Effectiveness of percutaneous laser disc decompression versus conventional open discectomy in the treatment of lumbar disc herniation; design of a prospective randomized controlled trial |
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| Authors: | Patrick A Brouwer Wilco C Peul Ronald Brand Mark P Arts Bart W Koes A van den Annette Berg and Mark A van Buchem |
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| Institution: | (1) Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands;(2) Department of Neurosurgery, Leiden University Medical Center, Leiden, The Netherlands;(3) Department of Neurosurgery, Medical Center Haaglanden, The Hague, The Netherlands;(4) Department of Medical Statistics, Leiden University Medical Center, Leiden, The Netherlands;(5) Department of general Practice, Erasmus University Medical Center, Rotterdam, The Netherlands |
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| Abstract: | Background The usual surgical treatment of refractory sciatica caused by lumbar disc herniation, is open discectomy. Minimally invasive
procedures, including percutaneous therapies under local anesthesia, are increasingly gaining attention. One of these treatments
is Percutaneous Laser Disc Decompression (PLDD). This treatment can be carried out in an outpatient setting and swift recovery
and return to daily routine are suggested. Thus far, no randomized trial into cost-effectiveness of PLDD versus standard surgical
procedure has been performed. We present the design of a randomized controlled trial, studying the cost-effectiveness of PLDD
versus conventional open discectomy in patients with sciatica from lumbar disc herniation. |
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