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Preface ........................................... vii Contributors ....................................... xi 1 Introduction: Percutaneous Laser Disc Decompression .... 1 Daniel S.J. Choy 2 Principles of Lasers .............................. 19 Daniel S.J. Choy 3 Anatomy and Pathophysiology of Intervertebral Discs ... 29 Sohail K. Mirza 4 Familial Incidence of Disc Herniation. Epidemiologic and Genetic Evidence: A Hypothesis Suggesting That Laminectomy and Discectomy Are Counterproductive ... 59 Daniel S.J. Choy 5 Patient Selection ................................. 65 Daniel S.J. Choy 6 The Neurologic Examination ....................... 71 Daniel S.J. Choy 7 The Role of Radiology in Percutaneous Laser Disc Decompression .............................. 89 John A. Botsford 8 Magnetic Resonance Imaging of the Lumbothoracic Spine Under Compression ........................ 125 Daniel S.J. Choy 9 Initial Consultation and First Interview .............. 131 Daniel S.J. Choy 10 The Percutaneous Laser Disc Decompression Procedure ........................ 137 Daniel S.J. Choy 11 Complications of Percutaneous Laser Disc Decompression and Their Treatments .............. 163 Daniel S.J. Choy 12 Postprocedure Physical Therapy ................... 173 Arpad S. Fejos 13 Complicated Disc Hemiations Responding to Percutaneous Laser Disc Decompression ............. 183 Daniel S.J. Choy 14 Unexpected Results in Patients Treated with Percutaneous Laser Disc Decompression ............. 191 Daniel S.J. Choy 15 Endoscopic Laser Foraminoplasty: A Treatment Concept and Two-Year Outcome Analysis ............ 197 M.T.N. Knight and A.K.D. Goswami 16 Role of Percutaneous Laser Disc Decompression in the Treatment of Discogenic Back Pain ............ 211 William Black, Arpad S. Fejos, and Daniel S.J. Choy 17 Clinical Experience in 2088 Percutaneous Laser Disc Decompression Procedures ................... 217 Daniel S.J. Choy 18 Percutaneous Laser Disc Decompression: A 10-Year Follow-Up of Clinical Data ...................... 223 Daniel S.J. Choy and Arpad S. Fejos Index .......................................... 229Library of Congress Subject Headings for this publication: Intervertebral disk Diseases, Intervertebral disk Surgery, Intervertebral disk Hernia, Intervertebral disk displacement, Lasers in surgery, Lasers in medicine