{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T19:10:42Z","timestamp":1780081842998,"version":"3.54.0"},"reference-count":0,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2004,10,1]],"date-time":"2004-10-01T00:00:00Z","timestamp":1096588800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Photomedicine and Laser Surgery"],"published-print":{"date-parts":[[2004,10]]},"abstract":"<jats:p>In this review, we analyze our effort to demonstrate the effectiveness of a new approach to the treatment of herniated disc disease using Nd:YAG laser energy introduced into a herniated disc under fluoroscopic control and local anesthesia. 2400 PLDD procedures (combined number of decompressions in cervical, thoracic, and lumbar discs were performed in the past 18\u00bd years in 1275 patients. The overall success rate according to the MacNab criteria was 89%. The complication rate (only infectious disciitis) was 0.4%; all 10 patients with complications were cured with appropriate antibiotics. The recurrence rate was 5%, and usually due to reinjury. There were no deaths, and no cases of nerve or cord damage. PLDD is a safe and effective outpatient procedure for the treatment of herniated disc disease with the advantages of relative non-invasiveness, usually immediate relief of back and sciatic pain, early return to work (generally 5\u20136 days), and a low complication and recurrence rate. It can also be repeated if necessary as many as five times.<\/jats:p>","DOI":"10.1089\/pho.2004.22.407","type":"journal-article","created":{"date-parts":[[2004,11,18]],"date-time":"2004-11-18T08:31:00Z","timestamp":1100766660000},"page":"407-410","source":"Crossref","is-referenced-by-count":49,"title":["Percutaneous Laser Disc Decompression: A 17-Year Experience"],"prefix":"10.1177","volume":"22","author":[{"given":"Daniel S.J.","family":"Choy","sequence":"first","affiliation":[{"name":"Columbia University College of Physicians and Surgeons."},{"name":"Laser Spine Center, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2004,10]]},"container-title":["Photomedicine and Laser Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/pho.2004.22.407","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/pho.2004.22.407","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T09:25:32Z","timestamp":1770629132000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.1089\/pho.2004.22.407"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,10]]},"references-count":0,"aliases":["10.1089\/1549541042555622"],"journal-issue":{"issue":"5","published-print":{"date-parts":[[2004,10]]}},"alternative-id":["10.1089\/pho.2004.22.407"],"URL":"https:\/\/doi.org\/10.1089\/pho.2004.22.407","relation":{},"ISSN":["1549-5418","1557-8550"],"issn-type":[{"value":"1549-5418","type":"print"},{"value":"1557-8550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,10]]}}}