Microendoscopic Discectomy

11/13/14 MRI of the lumbar spine showed 4mm left paracentral and foraminal disc protrusion at L4-5, which mildly impinges upon the thecal sac and the proximal left L5 nerve root. The disc protrusion also moderately narrows the left foramen and lateral recess. There was also a 2mm posterior central disc protrusion at L5-S1. A 2mm disc bulge at L2-3 was seen. There was a mild degenerative facet and ligament flava hypertrophy at L4-5 and

Today I came into the operating room and saw a sleeping patient being put onto their stomach. The patient is an obese female. The surgeon for the operation was Dr. Arias and the anesthesiologist was Dr. Speck. The procedure was a right L4-5 microscopic lumbar discectomy. The patient claimed to have pain on their right, which was a result of part of the spinal cord pinching a nerve. The radiologist in the O.R. took some X-rays, and shortly afterwards, Dr. Arias marked the area where he made the incision. Iodine was applied to the lower back of the patient. Dr. Arias scrubbed in and began making an incision. A microscope was given to Dr. Arias so he could zoom in or out of the wound and see a better view for the operation. Dr. Arias told me he

Herniated disc - the disc is the spongy cartridge that provides support and protection between the five vertebrae in the lower back and protects the spinal cord from injury. As the disc degenerates - any injury to the ligaments could cause pain to the affected area. Most herniated disc occurs between the fourth or fifth vertebrae in the lower back in efforts to support the upper back. This could cause major pain when standing and sitting throughout the day.

DOI: 06/23/2011. This is a case of 41-year-old male maintenance worker who sustained injury to the low back while taking off a sliding door of a patio. As per OMNI notes, patient is diagnosed with lumbar disc disorder with myelopathy. MRI of the lumbar spine dated 6/28/15 revealed recurrent left paramedian L4-5 disc herniation with caudal extrusion of a 10 mm fragment into the left L5 lateral recess. As per office notes dated 7/25/16, the patient is status post redo left L5-S1 discectomy performed on 4/20/16. It was also noted that the patient had a prior L5 laminotomy several years ago. He subsequently did well. However, he had recurrence of his pain. Pain is radiating into his left leg worse on the right leg. This was unresponsive to conservative

An MRI of the lumbar spine dated 03/23/17 revealed broad-based central 4 mm subligamentous disc protrusion and annular tear at L4-L5. There was a 2.7 mm subligamentous disc protrusion centrally at L5-S1. Neither of these two levels demonstrated compressive discopathy, central canal stenosis or foraminal impingement. There was a mild straightening of the normal lumbar

DOI: 11/13/2014. Patient is a 32-year old male technician who sustained injury at the time he was breaking loose a pulser component, he felt a sharp pain to his right side, low back buttocks and right leg. The patient was subsequently diagnosed with lumbar degenerative disc disease, radiculopathy and, lumbar spinal stenosis. Per MRI of lumbar spine without contrast dated 12/23/14 revealed at L4-5 there is disc space height loss, disc bulging and facet degenerative change; at L5-S1 there is posterior disc bulging resulting in mild narrowing of the central canal, and; at T11 to T12 there is posterior disc bulging resulting in mild narrowing of the central canal. As per focused history and physical dated 3/17/15, patient is presented to the office

Lumbar spine surgery can be performed using a variety of anesthetic modalities, most notably general or spinal anesthesia. The aim of this study was to determine if either anesthetic modality is more cost-effective in cases of lumbar discectomy or laminectomy spine surgery.

In between each vertebrae of the spine lies a fibrocartilaginous cushion, known as an intervertebral disc. However, when there is an issue occurring that causes the intervertebral disc to not function properly as a cushion between the vertebras of the spine, such as intervertebral disc herniation, other complications can arise. Neck and back pain is a common issue faced by adults of various ages. Back pain is accountable for second most frequent cause for visits to the hospital, fifth most common reason for admission to the hospital, and the third most common cause of surgical procedures (Taylor, Deyo, Cherkin, & Kreuter, 1994) Intervertebral disc herniation of the spine is often the culprit of this pain. In this paper the etiology, pathology, clinical course, signs and symptoms, prognosis, occupational therapy treatment protocol, and the overall effect on the person affected by a herniated disc will be discussed.

More and more people experience back problems. Often, the real culprit is a herniated disc. Herniated (-- removed HTML --) disc (-- removed HTML --) treatment Venice FL specialist would like people suffering with undue pain in their back to consider seeking out a specialist for more information. A herniated disk is a warning that something is wrong with the rubbery disk that are between the vertebra in the back. The vertebra are the individual bones that join together to make your spine. The spine disks resembles little jelly donuts. For example, the disks have a soft center with a tough exterior. A Herniated disk is a result of the soft center squeezing through a rip to the exterior.

Failed back surgery syndrome (FBSS) or postlumbar surgery syndrome are terms used to describe unsatisfactory outcome after lumbar spine surgery. 1 FBSS is persistent or recurring low back pain, with or without sciatica following one or more lumbar operations. 2 The rate of the FBSS increases in the last two decades despite of the advances in surgical technology. 3, 4 A recent systemic literature review of discectomies for lumbar disc herniation demonstrate 5%–36% of patients after 2 years had FBSS below the age of 70 years. 5, 6 Another retrospective cohort study of 35,558 patient in south korea, received lumber disc surgery, re-operation rate at 5 years was 13.4%. 7

When somebody gets back pain they don’t think much about it, maybe it’s just a sore muscle or I just threw my back out. That’s what we all think but there could be something much bigger, like a herniated disk or bulging disk. When I didn’t do any research on a herniated and bulging disk I thought they were the same things. I learned fast that they aren’t close to the same thing, yes they have a few things in common. The extremes of a herniated disk can result in surgery, which leads to removing the inflamed nerve or as simple as ice/heat and therapy. A bulging disk isn’t really all that painful but it can turn into a herniated disk if conditions get bad enough. Basically for a bulging disk all you can do is see a physical therapist to get a home workout to help the bulge to get

In this sedentary, computer day and age, everyone’s got back problems, but very few young people need surgery for a slipped disc. I was 27 at the time of my surgery, and

Examples of collateral adverse outcomes in lumbar spine surgery include functional limitations due to lumbar stiffness following fusion procedures3-5, post-surgical psychological stress3,6, post-operative lumbar pain and pain at an autograft bone donor site, muscle denervation, and peri-incisional peristhesia. These surgical impacts have negative effects for patients, but are

My back was in excruciating pain. Walking became difficult, and sitting was even more strenuous. Upon visiting my primary care physician, he referred me to orthopedics where I was introduced to physician assistant (PA) Richard Evans. As he examined me, I blurted out of desperation, “I think I need surgery.” Although I was diagnosed with sciatica and an L4-L5 herniated disc, PA Evans explained how surgery should always be a last measure because the risk factors are too high. Instead, he resorted to a more holistic approach by teaching me proper body mechanics, recommending me to physical therapy, and prescribing medication to manage my pain. It was PA Evans’ thoughtfulness and deep knowledge that prompted my interest in this

A Laminectomy May Help Your Chronic Back Pain - A Few Things To Know About The Procedure