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International accessibility of clinical practice guidelines in Physical Therapy makes it possible for Physical Therapists to use guidelines as a reference for treating their patients. At a national level, countries could endorse guidelines, and adjust guidelines to their local situation if necessary. It also makes international collaboration possible in further development and in the updating process of guidelines.

Thursday 14 May 2009
Thursday 14 May 2009 - 00:16:00
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Effectiveness of percutaneous laser disc decompression versus conventional open discectomy in the treatment of lumbar disc herniation
Posted by Rob in Musculoskeletal
The usual surgical treatment of refractory sciatica caused by lumbar disc herniation, is open discectomy. Minimally invasive procedures, including percutaneous therapies under local anesthesia, are increasingly gaining attention. One of these treatments is Percutaneous Laser Disc Decompression (PLDD). This treatment can be carried out in an outpatient setting and swift recovery and return to daily routine are suggested. Thus far, no randomized trial into cost-effectiveness of PLDD versus standard surgical procedure has been performed. We present the design of a randomized controlled trial, studying the cost-effectiveness of PLDD versus conventional open discectomy in patients with sciatica from lumbar disc herniation.
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