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Topic: Discectomy

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	KORT - Kentucky Orthopedic Rehab Team (Site not responding. Last check: 2007-10-25)
		Discectomy is used to alleviate symptoms of a herniated disc.
		Discectomy is also commonly used when the doctor plans to fuse the bones of two neck vertebrae into one solid bone.
		Discectomy alone is usually only used for younger patients (20 to 45 years old) whose symptoms are from herniation of the disc.
	www.kort.com /spinecerv/spinediscectomy.asp (1998 words)

	Discectomy or microdiscectomy for a herniated disc (Site not responding. Last check: 2007-10-25)
		Discectomy (also called open discectomy) is the surgical removal of herniated disc material that presses on a nerve root or the spinal cord.
		Discectomy provides faster pain relief than nonsurgical treatment, although it is unclear whether surgery makes a difference in what treatment may be needed later on.
		Percutaneous discectomy is a procedure using a special tool through a small incision in the back to cut out or drain the herniated disc, thereby reducing its size.
	www.luhs.org /health/kbase/htm/hw21/8424/hw218424.htm (926 words)

	Anterior Cervical Discectomy- Is Fusion Necessary?
		Discectomy was performed utilizing a Smith- Robinson technique but with opening the posterior longtitudinal ligament in all cases and removal of posteriorly directed osteophytes with curette and Kerrison rongeur (Figure 1B).
		ACD: anterior cervical discectomy; ACDF: anterior cervical discectomy and fusion.
		ACDF).ACD: anterior cervical discectomy; ACDF: anterior cervical discectomy and fusion.
	www.medschool.lsuhsc.edu /neurosurgery/nervecenter/acdfuse.html (2981 words)

	Anterior Cervical Discectomy & Fusion : ACDF \| Mayfield Clinic
		Anterior Cervical Discectomy and Fusion : ACDF
		Anterior cervical discectomy and fusion (ACDF) is a surgical procedure performed to treat a damaged disc in the neck area of your spine.
		Discectomy literally means "cutting out the disc." Anterior cervical discectomy is a surgical procedure that removes all or some of the disc.
	www.mayfieldclinic.com /PE-ACDF.htm (2479 words)

	Open Discectomy (Site not responding. Last check: 2007-10-25)
		Open discectomy is the most common surgical treatment for ruptured or herniated discs of the lumbar spine.
		Open discectomy is usually performed under general anesthesia (the patient is unconscious) and typically requires a one-day hospital stay.
		Possible complications from open discectomy include bleeding, infection, spinal fluid leak, injury to the veins and arteries near the spine, or injury to the nerve tissue of the spine or its surrounding protective layer (the dura mater).
	www.spine.org /articles/discectomy.cfm (1273 words)

	Cervical discectomy procedure
		Cervical discectomy is indicated for patients with a Clinical Presentation (history and exam) suggestive of the diagnosis of cervical radiculopathy (neuropathophysiology) with or without myelopathy (neuropathophysiology) with the findings on diagnostic imaging studies (MRI cervical spine) of a bulging or herniated cervical disc.
		Anterior cervical discectomy is performed to relieve compression of neural tissue of the spinal cord or nerve roots.
		Closure of a cervical discectomy is simple: once retractors have been removed the platysma is closed with a few interrupted absorbable sutures and the skin is closed with interrupted absorbable subcuticular sutures with Steristrips to approximate the skin.
	uscneurosurgery.com /infonet/surgery/procedures/cervical_discectomy.htm (1348 words)

	New Mexico Spine - Back Surgeries - spine surgeon lumbar discectomy fusion scoliosis
		Discectomy is the removal of the herniated portion of a disc to relieve the pressure on nearby nerves as they exit the the spinal canal.
		In a lumbar discectomy, the surgeon typically only removes the portion of the disc that is causing a problem, not the entire disc.
		Cervical is the medical term for "neck." Just as in lumbar discectomy, the surgeon removes a piece of damaged disc tissue in the neck area to relieve pressure on the spinal cord or nerve roots.
	www.newmexicospine.com /surgery.html (1315 words)

