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.
- 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.
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