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Doctor insights on: Cervical Discectomy Infusion

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Is a laminectomy or minimally invasive foramenectomy w/o fusion better for mixed foraminal and spinal cervical stenosis?

Is a laminectomy or minimally invasive foramenectomy w/o fusion better for mixed foraminal  and spinal cervical stenosis?

Ask your surgeon(s): They'll review your imaging with you and discuss your options. But before further surgeries, you mention physical therapy and cymbalta, (duloxetine) but there may be other non-surgical options including other medications, pain psychology and interventional pain procedures that may be helpful for your condition. Good luck! ...Read more

Dr. Scott Tromanhauser
211 doctors shared insights

Discectomy (Definition)

Discectomy is the a surgical procedure in which the ruptured portion of a ruptured spinal disc (the pad between two vertebrae) is removed. Disc tissue near the rupture may also be removed, but usually most of the disc is saved. If a spinal fusion is needed, a more ...Read more


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Is reherniation after lumbar laminectomy with discectomy possible?

Is reherniation after lumbar laminectomy with discectomy possible?

No: If there was a complete diskectomy, there is nothing left to herniated, but if the surgeon just shaved the disk, then re-herniation can occur. ...Read more

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Anterior discectomy & fusion of cervical spine, what to do?

Anterior discectomy & fusion of cervical spine, what to do?

Common procedure: An anterior cervical discectomy and fusion with instrumentation is a common procedure to address cervical disc herniations, degenerative spondylosis and occasional to treat instability from trauma. A fusion will eliminate the motion at the involved joint segments. Most patients do well. For very good information and videos, check out spine-health.Com. ...Read more

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Doctor suggests an anterior cervical discectomy plus spinal fusion. What is invovled in this?

Doctor suggests an anterior cervical discectomy plus spinal fusion. What is invovled in this?

Disc removed & fuse: The cervical disc is removed from the front thru the neck anteriorly along with any bony ridges compressing nerve tissue & the disc space is filled with a piece of bone from a cadaver or from another area in your body(iliac crest) or with a metal or plastic-like spacer(peek) filled with bone with screws thru these devices holding them in or with or without a plate and screws fitted to the spine ...Read more

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Whats bilateral lumbar facet injection?

Whats bilateral lumbar facet injection?

For Back Pain: Lumbar facet injections are meant to be diagnostic and not therapeutic to see if the facets are the cause of back pain. They should always be done under fluoroscopic guidance and pain always should be recorded on a scale for 6 hours following the procedure. If greater than 50% relief for at least six hours this proves facet mediated pain and a rhizotomy may be indicated for longer lasting relief. ...Read more

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Is transforaminal lumbar interbody fusion a very common procedure?

Is transforaminal lumbar interbody fusion a very common procedure?

It is very common.: Transforaminal interbody fusion, or tlif, is a common spinal procedure. It is just one of many tools used in spine surgery. It's important that the decision for surgery be made carefully, and that the particular combination of procedures be individualized for a person's anatomy and symptoms. ...Read more

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What is status post-lower cervical spine fusion and diskectomy?

A term meaning that: Someone had a spine surgery involving the neck most typically from anterior or front approach involving removal of cervical disc and filling the disc space with either bone or a cage & bone as well as possibly some spine instrumentation or hardware in the lower part of the neck or cervical spine. The disc spaces range from c2-3, c3-4, c4-5, c5-6, c6-7 & c7-t1. The lower 3 would be one of them. ...Read more

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How effective is having spinal fusion with decompressive laminectomy?

How effective is having spinal fusion with decompressive laminectomy?

Depends on reason: This depends on the reason for this type of surgery, the number of levels involved. , whether this is a repeat surgery, the health and age of the patient, the smoking status of the patient, their weight and nutritional status and other co morbidities or problens like diabetes, thyroid disease, etc.. The bone density can also play a role, ie, osteoporosis. ...Read more

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How are cervical facet injections performed?

How are cervical facet injections performed?

