Percutaneous Laser Disc Decompression (PLDD) Applications

Percutaneous Laser Disc Decompression (PLDD) is a minimally invasive procedure designed to reduce intradiscal pressure and relieve pain caused by herniated discs. Lumin Fiber supplies laser fibers optimized for controlled intradiscal vaporization, delivering accurate energy to the target tissue while preserving surrounding structures.

What Is PLDD?

PLDD is performed by inserting a fine needle into the intervertebral disc under imaging guidance, such as fluoroscopy or CT. A laser fiber is advanced through the needle into the nucleus pulposus. Precise laser energy is delivered to vaporize a small volume of disc material, which decreases disc pressure and reduces nerve root compression.

Advantages of Laser Technology in PLDD

Compared with open spine surgery, PLDD offers a less invasive approach with reduced trauma and faster recovery. Laser energy can be precisely controlled, so the surgeon can remove just enough disc material to relieve symptoms while maintaining disc stability.

Minimally invasive, percutaneous access
Reduced tissue damage and scarring
Typically performed under local anesthesia
Shorter hospital stay and faster return to daily activities
Repeatable and compatible with multimodal pain management

Lumin Fiber Solutions for PLDD

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Lumin Fiber provides PLDD-specific fibers engineered to withstand the mechanical and thermal demands of the procedure.

High transmission efficiency for 980 nm, 1470 nm, or other spine-laser wavelengths
Stable performance in compact working channels
Robust construction to resist breakage during advancement and withdrawal
Available in different core diameters and lengths for various devices

Typical Clinical Indications

PLDD is commonly considered for patients with:

Contained lumbar disc herniation
Cervical or thoracic disc protrusion (selected cases)
Sciatica caused by nerve root compression
Persistent radicular pain unresponsive to conservative therapy

Recommended Fibers for PLDD

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PLDD Fibers – designed specifically for intradiscal laser applications
Bare Fibers – for certain spine procedures and combined techniques

With extensive experience in medical laser fibers, Lumin Fiber supports spine specialists and device manufacturers with reliable PLDD laser fibers. Our products are designed to deliver stable, predictable energy in demanding clinical environments and to help improve patient outcomes.

PLDD FAQ

Q1: What type of patients are suitable for PLDD?

A1: PLDD is often considered for patients with contained disc herniations who have persistent pain despite conservative treatments, such as physical therapy and medication. Final patient selection should follow local guidelines and clinical judgment.

Q2: Which laser wavelengths are used in PLDD?

A2: PLDD can be performed with several wavelengths, such as 980 nm or 1470 nm, depending on the system design and surgeon preference. Lumin Fiber can provide compatible fibers for these laser platforms.

Q3: Is PLDD an open surgery?

A3: No. PLDD is a percutaneous, minimally invasive procedure performed through a small needle puncture, which reduces tissue trauma and usually allows for faster recovery than conventional open surgery.