PLDD – percutaneous laser decompression of the intervertebral disc

The team of the Lower Silesian Center for Minimally Invasive Spine Neurosurgery KCM Clinic in Jelenia Góra specializes in minimally invasive and endoscopic surgical treatment of cervical, lumbar and thoracic spine diseases. Percutaneous laser decompersion of the intervertebral disc is one of the most modern methods of treating discopathy or disc disease. The PLDD technique is characterized by a low invasiveness of the procedure, thanks to which the probability of complications is reduced and patients recover much faster after the procedure.

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    The procedure is performed with posterolateral access. So there is no interference in the spinal canal, the possibility of damage to the meninges, spinal roots or spinal cord is reduced. It is also a “repair” procedure. The fibrous ring reinforcement cannot be obtained with this method. The disk volume reduction is minimal, but the disk pressure is significantly reduced. Laser energy (PLDD) or thermal energy (PTDD) is used for this purpose. When laser energy is used to decompress a disk, a very small volume of the nucleus becomes “evaporated”.

    Before surgery, it is necessary to have a consultation with a neurosurgeon performing the procedure – dr hab. Stanisław Kwiek. To qualify for the procedure, a current MRI or CT scan result is required – the result cannot be older than 6 months. The test results should be with you during the consultation on the CD – the test description alone is not sufficient.


    Magnetic resonance imaging or computed tomography is also available as a private service at OMEGA diagnostic imaging, which receives patients in the same building as KCM Clinic.

    The patient must perform tests in accordance with the recommendations of the neurosurgeon after medical consultation prior to the procedure. Anesthesiological consultation, performed on the day of admission to the hospital ward, is also necessary. Prepare for a two-day stay in the hospital ward at KCM Clinic. Before the procedure, the patient reports to the Registration with full documentation and the results of imaging and laboratory tests.

    It should also be remembered that patients after surgery cannot drive a car. The patient should take care of an accompanying person who will help ensure a safe return home.

    Specialised physiotherapy and rehabilitation are very important after neurosurgery. It is absolutely necessary to follow the instructions of the doctor and medical staff. Correct physiotherapy is managed by Krzysztof Suszyński, MD, physiotherapy specialist, both before and after our minimally invasive endoscopic procedures.

    Persons struggling with comorbidities or other health problems must inform their physician during the first qualification consultation. Before the procedure, all tests should be carried out as prescribed by the doctor and all recommendations before and after the procedure should be followed.

    About the procedure

    The procedure is performed with posterolateral access. So there is no interference in the spinal canal, the possibility of damage to the meninges, spinal roots or spinal cord is reduced. It is also a “repair” procedure. The fibrous ring reinforcement cannot be obtained with this method. The disk volume reduction is minimal, but the disk pressure is significantly reduced. Laser energy (PLDD) or thermal energy (PTDD) is used for this purpose. When laser energy is used to decompress a disk, a very small volume of the nucleus becomes “evaporated”.

    Preparation

    Before surgery, it is necessary to have a consultation with a neurosurgeon performing the procedure – dr hab. Stanisław Kwiek. To qualify for the procedure, a current MRI or CT scan result is required – the result cannot be older than 6 months. The test results should be with you during the consultation on the CD – the test description alone is not sufficient.


    Magnetic resonance imaging or computed tomography is also available as a private service at OMEGA diagnostic imaging, which receives patients in the same building as KCM Clinic.

    The patient must perform tests in accordance with the recommendations of the neurosurgeon after medical consultation prior to the procedure. Anesthesiological consultation, performed on the day of admission to the hospital ward, is also necessary. Prepare for a two-day stay in the hospital ward at KCM Clinic. Before the procedure, the patient reports to the Registration with full documentation and the results of imaging and laboratory tests.

    It should also be remembered that patients after surgery cannot drive a car. The patient should take care of an accompanying person who will help ensure a safe return home.

    Convalescence

    Specialised physiotherapy and rehabilitation are very important after neurosurgery. It is absolutely necessary to follow the instructions of the doctor and medical staff. Correct physiotherapy is managed by Krzysztof Suszyński, MD, physiotherapy specialist, both before and after our minimally invasive endoscopic procedures.

    Precautions

    Persons struggling with comorbidities or other health problems must inform their physician during the first qualification consultation. Before the procedure, all tests should be carried out as prescribed by the doctor and all recommendations before and after the procedure should be followed.

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