily damaged. Therefore, this technology requires improvement. The present study aimed to observe the effects of using a modified optical fiber (Mod) in T‑PLDD for the treatment of LDH. A retrospective study was conducted using the database of the Affiliated Hospital of Qingdao University (Qingdao, China). In total, 58 patients who received T‑PLDD with the Mod between June 2011 and May 2012 were included in the present study. The 10‑point numeric rating score, pain rating index and good‑to‑excellent rating at 3 months (1.64±0.97; 5.79±1.57; 94.8%) were lower than those at 1 week (5.12±1.37; 11.52±1.85; 74.2%), and at 1 month (3.26±1.41; 7.83±1.31; 82.8%; P<0.05) and were maintained for up to 36 months (1.48±0.86; 4.91±1.43; 96.5%). The Oswestry disability index and 12‑item Short Form Health Survey at 6 months (24.56±6.78; 69.40±5.08) were improved compared with 1 week, 1 month and 3 months, and were maintained for 36 months (23.10±6.20; 70.89±5.39). The T2 value decreased at 1 week (76±8) and returned to normal at 3 months (152±11). Additionally, patients in the Young group (<50 years old) recovered in a shorter period of time than the patients in the Elderly group. In conclusion, the patients stayed in hospital for 3.34±0.66 days; pain decreased and function increased optimally at 3‑6 months and was maintained for 36 months with no serious complications. Individuals <50 years old may be more suitable candidates for T‑PLDD with the Mod. The Mod should be applied and promoted in T‑PLDD, and its use should be considered in the clinical setting.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Application of a modified optical fiber in targeted percutaneous laser disc decompression of lumbar disc herniation: A retrospective study

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