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Topic: Discectomy



  
 KORT - Kentucky Orthopedic Rehab Team
Discectomy is also commonly used when the doctor plans to fuse the bones of two neck vertebrae into one solid bone.
Discectomy relieves pressure on the ligaments, nerves, or spinal cord.
Outpatient physical therapy is usually prescribed only for patients who have extra pain or show significant muscle weakness and deconditioning.
http://www.kort.com/spinecerv/spinediscectomy.asp

  
 Open Discectomy
Open discectomy is the most common surgical treatment for ruptured or herniated discs of the lumbar spine.
Open discectomy uses surgery to remove part of the damaged disc and thus relieve the pressure on the nerve tissue and alleviate the pain.
Vertebral discs are the cushioning and connecting materials that lie between the bones of the spine, called “vertebrae.” When the outer wall of a disc, called the annulus fibrosus, becomes weakened through age or injury, it may tear allowing the soft inner part of the disc, the nucleus pulposus, to bulge out.
http://www.spine.org/articles/discectomy.cfm

  
 Discectomy
Laser discectomy is an outpatient procedure with one-step insertion of a needle into the...
Anterior cervical discectomy (ACD) is a common surgical procedure to treat chronic neck pain or other disorders affecting the cervical spine.
Discectomy is the surgical removal of herniated disc material that presses on a nerve root or the spinal cord.
http://netpediatrics.com/healthpedia/back-pain/discectomy.php

  
 Discectomy or microdiscectomy for a herniated disc
Discectomy (also called open discectomy) is the surgical removal of herniated disc material that presses on a nerve root or the spinal cord.
Discectomy provides faster pain relief than nonsurgical treatment, although it is unclear whether surgery makes a difference in what treatment may be needed later on.
Before the disc material is removed, some of the bone from the affected vertebra may be removed using a laminotomy or laminectomy to allow the surgeon to better see the area.
http://my.webmd.com/hw/back_pain/hw218424.asp

  
 Research Activities, September 1996: Patient Outcomes/Effectiveness Research: Surgical discectomy is cost effective for ...
The cost effectiveness of discectomy (surgical removal of a disc) is $29,200 to $33,900 per quality-adjusted year of life gained and may be as low as $12,000.
Lumbar discectomy for carefully selected patients who have herniated discs and do not respond to nonsurgical care provides substantial benefit and is reasonably cost effective, according to a cost-effectiveness analysis by the Back Pain Patient Outcomes Research Team (PORT).
Patients in the trials had undergone 2-6 weeks of medical treatment and were still experiencing pain, had herniated discs on myelogram (spinal x-ray with contrast medium in the spinal canal), and usually showed abnormal neurologic findings on physical exam.
http://www.ahcpr.gov/research/sep96/dept3.htm

  
 DISC Nucleoplasty Percutaneous Discectomy
As pressure is relieved, pain is reduced, consistent with the clinical results of earlier percutaneous discectomy procedures.
Coblation has been used in over two million procedures and has become the standard treatment in various arthroscopic applications, and is quickly becoming accepted as a less traumatic method of tonsillectomy in children, offering reduced post-operative pain and faster recovery periods.
DISC Nucleoplasty is a widely accepted treatment for patients with small contained herniations for whom open surgical discectomy offers a poor chance of success.
http://www.spineuniverse.com/displayarticle.php/article2133.html

  
 Lumbar Disc Herniation Surgery: Dr. Jho's Endoscopic Lumbar Discectomy
's endoscopic discectomy is similar to MED in that surgery is performed with the use of an endoscope; however, the details of surgical technique is still quite different.
Posterior endoscopic discectomy is the first approach, which is performed with a small skin incision made at the midline posterior lumbar region.
While the patient is under general anesthesia, the surgeon places a trocar (which is a small tube for surgical access through which surgical instruments are passed) and then utilizes an endoscope and specially designed surgical tools to remove the herniated disc fragments.
http://drjho.com/id32.htm

