Volume 16, Issue 5 (September & October-In press 2025)
BCN 2025, 16(5): 869-878 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Khadivi M, Ahmadzadeh Amiri A, Moghadam N, Ahmadzadeh Amiri A, Eslamian M, Zarei M, et al . A Report of Lumbar Disk Herniation Treatment Outcomes: Percutaneous Laser Disk Decompression vs Open Microdiscectomy. BCN 2025; 16 (5) :869-878
URL: http://bcn.iums.ac.ir/article-1-2472-en.html
URL: http://bcn.iums.ac.ir/article-1-2472-en.html
Masoud Khadivi1 
, Ali Ahmadzadeh Amiri2 , Navid Moghadam3 , Amir Ahmadzadeh Amiri2 , Mohammad Eslamian1 , Mohammad Zarei4 , Mersad Moosavi3 , Milad Shafizadeh1 , Alireza Borghei5 , Ramin Kordi3 , Mohsen Rostami *3
, Ali Ahmadzadeh Amiri2 , Navid Moghadam3 , Amir Ahmadzadeh Amiri2 , Mohammad Eslamian1 , Mohammad Zarei4 , Mersad Moosavi3 , Milad Shafizadeh1 , Alireza Borghei5 , Ramin Kordi3 , Mohsen Rostami *3
1- Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
2- Sports Medicine Research Center, Neuroscience institute, Tehran University of Medical Sciences, Tehran, Iran
3- Sports Medicine Research Center, Neuroscience institute, Tehran University of Medical Sciences, Tehran, Iran Spine Center of Excellence, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran
4- Department of Orthopedic, IKHC, Tehran University of Medical Sciences, Tehran, Iran
5- Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA
2- Sports Medicine Research Center, Neuroscience institute, Tehran University of Medical Sciences, Tehran, Iran
3- Sports Medicine Research Center, Neuroscience institute, Tehran University of Medical Sciences, Tehran, Iran Spine Center of Excellence, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran
4- Department of Orthopedic, IKHC, Tehran University of Medical Sciences, Tehran, Iran
5- Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA
Abstract:
Introduction: Lumbar disk herniation (LDH) is one of the most common pathologies leading to radiculopathy. Open microdiscectomy is the gold standard of LDH treatment. However, minimally invasive techniques such as percutaneous laser disk decompression (PLDD) are gaining growing attention. In this study, we retrospectively reviewed the clinical outcomes of patients who underwent PLDD and compared them with those of a group of patients who underwent open microdiscectomy.
Methods: Our report included patients diagnosed with protruded LDH with severe refractory pain for at least 6 to 8 weeks who underwent the interventions. Baseline outcome parameters were recorded before the procedures, and questionnaires were completed at two follow-up sessions. Pain intensity was measured using the visual analog scale (VAS). Additionally, patients were asked to complete the 36-item short-form health survey (SF-36) to report their quality of life. Finally, we used the Oswestry disability index (ODI) to obtain information about patients’ daily functional status.
Results: A total of 165 patients were enrolled in the study. At the final follow-up, there was no statistically significant difference in the VAS level between the groups. However, the differences between the two groups regarding the SF-36 and ODI were statistically significant.
Conclusion: Our study report showed that both methods significantly improved the clinical outcomes of the patients with protruded disk herniation.
Methods: Our report included patients diagnosed with protruded LDH with severe refractory pain for at least 6 to 8 weeks who underwent the interventions. Baseline outcome parameters were recorded before the procedures, and questionnaires were completed at two follow-up sessions. Pain intensity was measured using the visual analog scale (VAS). Additionally, patients were asked to complete the 36-item short-form health survey (SF-36) to report their quality of life. Finally, we used the Oswestry disability index (ODI) to obtain information about patients’ daily functional status.
Results: A total of 165 patients were enrolled in the study. At the final follow-up, there was no statistically significant difference in the VAS level between the groups. However, the differences between the two groups regarding the SF-36 and ODI were statistically significant.
Conclusion: Our study report showed that both methods significantly improved the clinical outcomes of the patients with protruded disk herniation.
Keywords: Lumbar spine, Percutaneous laser disk decompression (PLDD), Microdiscectomy, Protruded lumbar disk herniation, Disk pathologies
Type of Study: Original |
Subject:
Clinical Neuroscience
Received: 2024/05/14 | Accepted: 2024/09/21 | Published: 2025/09/1
Received: 2024/05/14 | Accepted: 2024/09/21 | Published: 2025/09/1
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Copyright © The Author(s);
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
