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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.
Pinched or compressed nerves may result from herniated discs, lumbar spinal stenosis, or spondylolisthesis. The traditional technique for decompression of lumbar nerves is laminectomy, a surgical procedure developed in the early 1900s.
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).
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 ...
If the herniated disc is in the lumbar region, the patient may also experience sciatica due to irritation of one of the nerve roots of the sciatic nerve. Unlike a pulsating pain or pain that comes and goes, which can be caused by muscle spasm, pain from a herniated disc is usually continuous or at least continuous in a specific position of the ...
Patients with large cervical disk bulges may be recommended for surgery; however, most often, conservative management will help the herniation regress naturally. [24] Procedures such as foraminotomy , laminotomy , or discectomy may be considered by neurosurgeons and orthopedic surgeons.
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