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All Posts Tagged: Microdiscectomy spine surgery

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MICRODISCECTOMY SPINE SURGERY; WHAT IS IT ALL ABOUT?

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A microdiscectomy spine surgery is a type of minimally invasive spinal surgical procedure to remove any disc material that is pressing on a nerve root or spinal cord. The incision essential in a microdiscectomy is a little large than that of an endoscopic discectomy, however smaller than traditional open back discectomy. A microdiscectomy can be achieved as an outpatient procedure, with maximum patients being discharged on the same day of the procedure. It is very rare that a patient can be required to stay overnight in the hospital.

Traditional Microdiscectomy Spine Surgery Step-By-Step

A microdiscectomy spine surgery has following steps:

  • A microdiscectomy is performed via a 1 to 1½-inch incision inside the midline of the lower back.
  • First, the back muscles are lifted off the bony arch (lamina) of the backbone and moved to the side. Since these lower back muscles run vertically, they are held to the aspect with a retractor during the surgery; they do not want to be cut.
  • The surgeon is then able to input the spine by getting rid of a membrane over the nerve roots.
  • Operating glasses or an operating microscope permit the surgeon to genuinely visualize the nerve root.
  • In some cases, a small part of the inside facet joint is removed both to facilitate access to the nerve root and to alleviate any pressure or pinching on the nerve.
  • The surgeon may additionally make a small opening inside the bony lamina (called a laminotomy) if had to get access to the operative site.
  • The nerve root is moved to the side.
  • The surgeon makes use of small devices to go below the nerve root and remove the fragments of disc material that have extruded out of the disc.
  • The muscles are moved again into place.
  • The surgical incision is closed and steri-strips are placed over the incision to help maintain the skin in region to heal.

Microdiscectomy Success Rates

The success rate for microdiscectomy spine surgery is typically high, with one sizeable clinical study showing good or outstanding outcomes overall for 84% of people who’ve the procedure.

The scientific literature also points to some advantages for surgery, when compared with nonsurgical treatment, even though the distinction lessens over time in certain cases. One large study found that those who had surgical treatment for a lumbar herniated disc had greater improvement in signs for up to 2 years than individuals who did no longer have surgical procedure.

 

Potential risks of microdiscectomy

Microdiscectomy spine surgery has some complications:

  • Nerve root damage
  • Bowel/bladder incontinence
  • Bleeding
  • Infection
  • Possible buildup of fluid inside the lungs that may result in pneumonia
  • Deep vein thrombosis, which takes place when blood clots form in the leg
  • Pain that persists after the surgery

For further information call us on 815.412.6166

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MICRODISCECTOMY; AN EFFICIENT SURGERY PROCEDURE FOR HERNIATED DISC

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When the term spinal surgery comes into our mind, we naturally thought about large incisions, long recovery periods, and painful rehab. Fortunately, surgical advances like the microdiscectomy spine surgery procedure have improved the process.

Microdiscectomy spine surgery is a minimally invasive surgical procedure performed on patients with a herniated lumbar disc. During this surgery, a surgeon will remove portions of your herniated disc to relieve pressure on the spinal nerve column. It is also sometimes called microdecompression or microdiskectomy.

Who benefits from microdiscectomy surgery?

If you’re wondering that if you’re a candidate of microdiscectomy spine surgery or not then here are you answer. You are a candidate if you have any or more of the following symptoms;

  • Significant pain, numbness or weakness in your leg or foot
  • Leg pain (sciatica) worse than back pain
  • Symptoms that have not improved with exercise, physical therapy or any medication
  • Diagnostic tests (MRI, CT, myelogram) shows a herniated disc
  • Weakness in leg, loss of feeling in the genital area, and loss of bladder or bowel control (Cauda equina syndrome)

How surgery is performed?

As microdiscectomy spine surgery is performed through back so the patient lies face down on the operating table. Steps are as follow;

  • A 1 to 1½-inch incision is made in the midline of the low back.
  • The back muscles are lifted off the bony arch of the spine and moved to the side.
  • The surgeon is now able to enter the spine by removing a membrane over the nerve roots.
  • In some cases, a small portion of the inside facet joint is removed to facilitate access to the nerve root and to relieve any pressure or pinching on the nerve.
  • The surgeon may make a small opening in the bony lamina if needed to access the operative site.
  • The nerve root is then gently moved to the side.
  • The surgeon uses small instruments to go under the nerve root and remove the piece of disc material that have exude out of the disc.
  • The muscles are then moved back into place.
  • The surgical incision is closed and stereo-strips are placed over the incision to help hold the skin in place to heal.

