PLDD is a minimally invasive procedure for treatment of heriated lumbar and cervical discs. It involves insertion of a micro-needle under X-Ray guidance into the disc nucleus. A fiber is then inserted through the needle and used to deliver laser energy to the nucleus. The delivered laser energy thermally evaporates excessive fluid reducing internal pressure and relieving back pain.

Tissue interaction with LASEEV® DUAL


The LASEEV® DUAL platform is based on the absorption characteristics of both 980 nm and 1470 nm wavelengths, which, thanks to its outstanding interaction in water and haemoglobin and moderate penetration depth into disc tissue, enables procedures to be carried out safely and accurately, especially in proximity of delicate anatomical structures.

The PLDD procedure offer a minimally invasive altemative for relieving back pain. The procedure kit enables microsurgery precision, tactile feedback from the fiber, quick recovery for the patient, and use of only local anesthesia. The laser special features include portbility, ease-of-use, no maintenance or running costs, high reliability and stability.

Benefits of the minimally invasive PLDD procedure

PLDD procedure is performed using local anesthesia. Optical fiber is inserted in special cannula under fluoroscopic guidance.After  applying contrast to the facet it is possible to check cannula's position and the condition of the disc bulge. Starting laser  initiates decompression and lowers intradiscal pressure. The procedure is done from the posterior-lateral approach with no  interference to vertebral canal,therefore,there is no possibility of damaging a reparative treatment,but there is no possibility  to reinforce annulus fibrosus. DUring PLDD disc volume is minimally decreased,however,disc pressure can be significantly lowered.  In case of using laser to disc decomperssion,small amount of nucleus pulposus evaporates.