  
 Percutaneous endoscopic laser thoracic discectomy
Unlike open procedures, which are indicated for persistent severe myelopathy, endoscopic laser thoracic discectomy is contraindicated in patients with myelopathy, or other vascular pathologies, as well as in patients with cancer, degenerative or congenital bony defects of the spine and severe spinal cord compression.
By contrast percutaneous endoscopic laser thoracic discectomy aims to decompress the disc using a percutaneous needle and laser ablation.
The alternative to this procedure is either an open technique for thoracic discectomy or endoscopic discectomy (without the use of decompression and laser ablation).
http://www.nice.org.uk/page.aspx?o=56957

  
 The Pain Care Center - Treatments
We emphasize to our patients that this procedure is effective in treating the radiating pain often associated with the nerve injury resulting from bulging or protruding disk.
A patient who may benefit from Percutaneous Discectomy typically has complaints of low back pain that is radiating into one or both legs.
In additional to this, to determine whether a patient is a good candidate for Percutaneous Discectomy, radiating pain would need to accompany the low back pain and an MRI the bulging disk would need to be contained and not completely separate from the primary disk itself.
http://www.thepaincarecenter.com/treatments.htm

  
 Anterior Cervical Discectomy and Fusion Mayfield Clinic
Anterior cervical discectomy and fusion (ACDF) is a surgical procedure performed to treat a damaged disc in the neck area of your spine.
Your doctor may recommend a discectomy if physical therapy or medication fails to help relieve your neck or arm pain caused by inflamed and compressed spinal nerves.
This procedure is called a foraminotomy, and it gives your nerves more room to exit the spinal canal.
http://www.mayfieldclinic.com/PE-ACDF.htm

  
 FR Herniated Disc
The therapeutic objective is to relieve pressure on nerve roots and reduce pain and possibly weakness and/or numbness in the lower extremities.
The meta-analysis stated that there was inadequate evidence available to determine the efficacy of microdiscectomy or percutaneous discectomy for treating low back problems.
During the first year, 26 percent of the nonsurgery group demanded discectomy because of unrelieved sciatic pain.
http://www.spinemate.com/d4c2-000031.htm

  
 PERCUTANEOUS DISCECTOMY
Nevertheless, percutaneous discectomy in our opinion is not indicated for patients over the age of 50 years because of the instability of the spine; microtightening of foramina due to collapsed disc will not respond to this technique.
Percutaneous discectomy was introduced by Hitachi (1972), and the technique was soon promoted by Schreiver and Suezawa in Europe and by Kambin in the USA.
Percutaneous discectomy has been developed in response to this malady and to reduce iatrogenic complications of disc surgery.
http://www.backpainonline.com/Procedures/PERCUTANEOUS_DISCECTOMY.html

  
 New Mexico Spine - Back Surgeries - spine surgeon lumbar discectomy fusion scoliosis
The consideration as to fuse or not to fuse can be based on the surgeon's assessment of how much instability will occur through the discectomy, and how much disc space to restore.
Cervical discectomy is best left to surgeons who specialize in spine.
While studies show that more than half of back surgeries are unnecessary, there are times when surgery is the answer.
http://www.newmexicospine.com/surgery.html

  
 Percutaneous Discectomy
During percutaneous discectomy, a needle is inserted through the skin to reach the disc from which pressure must be relieved.
The word discectomy refers to the surgical removal of herniated disc material (sometimes referred to as a “slipped disc”) that is pressing against a nerve root or the spinal cord, causing uncomfortable pressure and pain.
This procedure is performed through the skin, as opposed to large incisions that are needed in open surgery to remove herniated disc material.
http://www.txneurospine.com/en/cms?8

  
 SPINE DOCTOR - Surgery
Fifty patients were treated by posterior laminotomy and discectomy and fifty were treated by a posterolateral extradural discectomy.
The posterior operative approach with a partial discectomy has been associated with a significant incidence of postoperative degenerative spondylosis and intraneural and perineural fibrosis, complications that may be minimized, or perhaps even eliminated, with the posterolateral evacuation of the offending intervertebral disc fragment.
The objective of this study was to compare the relative incidence of degenerative spondyloarthrosis after successful posterior laminotomy and discectomy and posterolateral extradural discectomy for decompression of a compromised lumbar nerve root.
http://www.spine-dr.com/site/surgery/surgery_article3.html