 

Complications of microdiscectomy spine surgery

As with any other surgery, there are some risks and complications with microdiscectomy spine surgery which are;

  • Bleeding
  • Infection
  • Possible buildup of fluid in the lungs that may lead to pneumonia
  • Deep vein thrombosis, which occurs when blood clots form in the leg
  • Pain that persists after the surgery
  • Nerve root damage
  • Bowel/bladder incontinence

Success rate of microdiscectomy spine surgery

The success rate for microdiscectomy spine surgery is generally high, with one extensive medical study showing good or excellent results overall for 84% of people who have the procedure done.

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AN IMPROVED LOWER BACK PAIN TREATMENT

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Microdiscectomy is one of the most common minimally invasive spine surgery procedures.  It is also known as microdecompression or microdiskectomy. The procedure performed on patients with a herniated lumbar disc. During this surgery, a surgeon will remove portions of the herniated disc to relieve pressure on the spinal nerve column.

Aim of microdisectomy:

Main goal of microdiscectomy is to take pressure off your nerves to relieve your back pain.

Before microdisectomy, Spinal surgery meant large incisions, long recovery periods, and painful rehab. Microdisectomy have improved the procedure. It relatively has high rates of success, especially in relieving patients’ leg pain (sciatica). Patients are usually able to return to a normal level of activity fairly quickly.

Microdiscectomy Spine Surgery procedure:

Your doctor may suggest diskectomy if conservative, nonsurgical treatments haven’t worked or if your symptoms get worse.

  • A microdiscectomy is performed through a 1 to 1½-inch incision in the midline of the low back.
  • The back muscles lifted off the bony arch of the spine and moved to the side. These back muscles run vertically, so they are held to the side with a retractor during the surgery; and they do not need to be cut.
  • After that the surgeon is able to enter the spine by removing a membrane over the nerve roots.
  • A small portion of the inside facet joint is removed in some cases, to facilitate access to the nerve root and to relieve any pressure or pinching on the nerve.
  • If needed, surgeon makes a small opening in the bony lamina in order to get access to the operative site.
  • Then nerve root is moved to the side.
  • Surgeon goes under the nerve root and removes the fragments of disc that have extrudes out of the disc. For this, surgeon uses small instruments.
  • The muscles are then moved back into place.
  • After that, surgical incision is closed.
  • Steri-strips are placed over the incision to help hold the skin in place to heal.

 

Microdisectomy is as costly procedure because it requires a surgeon with special training.

Recovery time is shorter than other surgeries. Patients often leave the hospital that same day, or within 24 hours.

You should avoid driving, sitting for a prolonged period after a surgery.  Lifting anything heavy and bending over immediately after the surgery is not recommended.

Risks:

  • Cerebrospinal fluid leakage which is known as Dural tear can occur in 1 to 2 percent of surgeries
  • Nerve root damage is also a risk
  • In 5 percent of cases, recurrent disc herniation may occur
  • Bowel/bladder incontinence may also occur, but it is very rare
  • Bleeding and infection can also happen

 

Pain management institute is helping people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy.

For more details call on 815-412-6174

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What is Microdiscectomy Spine Surgery?

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The spine is one of the most crucial parts of the body especially for the movement of the whole body. The worst result of spine injury or intensified spine pain is a lifelong disability of the patient. However, any less intense of serious spine disorder, injury or pain can also impact the movement of the body. The spine pain or injury can surely impact negatively on any one part of the body and as it gets increasing, other parts also start getting affected. Spine pain mostly starts from the back pain and travels towards the shoulder, arms, and neck.

There are different forms and reasons for spine pain and one of them us herniated disc.

