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A large study of spinal stenosis from Finland found the prognostic factors for ability to work after surgery were ability to work before surgery, age under 50 years, and no prior back surgery. The very long-term outcome (mean follow-up time of 12.4 years) was excellent-to-good in 68% of patients (59% women and 73% men).
A discectomy (also called open discectomy, if done through a 1/2 inch or larger skin opening) is the surgical removal of abnormal disc material that presses on a nerve root or the spinal cord. The procedure involves removing a portion of an intervertebral disc , which causes pain, weakness or numbness by stressing the spinal cord or radiating ...
Microdiscectomy (or microdecompression) is a minimally invasive surgical procedure in which a portion of a herniated nucleus pulposus is removed by way of a surgical instrument. [2] The purpose of this procedure is to relieve the pressure and reduce the local inflammatory reaction around a nerve root, caused by the herniated nucleus pulposus.
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In a study of 146 patients with lumbar spinal stenosis (mean age, 68 years, 42% women) who did not undergo surgery, followed up for 3 years, the study reported that approximately one-third of participants indicated improvement; approximately 50% reported no change in symptoms; and approximately 10% to 20% of patients condition worsened. [41]
“I would go there every day after work and then walk that mile,” she says. “It took me a while to work up to 2 (miles).”After about four months, she reached her highest number of steps ...
Surgery is only recommended to those who have curves greater than 40-50 degrees. [ 13 ] [ 14 ] There have been some experiments done to determine which surgical method is the most beneficial. One study shows that those who have short segment decompression/ fusion are least likely to suffer from postoperative complications.
Discectomy (the partial removal of a disc that is causing leg pain) can provide pain relief sooner than nonsurgical treatments. [17] Discectomy has better outcomes at one year but not at four to ten years. [17] The less invasive microdiscectomy has not been shown to result in a different outcome than regular discectomy. [17]