  
 SED
Percutaneous endoscopic discectomy: surgical technique and preliminary results compared to microsurgical discectomy.
Percutaneous endoscopic lumbar discectomy for recurrent disc herniation: surgical technique, outcome, and
degrees lens endoscope, discectomy was performed after obtaining direct visualization of the ventral aspect of the spinal cord dura mater.
http://www.apmsurgery.com/Literature/SED.html

  
 Dr. Jho's Minimally Invasive Lumbar Disc Herniation surgery: Lumbar Microdiscectomy or Endoscopic Lumbar Discectomy: ...
This photograph exhibits positioning of patient during endoscopic lumbar discectomy as well as the placement of a surgical trocar (1.5 cm in diameter) through which the surgical procedure is completed.
A surgical trocar (1.5 cm in diameter, but 1-cm-trocar is used for a slender patient), placed in a patient's back, provides operative access during endoscopic lumbar discectomy.
The use of an endoscope makes lumbar disc surgery much less invasive.
http://www.minww.com/spine5.htm

  
 Percutaneous Lumbar/Cervical Discectomy
Percutaneous arthroscopic thoracic discectomy is different from the standard traumatic thoracic disc surgery because there is no muscle dissection, bone removal, bone fusion, or a long incision, except for a puncture wound to accommodate the needle, micro-instruments, and the laser probe that are inserted into the herniated disc.
Percutaneous Endoscopic Thoracic Discectomy with Laser Thermodiskoplasty is a new minimally invasive spine surgery procedure to remove and shrink (by laser) a herniated disc in the mid-back.
Thoracic discs are difficult to approach surgically because of the ribs, the narrow spinal canal, and the critical position of the spinal cord.
http://www.spinecenter.com/Brochures/Thoracic/ptd.html

  
 Dr.Schiffer - Anterior Cervical Discectomy, Surgery Procedure for Bone Spurs & Disc Protrusions in Neck
This operation is reserved for only those patients that have large bone spurs and no x-ray evidence of spinal instability.
Click here to view some of our Patient Testimonials on the ACD procedure for neck and arm pain.
This procedure results in more room for the nerve roots and is more likely to relieve arm pain.
http://www.drschiffer.com/procedures_acd.html

  
 page_perculaser
Our early studies suggest that 92% of patients with primary compressive nerve root symptoms are satisfied with the results of laser discectomy one year after surgery and 87% are satisfied by the end of the second year and 85% at the end of year 3.
The laser discectomy is described in greater detail under the surgical procedure section.
In this situation the KTP/532 Laser discectomy is less effective However the problem of cases who had undergone prior surgery has been addressed more effectively by the more advanced techniques outlined below.
http://www.spinal-foundation.org/page_perculaser.htm

  
 Discectomy
Accurately depicts a generic Smith-Robinson anterior cervical discectomy (diskectomy) and spinal fusion surgery.
Accurate medical-legal exhibit depicting Cloward anterior cervical discectomy (diskectomy) and spinal fusion surgery.
This illustration depicts spine surgery of a cervical disc herniation and discectomy procedure from a superior (top) view.
http://www.indexedvisuals.com/scripts/ivstock/search.asp?q=Discectomy&

  
 Anterior Cervical Discectomy- Is Fusion Necessary?
In the absence of a randomized prospective study in patients with cervical spondylosis comparing anterior cervical discectomy with and without fusion, firm recommendations regarding the superiority of either approach are difficult to support.To this end, the current study was undertaken.
Many reports are difficult to interpret as the two techniques were utilized at different times and/ or by different surgeons (11,18).
Importantly, the number of patients with problems caused by motor vehicle accident or involved in compensation claims was similar between groups.
http://www.medschool.lsuhsc.edu/neurosurgery/nervecenter/acdfuse.html

  
 FindArticles search for "Discectomy"
ABSTRACT Our objective was to assess the clinical outcome of interlaminar discectomy in patients suffering with degenerated lumbar disc lesions.
FAILURE TO PREDICT THE OUTCOME OF LUMBAR DISCECTOMY Our aim was to judge the influence of preoperative psychological disturbance on the outcome of lumbar...
The purpose of this study was to investigate the correlation between activity-related pain six months after first surgery for herniated lumbar disc, and...
http://www.findarticles.com/p/search?tb=art&qt=Discectomy