Herniated disc

The herniated disc is the nerve which explains the spine issues like a ruptured disc or slipped disc. The herniated disc leads to degeneration of the tissues of the spine muscles. Doctors also state it as the early stage of degeneration. The bones located in the back to form spine are known as vertebrae. These bones are cushioned and protected by small discs which are known as a herniated disc.  The inflammation which causes herniated disc issue results in the pain in the neck or back. During the process of degeneration, a small twist of the backbone or any specific movement can lead to disc rupture. There are various treatments to cure degeneration and to get rid of pain and one of such treatments is Microdiscectomy Spine Surgery.

Process of Microdiscectomy Spine Surgery

The purpose of this surgery is to reduce the pressure from the nerves of the spinal nerve root during the surgery doctors cure the material which is causing the pressure on the spinal root nerves of the body. The Microdiscectomy Spine Surgery has proved beneficial in relieving the pain caused in legs because of sciatica or radiculopathy. Microdiscectomy Spine Surgery is the treatment which gives immediate results by curing the pain. This is one of the few types of spine surgeries which have a high recovery ratio. The recovery rate after a Microdiscectomy Spine Surgery is at least 85% to 89%. There are different ways to perform the surgery which are invasive Microdiscectomy which include outpatient lumbar discectomy- microdiscectomy and endoscopic discectomy. Doctors use the minimally invasive technique for open surgery. The benefit of this type of surgery is that there is a lack of risk of tissue damage. In the minimum invasive surgery, surgeons insert tubes in the body rather than going with the open incisions.

When to go for the surgery

The decision of going for the surgery is patients own, however, it is better to get treatment before the intensification of the pain. Intensive pain means that the degeneration process has increased very much. To evaluate whether the only option to cure the pain is Microdiscectomy Spine Surgery, doctors mostly prescribe lab tests. It helps in diagnosing the damaged part of the spine.

To learn about Microdiscectomy Spine Surgery and its side effects and benefits, please call on 815-412-6174.

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Microdiscectomy Spine Surgery’s Purpose of Procedure and Success Rate

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In the case of microdiscectomy spine surgery, an exceptionally specialized procedure is performed on the spine, yet it is essentially utilized to decrease pain in another part of the body altogether. It is a fact that the spine is consists of a chain of bones each cushioned by an elastic disc that supports in both shock absorption and flexibility. On the off chance that a disc in the lower back turns out to be herniated and as a result, pushes on a spinal nerve, consequently, pain can radiate down a patient’s leg.

The procedure of microdiscectomy spine surgery is slightly invasive executed on the spine that works in a way to help most individuals feel prompt relief and return home the same or next day. The procedure is executed through a small incision, generally, one to one and-a-half – inches length, the objective of the procedure is to relieve the pressure on the affected spinal nerve by taking out a part of the bone or disc resulting in the pressure and pain.

During the microdiscectomy spine surgery, the spine’s structure remains intact, in light of the fact that this phenomenal surgery doesn’t require the cutting of joints, ligaments, or muscles. Patients who go through the procedure return to their normal life earlier, without leg pain, offering improved comfort and quality of life.

The Purpose of Microdiscectomy Spine Surgery

The key motive of this procedure is to surgically take out a part of the disc that is pushing on the nerve and hence, causing the pain. The objective is to take the pressure off the nerve yet at the same time retain as much of the disc as could be possible. The whole disc isn’t taken out, only the herniated part. The process usually takes on an average l around 60 minutes.

A timely return to normal routine is depicted with three exceptions. Heavy lifting, bending from the waist and delayed sitting are discouraged for the initial six weeks after surgery. Most patients can go up and down stairs when they return home from the hospital.

Success Rate of Microdiscectomy Spine Surgery

As per the statistics, the success rate of the procedure is commonly high, one extensive medical study presenting good or astounding outcomes generally for 84% of individuals who have gone through the strategy.

The report additionally indicates a few advantages for surgery, when contrasted with nonsurgical treatment, however, the distinction diminishes after some time in specific cases. One vast examination found that individuals who had surgery for a lumbar herniated disc had more noteworthy improvement in symptoms for as long as two years than the individuals who did not have surgery.

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The Microdiscectomy procedure reduces the stress on the spinal nerves

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Commonly performed for a Herniated disc, the microdiscectomy procedure reduces the stress on the spinal nerve network by removing the substance that is the root cause of pain

The Microdiscectomy procedure as elaborated by Dr.Zaki Anwar, MD:

A microdiscectomy procedure uses minimally invasive techniques to provide relief from pain caused by a lower herniated disc.