Under Xray Guidance: A facet injection is a minimally invasive procedure that can temporarily relieve back pain caused by inflamed facet joints. A facet injection includes both a long-lasting corticosteroid and an anesthetic numbing agent. The drugs are delivered to the painful facet joint, either inside the joint capsule or in the tissue surrounding the joint capsule. ...Read more

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What are the pros/cons of a 3 level cervical laminectomy w/o fusion vs a keyhole endoscopic decompression for stenosis(disc &spurs compressing nerves?

Complex: It is a little complex to fully discuss in such a forum; but a for amounting would be appropriate if you are just having symptoms of foraminal stenosis causing pain in the arm, where a laminectomy may be needed if you have problems related to central cord compression. Definitely would need to discuss face to face with your surgeon. ...Read more

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What hospital is renowned for anterior cervical discectomy and fusion surgery?

What hospital is renowned for anterior cervical discectomy and fusion surgery?

Hard to say: It is such a uniformally successful, fairly simple surgery that it would be difficult to say if any particular hospital would be best; we often even do them as outpatient procedures at our surgery center. The are rating sites for hospitals in spinal surgery, it is just a lot of times that has more significance for someone requiring a complex spine procedure. ...Read more

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Are headaches after undergoing a anterior cervical discectomy plus spinal fusion significant or common?

They can be: Headaches are tricky, sometimes they are primarily caused by cervical spine problems, often times they are exacerbated by them, but it is difficult to predict whether surgery will ever help them, except in the case of an obvious c34 disc and radiculopathy with occipital nerve type pain which is mechanical. ...Read more

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How serious is cervical spinal fusion..?

A common procedure: Cervical spinal fusion for a herniated cervical disc is a common procedure done by neurosurgeons and orthopedic spine surgeons. There are certainly risks to the surgery, but in the proper hands the outcomes are excellent. You also need to evaluate the situation and ensure that the symptoms can be treated effectively with the fusion. ...Read more

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How effective are disc replacement options in lumbar spine? Cervical spine?

See below: They are safe and effective and have similar results as the clasSic ACDF their advantages over the fusion are theoretical in my opinion the Acdf has a 95% chance at relieving arm pain neither are neck pain procedures , both do a good job relieving arm pain from pinched neck nerves early adopters of new technology can be surprised by outcomes since they are not as well studied without long term ...Read more

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Spinal epidural block forpeople with disc extrusion?

Spinal epidural block forpeople with  disc extrusion?

Yes: It can be given in this situation but often times not preferable. The reason being, if the disc situation were to worsen during procedure positioning(ie, someone developes a neurologic deficit) it would be unclear as to what caused the deficit-the epidural or the disc. A laboring pregnant woman may receive an epidural, but the above situation and risks must be understood by patient. ...Read more

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Can a person get cervical and thoracic spine pain after a lumbar transforaminal epidural steroid injection?

Can a person get cervical and thoracic spine pain after a lumbar transforaminal epidural steroid injection?

Yes: It is not that common but can be seen. The pain should be transient and short lived. If worsening, accompanied by headaches, fevers, weakness in the extremities, the doctor should be notified immediately. ...Read more

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Which is better for?A herniated disc --- ?Discectomy or fusion?

Which is better for?A herniated disc --- ?Discectomy or fusion?

Spine Pain Options: This pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read more

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Lumbar stenosis surgery safety?

Very safe: Most of these surgeries are done on an out patient basis w/ the patient returning to work w/in few days. These surgeries are done on a minimally invasive fashion w/ typically excellent results. ...Read more

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Dr. Krishna Kumar
178 doctors shared insights

Diskectomy (Definition)

The term discectomy refers to an excision of all or part of a disc. The disc itself is a cartilage structure that is located between two vertebral bodies. Disectomies are typically performed to improve pain and/or function in a patient that had ...Read more


Infusion (Definition)

An infusion implies a substance administered via IV 2 a person, such as blood (transfusion), antibiotics and pain meds or other meds. Some can be ...Read more