  
 Decompression of Intervertebral Discs Using Laser (Laser Discectomy) or Radiofrequency Energy (Disc Nucleoplasty™)
Laser discectomy has been practiced for over a decade, and there is fairly extensive literature describing different techniques using different types of lasers, a large number of case series and a number of review articles.
Laser discectomy and Disc nucleoplasty™ are considered investigational as techniques of disc decompression and treatment of associated low back pain.
This review concluded that unless or until better scientific evidence is available, laser discectomy should be regarded as a research technique.
http://www.regence.com/trgmedpol/surgery/sur131.html

  
 SPINE DOCTOR - Surgery
If instability is the main reason for the unsatisfactory outcome after discectomy for a central herniation, the reason may rather be an unstable segment presenting with a central herniation in the first place than the surgical approach itself.
The anatomic position of a lumbar disc herniation is of predictive value for the clinical outcome of lumbar discectomy.
The same procedure is associated with a good clinical outcome in the majority of patients with paracentral or intraforaminal herniations.
http://www.spine-dr.com/site/surgery/s_anatomical_hnp.html

  
 Anterior Cervical Discectomy
Anterior cervical discectomy is an operation performed on the upper spine to relieve pressure on one or more nerve roots, or on the spinal cord.
Successful recovery from anterior cervical discectomy requires that you approach the operation and recovery with confidence based on a thorough understanding of each process.
If you should ultimately decide that surgery is the best treatment option for you, this section will help you understand what happens during an anterior cervical discectomy and will help you prepare for your role in the healing and recovery process.
http://www.espine.com/diagnosis_acd.html

  
 Minimally Invasive Anterior Cervical Discectomy
Anterior Cervical Discectomy is a procedure used by spine surgeons to remove a herniated (ruptured) disc.
The success of minimally invasive cervical discectomy is equal to, or greater than, traditional open surgery even with fusion.
The physicians listed here are among the small group of spine surgeons in the world who perform minimally-invasive anterior cervical discectomy surgery.
http://www.spineupdate.com/acd.html

  
 Minimally Invasive Discectomy
Through the use of terms such as "thermodiscoplasty, thermoannuloplasty" and "band-aide surgery" laser discectomy has raised to new heights abuse of modern technology and has, in the process, created procedure mills designed primarily for the benefit the procedurists and not the patients.
The anterior approach to the lumbar spine for the purpose of discectomy represents legitimate application of technology whose zenith has not arrived because of the long learning curve required of those who practice it.
The use of the scalpel for the purpose of discectomy has been the surgical standard in the past.
http://www.burtonreport.com/InfSpine/MinInvasProcDiscectomy.htm

  
 [No title]
The traditional way of treating a herniated disc is to perform a laminotomy and discectomy.
Microdiscectomy is essentially the same as traditional discectomy, but this newer approach has several advantages.
Improvements have been made in the tools available to the spinal surgeon for performing a laminotomy and discectomy.
http://www.allaboutbackpain.com/html/spine_lumbar/spine_lumbar_hnp2.html

  
 Dr.Schiffer - Cervical Endoscopic Discectomy Surgery, Surgical Procedure for Herniated Disc Treatment
Cervical Endoscopic Discectomy for the relief of neck and arm pain
Finally, because the procedure is performed on an outpatient basis, you will be allowed to return home the day of the surgery.
Dr.Schiffer - Cervical Endoscopic Discectomy Surgery, Surgical Procedure for Herniated Disc Treatment
http://www.drschiffer.com/procedures_ced.html

  
 MilwaukeePain.com - Pain Treatment Specialists
Disc bulges and herniations may be a source of lower back and lower extremity (sciatica) pain.
There have been several outcome studies in literature documenting the beneficial effects of laser discectomy.
Patients are sedated but awake so that the physician will be alerted if any nerves become irritated during the procedure.
http://www.milwaukeepain.com/percutaneous.html

  
 Anterior Cervical Discectomy with fusion is the removal of a neck disc and the implanting of a bone graft - ...
Anterior cervical discectomy with fusion is an operation that involves relieving the pressure placed on nerve roots and/or the spinal cord by a herniated disc or bone spurs - a condition referred to as nerve root compression.
Spinal fusion involves placing bone graft between two or more opposing vertebrae to promote bone growth between the vertebral bodies.
Through a small incision made near the front of the neck (i.e., the anterior cervical spine), the surgeon:
http://www.neckreference.com/treatment-surgical-fusion.html

