Percutaneous laser disc decompression (PLDD) is a minimally invasive procedure that aims to significantly reduce the patient’s pain and reduce the neurological deficit.


Percutaneous Laser Disc Decompression (PLDD)


  • Simple and intuitive operation
  • Greater precision of treatments with reduced tissue invasiveness
  • Quick return to daily activities
  • Pain reduction
  • No need for hospitalization
  • Lowest operating costs

A brief history of laser therapy

In 1986, Peter Ascher and Daniel Choy at the Department of Neurosurgery at the University of Graz in Austria performed the first percutaneous laser disc compression procedure in the lumbar spine.

Since 1987, percutaneous laser disc decompression (PLDD) has been used in the clinical treatment of prolapsed intervertebral discs. Since then, the PLDD technique has spread all over the world, and procedures are performed all over the spine, except for T1 – T4 (these discs do not allow percutaneous access with a needle). This method is widespread in the United States.

The first experimental treatments were carried out on animal intervertebral discs with the use of a neodymium-jag laser – Nd: YAG. The first clinical procedure in history was performed with this laser model. Work on the use of different types of laser led to the introduction of a diode laser into clinical practice.

In Poland, diode laser treatments have been performed since 2003 at the Department of Neurosurgery of the Central Teaching Hospital of the Ministry of Interior and Administration in Warsaw.


980nm (10W)

Percutaneous Laser Disc Decompression (PLDD)

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