R. Steffen et al., COMPARATIVE BIOMECHANICAL STUDY OF AUTOMATED PERCUTANEOUS LUMBAR DISKECTOMY (APLD) AND OPEN DISKECTOMY, Zeitschrift fur Orthopadie und Ihre Grenzgebiete, 131(3), 1993, pp. 234-240
APLD is considered as the last step of conservative treatment for lumb
ar disc herniation assuming that a negative biomechanical effect of AP
LD is not expected. Biomechanical effects of APLD were investigated in
comparison to open discectomy. APLD decreased disc height less than o
pen discectomy and increased instability and flexibility less. The pos
ition of the center of rotation was not significantly altered.