  
 Anterior cervical decompression (discectomy) back surgery
The information in Spine-health.com is not intended as a substitute for medical professional help or advice but is to be used only as an aid in understanding back pain and neck pain.
This procedure allows the offending disc to be surgically removed.
Possible risks and complications of anterior cervical discectomy back surgery may include:
http://www.spine-health.com/topics/surg/overview/cervical/cerv02.html

  
 Percutaneous Lumbar Discectomy
Percutaneous lumbar discectomy is considered not medically appropriate for any of the following conditions:
A major complaint of acute unilateral leg pain localized to a single dermatome (i.e., radicular pain) or a major complaint of acute and intractable discogenic back pain consistent with a non-sequestered disc herniation; and
Gibson JNA, Grant IC, Waddell G. Surgery for lumbar disc prolapse (Cochrane Review).
http://www.bcbst.com/MPManual/Percutaneous_Lumbar_Discectomy.htm

  
 Discectomy - Wikipedia, the free encyclopedia
A discectomy is a surgical procedure where an extravasated segment of the intervertebral disc, which is causing pain by stressing the spinal cord or radiating nerves, is dissected.
A laminectomy is often involved to permit access to the intervertebral disc.
http://en.wikipedia.org/wiki/Discectomy

  
 Anterior Cervical Discectomy
Other risks possible with anterior cervical discectomy include: stroke; injury to the recurrent laryngeal nerve, which causes hoarseness and may or may not be permanent; and injury to the involved nerve root(s) or the spinal cord, both of which can cause varying types and degrees of paralysis.
Surgery for anterior cervical discectomy is performed with the patient lying on his or her back.
Although such complications are infrequent, you and your family should feel free to discuss the question of risk with your physician.
http://www.espine.com/diagnosis_acd02.html

  
 Endoscopic Laser Spine Surgery
Disclaimer: MicroSpine's surgeries are an alternative to conventional surgery and thus both conventional surgery or our endoscopic surgeries may benefit your condition.
So whether you call it endoscopic spine surgery, minimally invasive spine surgery, laser spine surgery, or outpatient back surgery.
We can perform laminoforaminoplasty, corpectomy, discectomy, microdiscectomy, joint surgery, sacroiliac surgery, hardware removal, hemilaminotomy, etc. Join those who now are part of MicroSpine, The Spinal Surgery Revolution!
http://www.doctorbuzz.com

  
 Dr.Gross is a respected Los Angeles orthopedic surgeon specializing in minimally invasive endoscopic spinal surgery for ...
SED is for patients who have failed to get lasting improvement with conservative care such as with anti-inflammatory medication, physiotherapy, chiropractic and steroid injections.
Gross considers the patient a total being, respecting the strong interaction between the body, mind and spirit.
By combining cutting edge orthopedic technology with a caring, conservative approach, Dr. Gross has become a recognized specialist in Selective Endoscopic Discectomy (SED)™.
http://www.back-pain-online.com

  
 The Luklinski Clinic -Sciatica-Lower Back Pain-Bulging Disc-Treatment
surgical procedures such as laminectomy, discectomy, spinal fusion, or IDET, whether they are performed privately or on the NHS, because such procedures are neither necessary nor effective as a form of treatment and invariably cause much more harm than the original condition.
We hope to show you via this web site that there is a non-surgical solution to almost every kind of spinal disorder, and that restoring your spine to a normal condition is not so difficult as it first appears.
We strongly caution our patients and visitors to this website not to agree to
http://www.back-pain.co.uk

  
 Endoscopic Discectomy - sciatica, herniated disc, back pain, leg pain,weakness, numbness, endoscopic discectomy, laser ...
An Endoscopic Discectomy is different from an open lumbar disc surgery because there is no traumatic back muscle dissection, no bone removal, and no large skin incision.
Major surgery is not the only alternative to living with back or leg pain, numbness or weakness.
Endoscopic Discectomy is an outpatient surgical procedure to remove herniated disc material.
http://www.coloradospine.com/endoscopic.html

