Minimally Invasive Lumbar Microdiscectomy
Minimal access surgical techniques are evolving all of time, but none
more than those for the spine.
In a micro-discectomy or a micro-decompressive spine surgery, a small
portion of the bone over the nerve root and/or disc material from under
the nerve root is removed to relieve neural impingement and provide more
room for the nerve to heal.
This minimally invasive technique uses a muscle splitting approach rather
than cutting the muscle. The surgeon uses sequentially larger dilators
to seat the final working channel. The surgery is then performed through
small (about 2cm wide) cylinder. The straight channel makes the use of
the operating microscope very easy.
With the aide of the fluoroscope (a live video x-ray) the instrumentation
is accurately placed. The technique allows smaller incisions (about 1.25
inches), little manipulation of muscle, and precise accuracy.
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The patients are on their feet and discharged the day after surgery.
Walking is the only therapy needed in the initial week. There are no sutures
to remove.