Microdiscectomy, also known as microdecompression or microdiscectomy surgery, is a minimally invasive surgical procedure performed to treat a herniated disc in the spine. It is primarily performed in the lumbar (lower back) region to alleviate pain and other symptoms caused by compression of the spinal nerves.
Here’s an overview of the microdiscectomy procedure:
Anesthesia:
The surgery is typically performed under general anesthesia, meaning you will be asleep and pain-free during the procedure. In some cases, local anesthesia with sedation may be used.
Incision:
A small incision, usually less than an inch in length, is made in the midline of the lower back over the affected disc.
Discectomy:
Using specialized instruments and a surgical microscope, the surgeon carefully removes a portion of the lamina (a bony structure) and any other structures obstructing the path to the herniated disc. This allows access to the affected disc and nerve root.
Nerve root decompression:
The surgeon gently retracts the nerve root to expose the herniated disc. The portion of the disc that is pressing against the nerve is then removed, relieving the pressure and reducing irritation.
Closure:
Once the necessary decompression is achieved, the incision is closed with sutures or surgical glue, and a sterile dressing is applied.
Microdiscectomy is considered a minimally invasive procedure compared to traditional open surgery, as it involves smaller incisions, less disruption to surrounding tissues, and reduced recovery time. The use of a microscope allows for enhanced visualization, which helps the surgeon target the specific problem area more precisely.
After the surgery, you will be monitored in the recovery area before being transferred to a hospital room or discharged home. Physical therapy and rehabilitation may be recommended to help strengthen the back, improve flexibility, and prevent future disc issues.
Recovery time after microdiscectomy varies depending on the individual, the extent of the procedure, and other factors. Most people experience significant improvement in their symptoms shortly after surgery, although it may take a few weeks or months for a full recovery.
As with any surgical procedure, microdiscectomy carries risks and potential complications, although they are generally rare. These may include infection, bleeding, nerve damage, spinal fluid leak, blood clots, or recurrent disc herniation. Your surgeon will discuss these risks with you prior to the surgery.
It is important to consult with a spine surgeon or orthopedic specialist specializing in spinal conditions to determine if microdiscectomy is the appropriate treatment option for your herniated disc. The surgeon will evaluate your specific condition, consider your overall health, and discuss the potential benefits, risks, and alternatives of the procedure. At Alabama Bone and Joint Clinic our spine specialist will guide you through your treatment options. Call today to schedule an appointment with our expert in spine care, Winston Capel, M.D. is board certified in neurosurgery and fellowship trained in spinal surgery.
My visit to AL Bone and Joint Clinic was s pleasant visit , wait time was minimal the staff were friendly and knowledgeable. The Dr explained my injury so I could understand . They made me feel comfortable and taken care of.
I have been seeing Dr. Johnson at Alabama Bone & Joint for a few years now. He has always been professional, knowledgeable and very understanding. He takes time to answer questions and provide as much information as possible to ensure I understand what is going on and what the next steps should be. The staff is always kind and amazing. His nurse Heather is my favorite, she always has a smile and is very caring. I highly recommend.
Very pleasant experience. Very helpful, provided all answers to questions and information that was needed
