
Endoscopic Lumbar Discectomy
Endoscopic Lumbar Discectomy is a minimally invasive surgical procedure to remove a herniated or bulging disc in the lumbar spine.
A lumbar disc herniation can be caused by spinal injury, spinal stenosis, spinal arthritis, brain and spine tumors, and degenerative disc diseases. Herniated discs compress nerve roots in the spinal cord, which can cause severe, debilitating pain, which results in restricted mobility and discomfort.
An Endoscopic Lumbar Discectomy is recommended to relieve pressure from pinched nerves when nonsurgical treatment options have failed to relieve symptoms.
Who Needs Endoscopic Lumbar Discectomy? Â
Any individual manifesting the following symptoms is eligible for an Endoscopic Lumbar Discectomy:
- The patient has been diagnosed with a herniated or slipped disc.
- The patient is experiencing considerable neck pain and radiating pain in the legs and arms.
- The patient is having trouble walking, standing, or sitting for prolonged periods because of numbness and nerve weakness.
- Nonsurgical treatment options like physical therapy, pain medication, and steroid injections have failed to provide relief.
How Is It Performed?
A Lumbar Discectomy can be performed through open and microsurgery; however, the endoscopic procedure is preferred because it is the least invasive surgical procedure. The spine surgeons make a nail sized incision to insert the tube through which the surgery is performed. An Endoscopic Lumbar Discectomy causes the least damage to ligaments, muscles, and tissues, allowing for a quick recovery. It also avoids risks associated with open surgery such as blood loss and long recovery time.
Patients can expect the following from the surgery:
- Commonly general anesthesia is given to patients. However, some spine specialists prefer Endoscopic Lumbar Discectomy under local anesthesia.
- Tube and endoscope are inserted through the small incision on the posterior lateral side of the patient.
- The herniated disc is located and removed.
- Depending on the spinal condition of the patient, accompanying surgery like spinal fusion surgery is performed.
- A laser spine surgery is performed in case a tumor has to be removed.
- The instruments are retracted, and the incision is sutured.
Endoscopic Lumbar Discectomy is a small procedure; the patient is free to leave a few hours after the surgery. The patient can fully recover with a few weeks of the surgery.
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FAQ’S
What Is Endoscopic Lumbar Discectomy?
- Endoscopic lumbar discectomy is a minimally-invasive procedure that is performed through a tubular device.
- The procedure is designed to alleviate pain caused by lumbar herniated discs that put pressure on nerve roots.
What Is the Difference Between Microdiscectomy and Discectomy?
- Both discectomy and microdiscectomy are surgical procedures designed to remove a complete or partial intervertebral disc.
- The difference lies with a microdiscectomy, which uses microscopic magnification to remove a herniated disc.
What Type of Doctor Does Discectomy?
- Neuro-spine surgeons perform a discectomy.
- Orthopedic surgeons that specialize in spine surgery can also perform a discectomy.
Does Discectomy Lead to Fusion?
- For a single-level endoscopic lumbar discectomy, fusion is rarely necessary.
- In some cases where spinal instability is imminent when removing the herniated disc, spinal fusion becomes necessary.