2016 年 25 巻 4 号 p. 285-290
Background and aims: The intervertebral disk degeneration is a pathological process determined by a decrease of mucopolysaccharides in the nucleus pulposus with the consequent dehydration and degeneration of the elastic fibers in the annulus fibrosus of the disk. The laser is a therapeutic tool that has, on the treated tissues, biostimulation effects with an increase of oxidative phosphorylation and production of ATP with an acceleration of the mucopolysaccharides synthesis with a consequent rehydration, biostimulation and production of new elastic fibers. The goal of this project is studying whether the laser stimulation may treat degenerated intervertebral disks.
Materials and methods: 60 subjects with the same anthropometric parameters were selected and divided into two randomized groups. 30 subjects underwent laser stimulation, whereas 30 underwent placebo. All 60 subjects underwent a discectomy surgery and the intraoperative findings were examined in a lab, studying the positivity of the PAS reaction and the presence of potential newly formed elastic fibers.
Results: It has been shown a higher number of mucopolysaccharides and young newly formed elastic fibers in the group that was treated with laser irradiation with a statistically significant difference, compared to the placebo group (p< 0.0001).
Conclusions: Laser biostimulation can be an effective strategy in the therapy of the invertebral disks.
