Turkish Neurosurgery									
									
										1999 , Vol 9 , Num 3-4									
								
								
								
											        			
											        			
											        			 
											        					
											        					Department of Neurosurgey, Dokuz Eylül University, İzmir, Türkiye 
											        			
											        		
		
											        														        			
		
											        			 
											        				Enthusiastic reports about percutaneous intradiscal laser nucleotomy have been encouraging to neurosurgeons treating patients with intervertebral disc herniation. Since high energy is transmitted to deep tissue and the procedure is not able to be visualized unless done endoscopically, we designed this experimental study on cadaveric sheep lumbar discs to determine the physical and neuroradiological effects of laser irradiation, altering the joules of energy applied, as well as output power, and pulse interval and number. Intradiscal pressure fell during the irradiation procedures. Very high temperatures were recorded at the neural foraminae when high laser energy levels were used, these specimens showed macroscopic thermal changes in the nearby neural tissue. The vacuum phenomenon, representing vaporization of the disc, was better visualized using computerized tomography than magnetic resonance imaging. 
											        			
											        			
		
											        			
											        			Keywords : 
											        				Laser, lumbar disc hernia, percutaneous nudeotomy 
											        				
											        	
											  
											        	 Corresponding author : Serhat Erbayraktar															
															
									        												        											
								 
		 
	 
	

