Surgical Treatment for Disc Herniation
In case non-operative treatment doesn’t work and the symptoms persist, the patient is sent for further diagnostic tests like CT scan, MRI or X-ray to identify defects, problem areas or neurological issues.
In case a problem worthy of surgical treatment is detected, the patient is recommended surgical solutions.
In the following are surgical treatment options for the treatment of herniated discs with a success rate of 90%
This is generally an open procedure where a tubular retractor is used to make an incision of around 1 inch. This is done under anesthesia.
During the procedure, the surgeon uses a microscope or eyeglass loops to observe the area being treated. This procedure has a longer recovery time and the patient might experience some pain from time to time. Most of the pain will come post-operation and is the result of the approach of treatment.
Also known as decompression surgery, this process is used to create space for the removal of pressure on a nerve by removing the lamina, the back part of the vertebra, covering the spinal canal.
This procedure is sometimes carried out along with microdiscectomy, and increases the chances of scarring in the area being treated. It also adds to the recovery time.
This procedure requires an incision of less than half an inch. The process of endoscopic discectomy makes it possible for the surgeon to avoid resection of the lamina bone for entering the spinal canal. It makes it easier to enter the spinal canal without causing major damage including the cutting or disturbing of muscles.
During the procedure, the surgeon is able to observe the herniated disc directly in a water environment (arthroscopy).
To perform the process, a surgical working channel endoscope is used with an HD camera. This procedure requires a comparatively lower recovery time than microdiscectomy, and in most cases, patients are able to return to work in less than a week.
Usually, spine fusion is seen as a last resort for patients displaying symptoms of discogenic back pain or herniated discs.
The process of endoscopic discectomy allows physicians to detect the affected disc while the patient is under conscious sedation.
The procedure involves making an incision of around ¼ of an inch and placing a 7 mm working cannula into the foramen. This insertion is usually done from the side to avoid causing any major damage to the surrounding muscles or tissues.
An HD camera is then guided into the working channel endoscope to help the physician carry out the procedure accurately.