To avoid re-injuring your spine, your doctor may recommend weight loss, prescribe a low-impact exercise program, and ask that you limit some activities that involve extensive or repetitive bending, twisting or lifting. Explore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions.
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Overview Diskectomy Open pop-up dialog box Close. Diskectomy Diskectomy is the surgical removal of the damaged portion of a herniated disk in your spine. Herniated disk Open pop-up dialog box Close. Herniated disk The rubbery disks that lie between the vertebrae in your spine consist of a soft center nucleus surrounded by a tougher exterior annulus.
Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Azar FM, et al. Degenerative disorders of the thoracic and lumbar spine. In: Campbell's Operative Orthopaedics. Philadelphia, Pa. Accessed May 9, Back pain. Phan K, et al. Full-endoscopic versus micro-endoscopic and open discectomy: A systematic review and meta-analysis of outcomes and complications. Clinical Neurology and Neurosurgery. Shen FH, et al.
Cervical degenerative disk disease. The exact level of decompression required will be determined using an X-ray. An incision will be made in the middle of your back, running vertically along your spine. The length of the incision will depend on:. The muscles in your back will be lifted from the back bone, to expose the back of the spine.
The affected tissues or nerves will be removed little by little, taking the pressure off the spinal cord or nerves. Once adequate decompression has been achieved, the muscles will be stitched back together and the incision will be closed and stitched up.
The aim of lumbar decompression surgery is to relieve the pressure on your spinal cord or nerves, while maintaining as much of the strength and flexibility of your spine as possible. Depending on the specific reason you're having surgery, a number of different procedures may need to be carried out during your operation to achieve this. A laminectomy removes areas of bone or tissue that are putting pressure on your spinal cord. The surgeon makes an incision cut over the affected section of spine down to the lamina bony arch of your vertebra , to access the compressed nerve.
The nerve will be pulled back towards the centre of the spinal column and part of the bone or ligament pressing on the nerve will be removed. To complete the operation, the surgeon will close the incision using stitches or surgical staples.
A discectomy is carried out to release the pressure on your spinal nerves caused by a bulging or slipped disc. As with a laminectomy, the surgeon will make an incision over the affected area of your spine down to the lamina. The surgeon will gently pull the nerve away to expose the prolapsed or bulging disc, which they'll remove just enough of to prevent pressure on the nerves.
Most of the disc will be left behind to keep working as a shock absorber. To complete the operation, the surgeon will close the incision with stitches or surgical staples. Spinal fusion is used to join 2 or more vertebrae together by placing an additional section of bone in the space between them.
This helps to prevent excessive movements between 2 adjacent vertebrae, lowering the risk of further irritation or compression of the nearby nerves and reducing pain and related symptoms. The additional section of bone can be taken from somewhere else in your body usually the hip or from a donated bone. More recently, synthetic man-made bone substitutes have been used. To improve the chance of fusion being successful, some surgeons may use screws and connecting rods to secure the bones.
Afterwards, the surgeon will close the incision with stitches or surgical staples. Surgery Overview Discectomy is surgery to remove lumbar low back herniated disc material that is pressing on a nerve root or the spinal cord. What To Expect After Surgery After surgery, you will be encouraged to get out of bed and walk as soon as the numbness wears off. Other things to think about include the following: You may not be comfortable sitting at first. Most people avoid having to sit for longer than 15 or 20 minutes.
But sitting will feel more comfortable over time. Walk as often as you can for the first several weeks. Getting up often to walk around will help lower the risk that too much scar tissue will form. Many people are able to resume work and daily activities soon after surgery. In some cases, your doctor may suggest a rehabilitation program. This may include physical therapy and home exercises.
If you work in an office, you may go back to work in 2 to 4 weeks. If your job requires physical labor such as lifting or operating machinery that vibrates you may be able to go back to work 4 to 8 weeks after surgery. Why It Is Done Surgery is done to decrease pain and allow you to regain normal movement and function. You and your doctor may consider surgery if: You have very bad leg pain, numbness, or weakness that keeps you from being able to do your daily activities.
Your leg symptoms do not get better after at least 6 weeks of nonsurgical treatment. Results of a physical exam show that you have weakness, loss of motion, or abnormal feeling that is likely to get better after surgery. Signs include: New loss of bowel or bladder control. New weakness in the legs usually both legs. New numbness or tingling in the buttocks, genital area, or legs usually both legs. How Well It Works Although surgery for a lumbar herniated disc doesn't work for everyone, it works well for many people.
Risks As with any surgery, there are some risks. Surgery doesn't always work, or it may not work any better than other treatment. There is a slight risk of damaging the spine or nerves. There is some risk of infection. There are risks with anesthesia. What To Think About Discectomy for a lumbar herniated disc may provide faster pain relief than nonsurgical treatment. A newer form of discectomy using laser beams laser discectomy is still in the research stage.
0コメント