ObjectiveTo observe the ten-year long-term efficacy of percutaneous laser disc decompression (PLDD) in the treatment of cervical spondylotic radiculopathy. MethodsA total of 32 patients with cervical spondylotic radiculopathy treated with PLDD were selected as research objects, all of whom were followed up for more than 10 years. The Japanese Orthopedic Association (JOA) therapeutic evaluation score (hereinafter referred to as JOA score) was used to evaluate the efficacy of the patients 1 month, 3 months, 6 months, 1 year, 4 years and 10 years after operation, and the efficacy analysis was performed with 10 years after operation as the main time point. ResultsThirty-two patients underwent punctures in 37 intervertebral spaces, all of which were successful, and no adverse reactions and complications occurred after operation. Postoperatively, with the prolongation of follow-up, the JOA score and the excellent and good curative effect rate of patients tended to increase first and then decrease, with the JOA score and the excellent and good curative effect rate 1 year after operation being the highest. Ten years after operation, the JOA score was higher than that before operation, and the excellent and good curative effect rate was higher than that 1 month after operation (all P＜0.05). Ten patients were reexamined for cervical MRI at the follow-up half a year after operation, and two of them showed visible disc retraction. ConclusionPLDD is safe and effective in the treatment of cervical spondylotic radiculopathy, with satisfactory long-term efficacy, no adverse reactions and complications, the patients can be operated on local anesthesia without hospitalization, and there is no obvious scar after operation, which is worthy of clinical application.

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