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Microsurgical Discectomy

Microsurgical Discectomy also known as Spinal microDiscectomy is a procedure to remove disk fragments from a herniated disk, usually in the lower back (lumbar area). In lumbar spine surgery a surgical cut about 2 to 5 inches long is made. MicroDiscectomy is less invasive procedure and is done with very small surgical incisions of 1 to 1 ½ inches.

BRIEF ABOUT THE PROCEDURE

This procedure is done in a hospital under local anesthesia (awake but pain-free) or general anesthesiaSpinal microDiscectomy (asleep and pain-free). A high-power microscope is used during the surgery to clearly view the affected disk(s) and nerves and guides the doctor during surgery.

The surgeon makes a small incision on a suitable location on your back. The muscles and other tissues are moved away from the spine. After identifying and moving the nerve root, the injured disk tissue and fragments are removed. The muscles are placed back into the normal position, and the wound is closed with stitches or staples.

Small pieces of extra bone are used to fill the space between two vertebrae to fuse the spine. This bone if harvested from the patients own body is usually taken from a pelvic bone. The disc is first removed if the front of the spine needs to be fused. Bone graft substitutes, such as genetically engineered proteins, are being developed as alternatives to using bones from your body or a bone bank. The surgeon may also use wires, rods, screws, metal cages or plates to stabilise the spine as desired. As with any surgery, spinal fusion carries risks, including pain at the donor site for the bone, infection and nerve injury.

Spinal microDiscectomy is done to relieve nerve pain and pressure. It may be performed in patients with the following conditions:

  • Cauda equina syndrome
  • Herniated lumbar disk
  • Leg pain or weakness (sciatica) caused by a herniated disk

Conservative management like Traction, anti-inflammatory medications, physical therapy and exercise is often done before surgery is considered.

SOME ASSOCIATED RISKS

Risks

  • Dural tears (tears to the tissue called the dura mater, which covers the spinal cord and spinal nerves)
  • Nerve root damage
  • Reherniation of the same disk

Because of the small surgical cut, the doctor may miss some disk fragments. This could result in persistent pain.Most patients have pain relief and improved function after surgery and numbness and tingling gets better.

TIPS ON RECOVERY

You will be encouraged to get up and walk around as soon as your anesthesia wears off. Most patientsMicrosurgical Discectomy are released the day of surgery.

Most patients typically are able to go back to normal activities shortly after surgery. However, you should avoid sitting for prolonged periods or lifting heavy objects. When lifting anything, be sure to lift with your knees instead of bending over. This is necessary to avoid further injury

Most patients typically are able to go back to normal activities shortly after surgery. However, you should avoid sitting for prolonged periods or lifting heavy objects. When lifting anything, be sure to lift with your knees instead of bending over. This is necessary to avoid further injury

RELATED ARTICLES
HOSPITALS FOR MICROSURGICAL DISCECTOMY
DESTINATIONS FOR MICROSURGICAL DISCECTOMY

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