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Discectomy

 

synonyms: microdiskectomy, microendoscopic diskectomy

Anatomy

Indications

  • Progressive neurologic deficit
  • Cauda equina syndrome
  • Unresolved pain

Contraindications

Alternatives

Planning / Special Considerations

Technique

  • Sign operative site.
  • Pre-operative antibiotics, +/- regional block.
  • General endotracheal anesthesia
  • position. All bony prominences well padded.
  • Examination under anesthesia.
  • Prep and drape in standard sterile fashion.
  • Irrigate.
  • Close in layers.

Complications

  • Recurrent Herniation: 5%-10%

Follow-up care

  • Post-op:
  • 7-10 Days:
  • 6 Weeks:
  • 3 Months:
  • 6 Months:
  • 1Yr:
  • Generally may return to activty at 6-12 weeks.

Outcomes

  • (Weber H, Spine 1983;8:131),
  • (Weinstein JN, JAMA 2006;296:2441),
  • (Atlas SJ, Spine 2005;30:927)

Review References

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