![]() Disc herniations may result in pressure and inflammation, causing severe shooting pain in one or both legs. Minimally invasive microdecompression and microdiscectomy is a procedure commonly used to surgically manage patients with a disc herniation. Minimally Invasive Lateral Lumbar Interbody Fusion Most patients feel improvement in their symptoms immediately and continue to improve over the next several weeks. While many patients do not require bracing, this is determined by the surgeon on a case-by-case basis. Most patients are discharged from the hospital following a short stay. Bone graft is added to further facilitate fusion of the spinal bones and ensure stability. ![]() Rods are affixed to the previously placed screws to maintain the spinal position until the bone has fused. The bone composing the back of the spinal canal is carefully removed, thereby relieving pressure off of the spinal cord. Screws are placed in the thick bone on either side of the spine. The back of the spine is exposed by carefully moving the muscles aside. ![]() In this procedure, an incision is made over the back of the neck. This posterior technique is also used when certain conditions make surgery through the front of the neck more difficult and/or dangerous. It is considered for patients with worsening symptoms due to spinal cord compression, patients with multiple areas of disease, and patients with cervical deformity that makes lifting the head difficult. This procedure is effective in and applicable to a number of scenarios. If untreated, this can lead to loss of function in the arms and legs. In more extreme cases, spinal cord compression may cause difficulty with hand function and balance. Posterior cervical decompression and fusion is a procedure commonly used to surgically manage patients experiencing neck and arm pain. Posterior Cervical Decompression and Fusion While many patients do not require bracing, this is something determined by the surgeon on a case-by-case basis. Most patients are discharged from the hospital the morning after surgery. A small titanium plate and a set of titanium screws are used to maintain the spinal alignment and graft position while the adjacent spinal bones fuse together over time. A small bone graft is positioned in place of the removed disc. With the spine exposed, specialized tools are used to carefully remove the affected disc in order to decompress the nerves and spinal cord. Through this incision, the surgeon carefully exposes the spine with minimal trauma to the neck structures. Often, the incision can be “hidden” in the natural creases of the skin, allowing for excellent cosmetic results. This surgery involves making a small incision on the front of the neck. This causes the disc to bulge, break open (rupture), or break into fragments.Īnterior cervical decompression and fusion is a procedure commonly used to surgically manage patients experiencing neck and arm pain. The jellylike material (nucleus) inside the disc may be forced out through the tears or cracks in the capsule. These injuries may cause tiny tears or cracks in the outer layer (annulus or capsule) of the disc. A herniated disc also may result from injuries to the spine. (This is also called disc degeneration.) As we age, our discs lose some of the fluid that helps them stay flexible. ![]() A cervical herniated disc usually is caused by wear and tear of the disc. The seven vertebrae between the head and the chest make up the cervical spine. Herniated discs can occur in any part of the spine, but they are most common in the neck (cervical) and lower back (lumbar) spine. If they become damaged, they may bulge abnormally or break open (rupture), in what is called a herniated or slipped disc. When these discs are healthy, they act as shock absorbers for the spine and keep the spine flexible. The bones (vertebrae) that form the spine in your back are cushioned by round, flat discs.
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