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Lumbar Disc Microsurgery Discectomy - Learn The Procedure

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A Lumbar Disc Microsurgery is a technique of performing low-back surgery through a small opening. There are two types of lumbar microsurgery. Micro decompression is removal of bone from the spine. Microdiscectomy is removal of the disc. This removal takes pressure off nerves and reduces symptoms. Degenerative changes of the lumbar spine are an important cause of morbidity in adults. Changes include lumbar spinal stenosis with neurogenic, claudication as well as lumbar disc herniation, both of which can lead to back pain, sciatica, and radiculopathy. Lumbar disc microsurgery is used to treat patients suffering from herniated discs in their lower backs, which occur when the inner, jelly-like material of discs pushes through the outer layer of cartilage and puts pressure on the spinal cord. This procedure removes only the damaged part of the disc, leaving the healthy remainder intact. The surgeon makes an incision into the back through which a small window is made into the bone directly above the herniated disc. The spinal cord is gently moved aside while the damaged disc material is removed. As the patient heals, the spinal cord returns to its normal position, the pressure from the damaged disc is relieved, and the pain is alleviated.

lumbar disc microsurgery in indiaHerniated discs are often known as slipped disc. The term is derived from the action of the nuclear tissue when it is forced from the center of the disc. The disc itself does not slip. However, the nuclear tissue located in the center of the disc can be placed under so much pressure that it can cause the annulus to herniate or rupture. When the disc becomes herniated or ruptures, it may create pressure against one or more of the spinal nerves which can cause pain, weakness or numbness in the lower back, leg or foot. A herniated disc in the cervical spine can cause similar symptoms that extend from the neck into one or both arms. Sometimes the symptoms are so severe that activities of daily living are limited. Fortunately, most patients respond well to medication, physical therapy and time. Surgery is considered only if significant symptoms persist despite a good trial of non surgical treatment.

Procedure of Lumbar disc microsurgery

An incision is made in the midline of the low back, directly over the area of the herniated disc. Special retractors and an operating microscope are used to allow the surgeon to visualize the area of the spine, with minimal or no cutting of the adjacent muscles and soft-tissues. After the retractor is in place, an x-ray is used to confirm that the appropriate disc is identified. A few millimeters of bone of the superior lamina may be removed to fully visualize the disc herniation. The nerve root and neurological structures are protected and carefully retracted, so that the herniated disc can be removed. Small dental-type instruments and biting/grasping instruments are used to remove the protruding disc material. All surrounding areas are also checked to ensure no additional disc fragments are remaining. The wound area is usually washed out with sterile water containing antibiotics. The skin can usually be closed using special surgical glue, leaving a minimal scar and requiring no bandage. The surgery takes approximately 1 hour. This minimally invasive procedure removes the herniated portion of a damaged disc in the spine. It is 95 - 98 percent effective in eliminating sciatica caused by nerve root impingement.

Pain after any operation is common and expected. After a lumbar microdiscectomy, there may be some pain in the leg which occurs as the nerve attempts to heal. The patient may feel some muscle spasms across the back and down the legs. And if there was inflammation in the nerve root, some pain may persist until this inflammation diminishes. The patient will be given appropriate medication to control pain, relieve back spasms and reduce inflammation.

  • Opening the Lamina
    After creating a small incision directly over the herniated disc, the surgeon makes a small opening in the lamina to gain access to the spinal canal. With the help of a microscope, the surgeon can see the pinched nerve root and the herniated disc through the opening.
  • Moving the Spinal Cord
    Using a nerve retractor, the surgeon slowly and gently moves the spinal nerve away from the herniated disc, giving him the space to perform the surgery.
  • Removing the Herniation
    The surgeon identifies and removes the herniated section of the disc. It stops the pressure the disc exerted on the nerve root, which also eliminates the leg pain. Complications of Lumbar disc microsurgery
    • Dural tears
    • lumbar  disc  microsurgery treatment in india
    • Discitis
    • paralysis
    • Failure to improve
    • Spinal fluid leak
    • Instability
    • Nerve root injury
    • Infections
    • Wound problems

FAQ - Lumbar Disc Microsurgery

  • What is Lumbar Disc Microsurgery?
    • Lumbar disc microsurgery is a minimally invasive surgical procedure used to treat lumbar disc herniation. It makes use of a special microscope that can clearly see the lumbar disc and the nerves that are in close proximity to it. The microscope enables the surgeon to get a magnified view of the structures, thus helping them get clearer views and better access to the lumbar disc.
  • When is Lumbar Disc Microsurgery performed?
    • Lumbar disc microsurgery is performed when the intervertebral discs between the lumbar vertebrae start to grow out from their designated space and impinge upon the nerve fibres that originate from the spinal-cord. Patients find in difficulty walking and mobilizing as a result.
  • How is it performed?
    • Before the procedure, consent is obtained from the patient and he/she is administered a local anesthetic or general anesthetic. The site of operation is cleaned with antiseptic solution and covered in sterile drapes. A small window is made directly over the vertebra where the lumbar disc has prolapsed. Through the incision, instruments are inserted to gain access to the herniated lumbar intervertebral disc. When doing so, lamina may need to be removed to gain access to the discs. The removal of the lamina is called laminectomy.
  • What are the benefits of Lumbar Disc Microsurgery?
    • Most patients experience a great deal of relief of their symptoms, which persists for years to come.
  • What are the risks associated with Lumbar Disc Microsurgery?
    • It is important to remember that surgery helps most patients, but not all of them. There is a small scope of damage to the nerve fibers arising from the spine during manipulation. Infections may occur but again these are rare.


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Roshan Kuntoor

Hey this is Roshan Kuntoor from Qatar; I had my surgery for back pain, which helped me get rid of the same. I am deeply indebted with the result I got from the surgery. I highly recommend the same.

Hi, I am George from NY, USA. My back was in a bad shape due to constant pain. My doctor advised me to go for a back surgery, which I did in India. The Indian spine hospital treating me was simply the best and I loved my stay there after all I got rid of my back problem. I highly recommend this place for high quality medical services.
William Scottsingle

Hi, this is William Scottsingle from Illinois from US. I ventured to India, going that long just to have my back surgery, which was a big success. I was perplexed earlier about this choice but now can vouch for the quality and affordability elements found in my back pain surgery in India. I highly recommend to all!
Marie Olawale

This is Marie Olawale from Nigeria. I was bogged down with my back pain till I got my surgery in India. It went par to my expectations and made me free from the ailment and back pain. Thanks to the highly competitive doctor and his team who treated with great professionalism and care. I recommend one and all.
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