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Doctor insights on: Discectomy Or Diskectomy

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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

Dr. Scott Tromanhauser
212 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 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

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Neurosurgeon or orthopedic surgeon for neck surgery? Possible fusion or discectomy.

Neurosurgeon or orthopedic surgeon for neck surgery? Possible fusion or discectomy.

Either will do as --: Both of them should be trained in doing these surgeries. The orthopod should be a spinal surgeon. Your pcp canhelp you as to who to go to. Good luck. ...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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Which is better in removing herniated disc ..The microdiscectomy vs endoscopic discectomy ?

Which is better in removing herniated disc ..The microdiscectomy vs endoscopic discectomy ?

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 more

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When does a patient with a disc herniation undergo lumbosacral discectomy?

Weakness, pain: Usually when the disk presses on a nerve root causing either significant pain -sciatica, or weakness in the leg. ...Read more

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What is posterior spinal fusion with instrumentation surgery?

What is posterior spinal fusion with instrumentation surgery?

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

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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What is spinal decompression and spine fusion surgery?

What is spinal decompression and spine fusion surgery?

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 more

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Prognosis of sciatica pain from lumbar disc bulge or herniation without surgery or injection?

Prognosis of sciatica pain from lumbar disc bulge or herniation without surgery or injection?

Quick answer: greater than 90% of patients who have surgery have the same pain or lack of pain after 5 years compared to those who do not have surgery. If the pain is tolerable, wait before considering surgery ...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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How painful is a c-spine diskectomy & fusion?

How painful is a c-spine diskectomy & fusion?

Not bad: Typically, the post-operative pain following an acdf is not bad. You may have some discomfort between the shoulders and a sore throat. Typically, most patients do well. Check out spine-health.Com. ...Read more

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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 more

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Can you explain a hemilaminotomy diskectomy operation?

Can you explain a hemilaminotomy diskectomy operation?

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

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Can you suggest exercises post herniated disc surgery(discectomy)?

Can you suggest exercises post herniated disc surgery(discectomy)?

Herniated disc: The exercise are really based on where the pain distribution is location and any other associated signs or symptoms. Consultation with a local physical therapist would like be the best recommendation as they have the most experience in this type of treatment. ...Read more

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Does lumbar spinal stenosis require surgery?

Does lumbar spinal stenosis require surgery?

Depends: If the symptoms aren't bad then i generally do not recommend surgery. If someone can't walk a block and has failed physical therapy and epidural steroids, surgery can be helpful. ...Read more

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When is a cervical discectomy surgery indicated?

Disc herniation: The most common reason for discectomy is pain caused by disc herniation and refractory to nonoperative treatment. Less frequently, the surgery is performed for neurologic compromise (weakness, numbness) due to disc herniation. ...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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Is anterior cervical discectomy with fusion considered a major surgery?

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 more

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How is a discectomy done?

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 more

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Can a discectomy be reversed?

No : You mean put the herniation back?If you have worse pain after procedure followup with surgeon. ...Read more

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Does a micro discectomy bring results?

Does a micro discectomy bring results?

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 more

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What are the success chances for discectomy?

What are the success chances for discectomy?

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 more

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Could a micro discectomy bring positive results?

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 more

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Dr. John Oro Dr. Oro
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What is the definition or description of: discectomy?

Dr. John Oro Dr. Oro
2 doctors agreed:

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 more

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What is the definition or description of: diskectomy?

What is the definition or description of: diskectomy?

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 more

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I am having a discectomy on tuesday. What can I expect?

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 more

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Could a percataneous discectomy make your disk stronger?

Discectomy: You do not make a disc stronger in a discectomy, you are actually removing the disc or the part of it that has herniated. ...Read more

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How long must I restrict activity after discectomy with fusion?

Recovery: The less invasive surgery is, the faster the recovery and the less chance of complications. ...Read more

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What to do if i got discectomy exactly a week ago, should I be feeling better?

What to do if i got discectomy exactly a week ago, should I be feeling better?

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

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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 more

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I had a discectomy about three days ago, however the pain appears to be getting progressively worse, is this normal?

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

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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

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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

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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

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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 ?

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

Dr. Charles Cattano
180 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