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Notes:
Volume 6, Issue 4 (Suppl) J Spine, an open access journal
ISSN: 2165-7939
Page 31
July 24-26, 2017 Rome, Italy
& Spine and Spinal Disorders
2nd International Conference on
Neurology and Neuromuscular Diseases
6th International Conference on
CO-ORGANIZED EVENT
Comparison of automated percutaneous lumbar discectomy and percutaneous laser disc decompression
results with one year follow-up
Jan W Duncan
California Spine Orthopaedic Surgery, USA
Aim: The effectiveness of Automated Percutaneous Lumbar Discectomy (APLD) and Percutaneous Laser Disc Decompression PLDD
has not been documented individually, and there has been no comparison of these two techniques. The objective is to document
results of and compare APLD and PLDD.
Method: This is a prospective study comparing a consecutive group of APLD and PLDD with one-year minimum follow up. All cases
had the same indication consisting of a bulging disc, radicular symptoms and no neurologic loss or sensory loss only. Pain status was
measured using a visual analogue scale for both back and radicular pain. Pain measurements were done pre operation with six weeks,
three months and one year.
Results: There were 21 consecutive APLD cases and 20 consecutive PLLD cases. The APLD group had a pre operation pain ranging
from 7-9 leg pain and 2-6 back pain. Three months follow up was 0-4 leg pain and 2-4 back pain. By 6 months to 1 year, two
underwent epidural injections and one came to surgery. The PLLD group had pre operation 6-9 leg pain and 2-5 back pain. At three
months, leg pain was 0-3 and back pain 2-5. At 6 months to 1 year, three had epidurals and one underwent surgery. There were no
complications. In conclusion, AAPLD and PLDD are both equally effective for a contained bulging disc with radicular symptoms.
Biography
Jan W Duncan completed his MD at University of Tennessee followed by Orthopedic Surgery Residency at University of Arkansas and specializing in Children
Spinal Deformity at Scottish Rite Hospital in Atlanta. He serves as the Chairman of the Orthopedic department at White Memorial Hospital and on the Surgery
Executive Committee at Verdugo Hills Hospital. He has an ongoing commitment to help his patients find solutions to back pain, develop the field of orthopedics
contributing through research and presenting at conferences.
Jan W Duncan, J Spine 2017, 6:4(Suppl)
DOI: 10.4172/2165-7939-C1-005