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The TESSYS method (transforaminal endoscopic surgical system) is a minimally-invasive, endoscopic spinal procedure for the treatment of a herniated disc.It was a further development of the YESS method by the Dutch Dr Thomas Hoogland in the Alpha Klinik in Munich in 1989 and was first called THESSYS (Thomas Hoogland EndoScopic SYStem).
Failed back syndrome is a significant, potentially disabling, result that can arise following invasive spine surgery to treat disc herniation. Smaller spine procedures such as endoscopic transforaminal lumbar discectomy cannot cause failed back syndrome, because no bone is removed. [64]
Laminotomies are frequently used as a way to surgically repair a spinal disc herniation at any level of the vertebral column (cervical, thoracic, lumbar). [1] A herniated disc can compress spinal nerves and cause intense pain and impaired sensation. [4] Removing a portion of the lamina allows physicians to be able to access and repair the ...
Disc replacement is also an alternative intervention for symptomatic disc herniation with associated arm and hand, or leg symptoms (radicular pain). TDR has been developed as an alternative to spinal fusion , with the goal of pain reduction or elimination, while still allowing motion throughout the spine.
Cauda equina syndrome can occur during pregnancy due to lumbar disc herniation. The risk of cauda equina syndrome during pregnancy increases with age of the mother. Surgery can still be performed and pregnancy does not adversely affect treatment. Treatment for those with cauda equina can and should be carried out at any time during pregnancy. [21]
Per HSS: “Because most patients will recover from a herniated disc without surgery, microdiscectomy is recommended only after conservative treatment, including physical therapy, cortisone shots ...
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