Discectomy
The tough outer layer of a disc tears or weakens, causing pain going down the leg (sciatica) although it can cause some back pain.
The Operation
How long does the surgery take?
The operation normally takes about an hour.
Where is the incision made?
The patient is positioned face down and a small midline incision is made over the affected level. This will be about 2-3 cm long in a slim patient.
What happens during the procedure?
On the side of the disc protrusion the muscles against the spine are retracted to the side just enough to allow access to the back of the spine at the level of the affected disc. A small window into the spinal canal is created between the vertebrae, sufficient to allow the compressed nerve root to be identified. Microsurgical instruments are then inserted and used carefully to move the nerve root to one side so that the disc protrusion can be located and removed. A careful check is made to ensure that no other fragments are present and the inside of the disc is explored. If there are other loose fragments at risk of being extruded these are removed but otherwise the remainder of the disc is carefully conserved.
At the end of the operation Mr Boeree will insert an epidural catheter to help with your post-operative pain control. The nerve root will also be protected with a barrier gel (Adcon-L) to reduce the risk of scarring. The incision will be closed with absorbable sutures buried beneath the skin.
What is the period of hospitalization?
This will vary according to your individual circumstances and medical condition, but most people are able to go home after about two to four days.
Quick Links
In memory of Nick Boeree
Following the sudden death of Nick Boeree we have set up a tribute page to allow you to share your memories, thoughts, and feelings. Click here.
I was quite sure, when I came along to the clinic, that I was headed for surgery. I’d tried various things in the past and had even gone through physiotherapy, or so I thought! The regime I went through in The Spine Clinic took this to an entirely different level. And what a difference it has made!
Mark Maskey
