Doctor insights on:
Discectomy Or Diskectomy
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
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
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 moreSee 2 more doctor answers
Disc herniation: Both approaches to removing disc herniations are effective. The location of the herniation will dictated the best approach, whether more from the middle of the spine to an approach from the side of the spine. Many spine surgeons have experience with both microdiscectomy and endoscopic. It is important to discuss these approaches with the surgeon. ...Read moreSee 1 more doctor answer
A type of spine : Surgery where implants which are usually several screws that attach to the bones of the spine and are then interconnected over one or more levels with usually a pair of metal rods -this is the instrumentation. A fusion is a healing together of two or more spine bones or vertebra with the use of bone material or synthetic substitutes. ...Read moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
Different surgeries: Spinal decompression surgery is performed nerve root impingement-usually from bone or ligaments in the spinal canal or where the nerve roots exit-the neuroforamena. Generally called a laminectomy, it involves removing bone and ligament from the spine. A spinal fusion locks together two or more segments of the spine, usually with screws and rods. Bone is added as well to allow the bones to knit. ...Read moreSee 2 more doctor answers
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
Does cervical spine or lumbar spine surgery have the best prognosis and ease of surgery? Is artificial disc replacement or fusion surgery best for treating cervical spondylosis?
Many variations: Anterior or posterior, discectomy, decompression, or fusion. All affect recovery rates. For fusions, anterior cervical tends to be an easier recovery than lumbar. Cervical adr is quite comparable to fusion for short and mid-term outcomes. Longer term studies may show better long-term results than fusion, but we currently don't have enough data. ...Read moreSee 2 more doctor answers
Laminectomy: You need to know certain basic anatomy oy the spine.Vertebraes are form of an anterior body and posteror part called the laminae joint by the spinous process.Laminar are right and left.Hemilaminectomy means that only one side othe laminae are removed(partially)to gain access to the disc space and discectomy means removal of the disc material. ...Read more
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 moreSee 1 more doctor answer
If it is you!: It depends on one's perspective and really on how healthy you are and how severe the disc herniation is and if any other associated pathology or if there was any other prior surgery or treatment(radiation) through the surgical approach that may complicate the surgery or if you are a smoker, obese, diabetic, have an existing chronic remote infection, renal disease etc. ...Read moreSee 2 more doctor answers
Variety of ways: Several ways but standard in the lower back is a microdisectomy through a small posterior incision leading to the roof or lamina of the spine where a small keyhole opening is created through a natural open area & moving the nerve & nerve sac out of the way to access the piece of disc herniated with special instruments to protect the neural elements while removing disc fragments as an outpatient. ...Read moreSee 1 more doctor answer
YES!!: Microdiscectomy, whether performed traditionally or thru miss technique performed for the correct diagnosis routinely result in excellent results. For discectomy there is a 90% excellent outcome. Hopefully in the future we will be able to achieve a 100% excellent outcome! ...Read moreSee 1 more doctor answer
High: If the symptoms of pain, weakness and/or numbness can be matched to the abnormalities on mri, and if everything else has failed, then surgery to remove the offending disc can provide significant (>75%) relief of painful symptoms. There is a small chance of recurrence in the future. ...Read moreSee 2 more doctor answers
Yes: In the proper scenario, a microdiscectomy can be very helpful. Disc herniations can cause pain, numbness and weakness. If the symptoms have not gone away with conservative modalities, such as anti-inflammatory medications, physical therapy, epidural injections, then surgery is a good option. The procedure takes out the herniated portion through a small incision. ...Read moreSee 1 more doctor answer
Partial disc removal: 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 complete discectomy is performed. ...Read moreSee 1 more doctor answer
Excision: 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 failed no operative care. ...Read moreSee 2 more doctor answers
No: It will not.Get a more detailed answer ›
Back soreness: I'm assuming here that you're having a lumbar microdiskectomy. You will experience some incisional soreness, low back aching and pain which is easily managed with medication. If you are experiencing leg pain and numbness, the pain should be better quickly afterward. Numbness takes longer. Rest is the key. No excessive activity. Ice pak on the back helps. You should improve quickly. Good luck. ...Read moreSee 1 more doctor answer
Recovery: The less invasive surgery is, the faster the recovery and the less chance of complications. ...Read more
Recovery: The less invasive surgery is, the faster the recovery and the less chance of complications. ...Read more
You should be better: Discectomy is used for sciatic type pain if in the lumbar region and arm pain in the cervical region. Those pains should be gone by now...surgical pain over incision may still be sore. Usually the radicular pain takes only a few days to show at least some improvement. Call your surgeon, get his or her opinion. ...Read more
Is it ok to have pain 8 months after a discectomy? What kind of pain and what level is acceptable at this stage?
There is a 5-10% f: Failure rate especially if one is a smoker and if the back pain was more of a component than the leg pain suggesting that a fusion should have been done. In 1-2% of patients, nerve pain can develop related to post op changes. The rate of a recurrent disc herniation is 5%. Some studies suggest when surgery complicated by spinal fluid leak(1%risk) lower success rate as well. ...Read moreSee 1 more doctor answer
I had a discectomy about three days ago, however the pain appears to be getting progressively worse, is this normal?
Not normally: Check to make sure you are not developing an infection by checking your temperature and seeing if the wound site is becoming red, swollen, tender, warm or starting to drain. Also there could be a possibility that your are herniating another disc fragment which occurs in 5% of disc surgery patients and can occur at any time postop as only the portion of the disc herniated is removed at the surgery. ...Read more
What do you suggest if i had a discectomy around three weeks ago and still have pain, should I be feeling better/different?
That depends on : Several factors for lumbar surgery. Smokers have high failure rates. Also, if back pain was predominant symptom over leg pain then higher failure rate. For most patients with predominantly leg symptoms with positive findings on examination that match Imaging studies, this surgery should have a 99-95% success rate. By 3 weeks you should be feeling better so if not improving talk to your surgeon. ...Read more
What do you recommend if I had a discectomy around three weeks ago and still have pain, should I be feeling better/different?
Follow-up: If you are no better, I would suggest that it is time to see your surgeon for further evaluation. Good luck. ...Read more
What is the recovery time for a diskectomy? How long does it take to recover from a diskectomy? When can I get back to normal activities and work?
Recovery : Recovery time depends on the type of discectomy surgery you have, long long you have had the problem and the presence of nerve damage. Patients recover quicker from minimally invasive and endoscopic discectomy then traditional. People who have the problem longer or have nerve damage take longer to recover. Most people recover from surgery between a 2 to 12 weeks. Please see my health guide on lumbar discectomy. Good luck! ...Read more
I go to hosp tomorrow to be checked over after my discectomy 2 weeks ago that's left me in more pain on the other side of my body. What can I expect ?
Dr. checks healing: The doctor will check the surgery area to see if the healing looks usual for being 2 weeks out from the procedure (and that there's no infection nor excessive inflammation at the site). He'll assess the amount of pain and tenderness present, and make recommendations on the exercises and mobility allowed. Also, he'll look to see why the other side hurts, which could be from muscle, nerve, or both. ...Read more