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synonyms: microdiskectomy, microendoscopic diskectomy
Discectomy CPT
Discectomy Anatomy
Discectomy Indications
- Progressive neurologic deficit
- Cauda equina syndrome
- Unresolved pain
Discectomy Contraindications
Discectomy Alternatives
Discectomy Planning / Special Considerations
Discectomy Technique
- Sign operative site.
- Perform Time out.
- Pre-operative antibiotics.
- 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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