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Doctor insights on: Percutaneous Lumbar Discectomy

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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

Percutaneous (Definition)

In surgery, percutaneous pertains to any medical procedure where access to inner organs or other tissue is done via needle-puncture of the skin, rather than by using an "open" approach where inner organs or tissue are exposed (typically with the use of a scalpel). The percutaneous approach is commonly used in vascular procedures. This involves a needle catheter getting access ...Read more


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Lumbar stenosis surgery safety?

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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Hows spinal decompression done?

Surgical: If you have spinal stenosis that require surgery, then a laminectomy is usually the type of surgery that would resolve the tightness. If you have a room that is full of people, and you want to make the room bigger you take the roof off. Essentially the lamina is the roof of the spinal canal and this can be removed to make more room for the spinal nerve elements. ...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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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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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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Whats lumbar spine stenosis?

Decreased space: The spinal cord passes through a "tunnel" in the bone. With arthritis, disc bulging, and overgrowth of surrounding ligaments, the spine cord can be compressed. The compressions is called stenosis. ...Read more

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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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What is the m.I.L.D. Procedure, minimally invasive lumbar diskectomy?

What is the m.I.L.D. Procedure, minimally invasive lumbar diskectomy?

A few variations: Minimally invasive lumbar diskectomies are when spine surgeons utilize a small retractor or tube through which they gain access to the spine. They can then perform surgery in a minimally invasive way to remove a herniated disk in your back. ...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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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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What spinal fusion surgery?

What spinal fusion surgery?

Joining bone togethe: A spinal fusion is a procedure used to join two spinal motion units together. It is designed to stop all motion of the motion segment. It may be performed with or without the usages of screws and rods. It is performed for spinal instability . It is like welding 2 pieces of metal together. ...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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What is lumbar spinal stenosis?

What is lumbar spinal stenosis?

Narrow spinal canal : There is a canal surrounded by a membrane that goes through the middle of the vertebrae. The spinal cord sits inside the canal surrounded by fluid. If a disc is bulging or ruptured/herniated toward the rear, this may cause pressure on the canal and it is narrowed. This may put pressure on the spinal cord or nerves within the canal causing local pain or neurologic symptoms from nerve compression. ...Read more

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Has anyone done a posterior lumbar interbody fusion surgery?

Has anyone done a posterior lumbar interbody fusion surgery?

Sure: This is a very good operation for the right patient. It provides both decompression and stabilization and has good results for the great majority of patients. ...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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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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What?Physical therapy is required after lumbar laminectomy surgery?

What?Physical therapy is required after lumbar laminectomy surgery?

Maybe, maybe not: If physical therapy is required after your surgery, slow stretching and strengthening exercises will be employed. Nothing too strenuous will be used. Those exercises to help you with activities of daily living and restoration of function is important. ...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


Dr. Al Hegab
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