Orthopedics
Working Principle
The TR-August 1470® DUAL platform is based on the absorption characteristics of 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.
Microsurgical precision is guaranteed by the technical characteristics of the special PLDD laser fibers, which allow for surgical effectiveness, ease of handling, and maximum safety.
The use of flexible tactile laser fibers with core diameters of 400 micron in combination with the microsurgical PLDD enables a very precise and accurate access and intervention to sensitive areas like the cervical and lumbar disc zones on the basis of clinical therapeutic needs.
Applications
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.