Traditional laminectomy involves the creation of a 2- to 6-inch incision in the midline of the back, retracting the left and right back muscles and removing some bone to decompress the spinal cord or nerves, according to Spine-Health. While laminectomy historically required open surgery, advances in technology now allow minimally invasive techniques that result in less muscle damage, less pain and faster recovery periods.Continue Reading
A major drawback of traditional surgery is the damage that occurs when the surgeon retracts the back muscles to allow access to the spine, according to the American Academy of Orthopaedic Surgeons. Patients who have had open surgery can experience post-operative pain that is different than the type of pain that preceded the operation.
In minimally invasive or less-invasive surgery, a tubular retractor is inserted in the back. This creates a tunnel to the surgical area and holds the muscles apart during the procedure. Bone or disc material can be removed through the retractor. The surgeon uses fluoroscopy to watch real-time x-ray images on a screen during the operation. An operating microscope illuminates and magnifies the area through the retractor. Although minimally invasive surgery is preferable in many cases, some back and neck problems are not yet treatable with this technique, according to the American Academy of Orthopaedic Surgeons.Learn more about Conditions & Diseases
Bone spurs are removed by surgery to increase joint function and to relieve pain and pressure of the nerves, according to eMedicineHealth. The removal of bone spurs is done in conjunction with other surgeries such as a ligament release in the foot, spinal surgery or hip replacement.Full Answer >
While spinal fusion can relieve pain, its invasive nature can cause inflammation in surrounding muscles, irritation in nearby nerves and adjacent segment disease. These effects mean that patients should consider alternatives before committing to surgery, notes North Tampa Spine and Joint Center.Full Answer >
Burning the spinal nerves eases the pain of herniated discs in a patient's lower back, according to Spine-Health. This procedure is called intradiscal electrothermal annuloplasty, or IDET. Doctors perform it on patients who have persistent back pain that doesn't respond to more conservative treatment.Full Answer >
Lumber laminectomy, also known as open decompression or decompression surgery, is a surgical procedure done on the back, notes Spine-health. It involves the removal of a small portion of the spinal bones to create more space for the nerve root. This procedure helps to alleviate pain caused by compressed nerves.Full Answer >