During the course of procedure, a tiny part of the bone over the nerve root or the disc substance from beneath  the nerve root is removed out. A microdiscectomy is also known as the micro decompression as compared to other conventional treatments  is potentially efficient  for reducing leg pain that is sciatica or radiculopathy

Outcomes

  • For leg pain, patients report relief in leg pain immediately after the microdiscectomy. They leave for home with potential pain relief
  • For deadness, feebleness, and other nuerological symptoms in the leg and foot. It may take several weeks and months for the nerve root to completely heal and any numbness and weakness may subside

Usually, microdiscectomy is known as quite reliable surgery for quick relief or almost quick relief of sciatica pain from lower herniated disc

Slightly Invasive Microdiscectomy

There are generally two common options in an outpatient lower spinal Discectomy

  • Microdiscectomy
  • Endoscopic Discectomy

A Microdiscectomy is often treated as the most remarkable and pocket friendly procedure for removing the herniated part of the spinal disc that puts pressure on the nerve. Compared to other open surgical procedures the Microdiscectomy involves a slightly small incision and insignificant tissue damage and disturbance. A handful of surgeons has now achieved the adequate experience and skills with endoscopic and slightly invasive techniques which include performing surgery through tubes administered into the targeted area, instead of an open incision. A Microdiscectomy is generally performed by an orthopedic surgeon and pain management specialist

Implications for Microdiscectomy

If an individual’s leg pain is due to disc herniation, it will alleviate within 6 to twelve weeks of the pain arising. As long as the pain is bearable and the patient does not lose mobility , it is highly advisable to delay surgery for a short period of time to determine if the pain will resolve with nonsurgical treatment alone. If the pain is debilitating and severe, it is practical to consider surgery sooner

There are potential reasons why microdiscectomy is beneficial :

  • Leg pain has been experienced for at least six weeks
  • An MRI scan or other test shows a herniated disc
  • Leg pain (sciatica) is the patient’s main symptom, rather than simply lower back pain
  • Non surgical treatments such as oral steroids, NSAIDs, and physical therapy have not brought sufficient pain relief
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Recover your spine with Microdiscectomy spine surgery

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Synopsis

Microdiscectomy spine surgery is commonly known as the slightly invasive therapy, as there is slight interruption with the tissues and the muscles in the lower back

The Microdiscectomy spine surgery is potentially beneficial for addressing legs pain, sciatica. The surgery allows the patients to cope up with their routinely activities soon after

Procedure

For the Micodiscectomy spine surgery the patient lies face down on the examination table for surgery, local anesthetic is given the surgery takes a couple of hours

The basic steps of microdiscectomy spine surgery include;

An incision of 1or 1 and half inch in the center of the lower spine, then the muscles covering the bone, of lower spine are pulled and retained at a side, since the muscles run vertically so they are not required to be cut off during the surgery, the physician is able to reach the spine by removing thin layer off the spinal cord and with the help of operating microscope nerves can be clearly seen, the nerve root is delicately retained and so the small pieces of  disc material that has, ejected out is removed. The muscles and the nerve roots are put back to the place and the surgical incision is closed and allowed to heal

Post surgical care

Patients are commonly advised to remain at the physicians clinic for a couple of hours, the physician might observe your vital signs before you leave the clinic Soon after the surgery  the sufferer can return to their daily activities, patients are usually advised to go for a walk after a few hours of  Microdiscectomy spine surgery

The other postoperative care instructions might include, instructions for home based care, pain medications and antibiotics to avoid any infections and a follow up check up

Microdiscectomy spine surgery, risks and complications

As in other sorts of spine surgery, there are some potential risks attached to the Microdiscectomy spine surgery

In very rare cases of Microdiscectomy spine surgery a dural tear may occur,  causing Cerebrospinal fluid leakage. However, the CSF leakage might not bring any harm to the effects of the surgery, but the candidate must take several careful steps to allow the leak to seal

Other risks and complications include the following:

  • Nerve root damage
  • Bowel/bladder incontinence
  • Bleeding
  • Infection
  • Possible buildup of fluid in the lungs that may lead to pneumonia
  • Deep vein thrombosis, which occurs when blood clots form in the leg
  • Pain that persists after the surgery
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