Microscopic nerve decompression

Definition

“Gait disability, paraplegia, or urinary problems by vertebral lesions compressing the nerve – Treating by microscopic decompression”

Laser is attached to a microscope and surgery is done through a 25mm incision perfectly. So, damage to back muscles is minimal and bleeding is less. Success rate of the surgery is quite high and risk of nerve damage is rare. Partial anesthesia is applied during operation. Regardless of ages, it is safe. It can be applied to serious disk rupture and spinal stenosis. Since loss of bone and muscle is minimal, it boasts fast recovery.

Indication

  • disk Herniated
  • Spinal stenosis
  • foraminal stenosis
  • Nerve compression by degenerative osteophytes or ossification of ligamentum flavum
  • Spinal cord tumor
  • Epidural hematoma or abscess

Procedure

  • 1.Even though there are exceptional cases requiring general anesthesia, epidural anesthesia will be applied in most cases.
  • 2.After a 2 cm skin incision and traction of muscles, the lamina would be exposed.
  • 3.Approximately 1 x 1 cm of bone segment would be removed by a drill, followed by the removal of ligamentum flavum covering the nerve.
  • 4.The exposed nerve would be dissected to be decompressed.
  • 5.Part of the hypertrophic facet joint would be removed in order to allow formore space around the nerve.
  • 6.After hemostasis, as necessary, a drain would be placed and the skin would be sutured.

Duration

Approximately 2-3 hours

Hospital stay

5~7 day

  • Brace is required and no heavy activities on the back are allowed for a month after discharge