Why is this procedure done?
The spine is made up of bones called vertebrae. These bones are lined up on top of each other. In between the bones there are discs. They have a spongy middle and act like shock absorbers. Sometimes, one or more of the discs move from the correct place. This is called a herniated disc. If this happens, your doctor may want to remove all or part of the disc. This surgery is an intervertebral discectomy. If the disc is putting pressure on your spinal nerves, the doctor may suggest this surgery as well. ‚
An intervertebral discectomy could be done in a few different ways. Talk to your doctor about the best surgery for you. ‚
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What will the results be?
- All or part of your disc is removed
- Your signs may go away or improve. You may have:
- More movement
- Less pain and swelling
- Less leg weakness
What happens before the procedure?
Your doctor will take your history. Talk to the doctor about: ‚
- All the drugs you are taking. Be sure to include all prescription and over-the-counter (OTC) drugs, and herbal supplements. Tell the doctor about any drug allergy. Bring a list of drugs you take with you.
- Any bleeding problems. Be sure to tell your doctor if you are taking any drugs that may cause bleeding. Some of these are Coumadin ‚ ®, ibuprofen, Aleve ‚ ® (naproxen), or aspirin. Certain vitamins and herbs, such as garlic and fish oil, may also add to the risk for bleeding. You may need to stop these drugs as well. Talk to your doctor about them.
- When you need to stop eating or drinking before your procedure.
Your doctor will do an exam and may order: ‚
You will not be allowed to drive right away after the procedure. Ask a family member or a friend to drive you home. ‚
What happens during the procedure?
- Once you are in the operating room, you will be given a drug to make you sleepy. It will also help you stay pain free during the surgery. The staff will put an I.V. in your arm to give you fluids and drugs.
- Your doctor will make a cut over the affected disc. This may be on the left or right of your neck, at the back of your neck, or on your lower back.
- This surgery can be done in one of two ways.
- Open discectomy ¢ ˆ ’ Your doctor will make a cut in your skin to see the structures of your spine.
- Microdiscectomy ¢ ˆ ’ Your doctor will make 3 to 4 small cuts. A scope with a tiny camera is put through one of the small cuts to look at the spine. Your doctor will put small surgical tools into the holes to do the procedure.
- Some part of your bone will be removed to let your doctor see the discs. The muscles will be moved aside to let your doctor see the discs. Your doctor will repair or remove the disc. All or part of your injured disc is taken out.
- Your doctor will close your cut with stitches or staples and cover it with clean bandages.
- The length of time needed will depend on your type of surgery.
What happens after the procedure?
- You will go to the Recovery Room for a few hours. The staff will watch you closely. Your doctor may give you drugs for pain.
- Your doctor may have you wear a brace or cast. This will help to hold your spine in place while healing.
- You may go home right after the surgery or you may need to stay in the hospital based on your condition.
What drugs may be needed?
Your doctor may order drugs to: ‚
- Help with pain
- Prevent infection
What problems could happen?
- Infection
- Bleeding or bruising
- Limited movement of arms or legs
- Blood clots
- Nerve damage
- More disc problems
- Heart attack or stroke
What can be done to prevent this health problem?
- Stay active and work out to keep your muscles strong and flexible.
- Keep a healthy weight to avoid putting too much stress on your spine.
Where can I learn more?
American Academy of Orthopedic Surgeons ‚
http://orthoinfo.aaos.org/topic.cfm?topic=A00597 ‚
NHS Choices ‚
http://www.nhs.uk/conditions/slipped-disc/pages/treatment.aspx ‚
Consumer Information Use and Disclaimer
This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚
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Copyright ‚ © 2015 Clinical Drug Information, LLC and Lexi-Comp, Inc. ‚