Erb:YAG and Hol:YAG laser ablation of meniscus and intervertebral discs

Lasers Surg Med. 1992;12(4):375-81. doi: 10.1002/lsm.1900120405.

Abstract

Erb:YAG and Hol:YAG laser ablation rates of fibrocartilage and nucleus pulposus were measured in vitro simulating clinical conditions. After ablation macroscopic and microscopic appearance of the ablation site was investigated. Hol:YAG and Erb:YAG laser mean ablation rates increased almost linearly with rising energies, showing higher total ablation rates for the Hol:YAG laser due to its higher achievable energy density. At comparable energy densities the Erb:YAG laser appears to be more effective with respect to the corresponding ablation rates. Consequently, the ablational threshold proved to be lower for the Erb:YAG laser. Whereas during Hol:YAG laser ablation, some smoke formation and considerable tissue shrinking occurred, these effects could not be observed during Erb:YAG laser ablation. Consequently macroscopic and microscopic inspection showed some thermal damage after Hol:YAG and only minimal alterations after Erb:YAG laser ablation. Adjacent thermal damage was determined and proved to be lower for the Erb:YAG laser. In our opinion the characteristics of each laser system provide certain advantages for special clinical indications.

MeSH terms

  • Aluminum Silicates
  • Cartilage, Articular / pathology
  • Cartilage, Articular / surgery*
  • Collagen
  • Erbium
  • Holmium
  • Humans
  • Hyaluronic Acid
  • Intervertebral Disc / pathology
  • Intervertebral Disc / surgery*
  • Light Coagulation* / adverse effects
  • Light Coagulation* / instrumentation
  • Light Coagulation* / methods
  • Lumbar Vertebrae
  • Necrosis
  • Time Factors
  • Yttrium

Substances

  • Aluminum Silicates
  • Yttrium
  • Erbium
  • Hyaluronic Acid
  • Collagen
  • Holmium