The intervertebral disc helps with the movement of the spine by acting similar to the shock absorbers in a car. The outer ring of the disc is made up of thick tendons and houses an interior of flexible, gel-like tissue that absorbs the impact. When weight is placed on it, the disk expands, and when the weight is removed, it returns to its original shape. When the intervertebral disc begins to deteriorate, flexibility is reduced. If there is tearing of the outer ring, the soft central portion may bulge out and compress the surrounding nerves, causing a number of symptoms. If conservative management does not work or the patient has indicators for surgery, including muscle weakness, chronic pain that has lasted more than three months, or the inability to control bladder and/or bowel, then the doctor will recommend surgery to reduce compression of the nerves as the final treatment option.
To alleviate symptoms from spinal nerve decompression in patients whose conservative management or other less invasive interventions have not worked.
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Price Range
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-90% or higher success rates HD cameras are used to give the surgeon a better view of the damage in the area No spinal fusion is necessary Minimal incision size of just 1/4 inch reduces the risk of scarring Spinal mobility is preserved because there is less scarring and tearing of muscle tissue Less risk for large amount of blood loss Conscious sedation means there is no need for general anesthesia Less recovery time Less pain during recovery means less dependence on narcotic pain medication You can resume normal activities sooner.
-Risks associated with an anaesthesia and surgery
Once the patient is under anesthesia the surgeon will insert the endoscope through an incision of eight millimeters directly to the nerves that are being compressed, without damaging any of the healthy tissue surrounding the site. The endoscope will allow the surgeon to clearly see the nerves so they may trim only the area where the nerves are compressed, whether compression is caused by a bulging disc or degenerated joints and tendons. The entire procedure takes approximately 30 to 45 minutes.
Before you have a minimally invasive spine surgery performed, you’re going to want to make sure that you have assistance in order to get home and to allow you to rest for a couple of days. A discectomy only takes about an hour and can be done under local anesthesia in our facility. However, depending on where your discectomy is and how you respond to local anesthetics, you may be numb so that you are unable to drive. If you have any allergies or are on medications that could increase the risk of bleeding, make sure your doctor is aware in order to avoid any complications. While the risks are small, there are still risks, and bleeding is one of them. Follow the doctor’s instructions for medications and food ingestion prior to your discectomy.
The patient can walk immediately after surgery. For people who do office work and other kinds of sedentary jobs, the time of recovery is usually one to two weeks. For more active people, like athletes and those who move around more often during their regular workday, the time of recovery may be four to six weeks. During the recovery period, you’ll need to participate actively in a physical therapy program. Physical therapy will help you recover and return to your regular activities faster. Some patients may also be required to take pain relievers during the recovery period.
A dural tear (cerebrospinal fluid leak) - The leak does not change the results of surgery, but the patient may be asked to lie down for one to two days after surgery to allow the leak to seal. 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
What are the indications for this procedure?
Generally the indicators for surgery include: unsuccessful treatment by alternative methods, chronic pain, clear weakness of the legs, or the inability to control bladder and bowel.
What diseases can be treated with a Lumbar discectomy?
1.Herniated disc by performing endoscopic discectomy in all three areas (degrees) of the spine i.e. lumbar, cervical and thoracic spine
2.Spinal stenosis by performing an endoscopic foraminotomy, that is, opening the foramen that puts pressure on/entraps the nerve coming out of it
3. Central and Oblique Stenosis of the lumbar spine (mild to moderate degree) by endoscopic decompression – laminectomy
4. Discogenic Pain (lumbar/waist pain) by performing a thermal surgical remodeling of the spinal ring with a special radiofrequency device or a laser device
5. Facet joint syndrome (i.e. its symptom, pain) by performing endoscopic rhizotomy and lastly,
6. Spinal instability by performing endoscopically assisted spinal fusion.