  
 Selective Endoscopic Discectomy
discectomy (which includes microdiscectomy) and spine fusion surgery.
Placement of a needle into the disc from a 45 degree angle to the spine, thereby avoiding the spinal canal
endoscopic discectomy in the treatment of far-lateral and foraminal
http://www.pmrehab.com/sed.htm

  
 Surgical Treatments - Spine Center Atlanta
The goal of surgery is to correct the problem creating the pressure on, or irritation of nerves, causing symptoms of pain and weakness.
Your surgeon may recommend a "classic" discectomy, a micro-discectomy, or a percutaneous discectomy.
" or "partial discectomy" in which part of the herniated disc is removed that's putting pressure on a nerve, causing pain in your back or leg.
http://www.spinecenteratlanta.com/surgicaltx.asp

  
 Discectomy - Back Pain - Treatment
Removing an inter-vertebral disc, or even part of it, may relieve the pressure on the nerve root in question, but it also weakens the spine and leaves it more susceptible to injury.
In both cases, the disc is compromised when the soft, inner core (the nucleus pulposus) becomes deformed due to external pressure.
In addition to this, the patient may experience other symptoms, such as tingling or numbness (again, in the arms, chest or legs) and motor symptoms such as foot, or wrist drop (localised paralysis).
http://www.backrack.co.uk/discectomy.shtml

  
 Endoscopic discectomy
I am trying physical therapy, as was recommended by my neurosurgeon, but I am making contingency plans if this therapy fails.
The neurosurgeon said that if it fails he would recommend a traditional discectomy, as I am reportedly a good candidate for surgery.
He does not perform any of the minimally invasive procedueres (i.e.
http://www.spinalmedicine.com/ask/q990110a.html

  
 micro-endoscopic-discectomy
micro endoscopic discectomy See our list of quality Used Flexible Scopes HERE Flexible Endoscopes for Medical Use.
micro endoscopic discectomy Drug search kit with flexible & rigid endoscopes (600.372.
Everything you need and want concerning micro-endoscopic-discectomy all in one web site.
http://www.endoscopes.com/micro-endoscopic-discectomy

  
 MedlinePlus Medical Encyclopedia: Spinal surgery - lumbar
The length of hospital stay will vary according to the surgery performed, but can be as short as overnight for a simple discectomy, to up to a week if a spinal fusion is peformed.
The outcome depends on the source of the problem or the extent of the injury but most patients do very well after surgery.
You will be encouraged to walk the first or second day after surgery to reduce the risk of blood clots ( deep venous thrombosis).
http://www.nlm.nih.gov/medlineplus/ency/article/002973.htm

  
 Aurora Health Care
Replay of: Cervical Discectomy with Fusion Anterior Approach Performed Live at St. Luke’s Medical Center
MILWAUKEE, WISCONSIN— Nationally recognized Neurosurgeons at St. Luke’s Medical Center in Milwaukee, the state’s largest tertiary hospital, webcasted an innovative surgical procedure, Cervical Discectomy with Fusion Anterior Approach (ACDF).
The free basic player is all that is required to view the surgery.
http://www.or-live.com/aurora/1150

  
 Re: discectomy
Talked to my ortho today and he said that "when they put wires in your spine they can not see what they are doing, so they could have left part of the disk or cut the nerve root which is not fixable".
Still have the same pain and numbness in the leg.
: I had endoscopic discectomy L5-S1 in LA two weeks (Doctor Ditsworth).
http://www.healthboards.com/spinal-cord-disorders/2001.html

  
 Anterior Cervical Discectomy and Fusion with Anterior Cervical Plate Fixation
Anterior Discectomy and Fusion Using Simmons Keystone Technique: The Problem
Anterior cervical discectomy and fusion (ACDF) with anterior plate fixation is an established surgical treatment for patients with cervical disc disease.
At 24 months postoperative, the patient was asymtpomatic, successful bone fusion was obtained, and no intrumentation complications were noted.
http://www.spineuniverse.com/print.php/article1309.html

  
 cortisone shots vs. endoscopic discectomy
I understand this can reduce the inflammation and pain, but my interest is in achieving the most complete recovery possible, rather than merely "managing" the condition.
Endoscopic discectomy has not been shown to be effective.
I'm not a fan of surgery, but this seems minimally invasive.
http://www.spinalmedicine.com/ask/q991024d.html

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