	What is a Discectomy?
		A discectomy is the surgical removal of an injured or herniated disc from the spine.
		A discectomy is generally performed by an orthopedic surgeon in a hospital setting with the patient under general anesthesia.
		The purpose of a discectomy is usually to relieve pain and weakness and to help regain mobility that may have been lost as a result of the herniated disc.
	www.wisegeek.com /what-is-a-discectomy.htm (382 words)

	Percutaneous Lumbar Discectomy
		Percutaneous lumbar discectomy (PLD) is a surgical procedure performed for the resection of herniated lumbar disc material.
		Percutaneous lumbar discectomy, for individuals who have physical and diagnostic imaging evidence that a single lumbar disc has an uncomplicated herniation that is contained within the anulus, is considered medically necessary if the medical appropriateness criteria are met.
		Percutaneous lumbar discectomy, for individuals with physical or diagnostic imaging evidence of disease other than an uncomplicated anulus and in individuals who demonstrate any of the indications/conditions specified under not medically appropriate criteria, is considered not medically necessary.
	www.bcbst.com /MPManual/Percutaneous_Lumbar_Discectomy.htm (767 words)

	Lumbar Disc Herniation Surgery: Dr. Jho's Endoscopic Lumbar Discectomy
		Posterior endoscopic discectomy is the first approach, which is performed with a small skin incision made at the midline posterior lumbar region.
		Posterolateral endoscopic discectomy is the second approach, which is used for far lateral disc herniation or a bulging disc.
		This endoscopic lumbar discectomy is different from other percutaneous endoscopic discectomies in that the conventional classic disc operation is performed under endoscopic visualization through a much smaller skin incision than with conventional microscopic discectomy.
	drjho.com /id32.htm (2136 words)

	risks complications anterior cervical discectomy
		The complications particular to cervical discectomy after anterior neck dissection gives exposure to the anterior vertebral column include: injury to the dura (with cerebrospinal fluid leak), injury to the spinal cord, injury to vertebral body, instrumentation (screws and plate) failure, as well as vertebral artery injury.
		The recurrent laryngeal nerve is a branch of the vagus nerve vulnerable to injury during the soft tissue dissection and retraction for exposure during an anterior cervical discectomy.
		The cause of recurrent laryngeal nerve injury in the course of anterior cervical discectomy is overly aggressive retraction or dissection.
	uscneurosurgery.com /infonet/surgery/understand/risks/procedure/ACD.htm (1717 words)

	NASS - Discectomy (Site not responding. Last check: 2007-10-25)
		Open discectomy uses surgery to remove part of the damaged disc and thus to relieve the pressure on the nerve tissue and alleviate the pain.
		Not all patients with herniated discs are not candidates for the open discectomy procedure.
		In some simpler cases this type of surgery may be recommended, however open discectomy is still considered the “gold standard” by the spine community for surgical treatment of herniated discs.
	www.spine.org /fsp/prob_action-surgical-discectomy.cfm (1031 words)

	eMedicine - Laser Discectomy : Article by Jasvinder Chawla, MD (Site not responding. Last check: 2007-10-25)
		Laser discectomy is an outpatient procedure with one-step insertion of a needle into the disc space.
		Generally, laser discectomy is believed to be equivalent to other percutaneous discectomy procedures, such as chemonucleolysis and automated percutaneous lumbar discectomy (APLD) using a reciprocating suction cutter.
		Percutaneous microdecompressive endoscopic cervical discectomy with laser thermodiscoplasty has proven to be a safe and efficacious minimally invasive procedure in one case series of patients with herniated cervical discs with unilateral radicular pain.
	www.emedicine.com /neuro/topic683.htm (3776 words)

	Percutaneous discectomy for a herniated disc
		Percutaneous discectomy is different from conventional open discectomy or microdiscectomy.
		During a percutaneous discectomy, the surgeon has no way of seeing the herniated disc or the compressed nerve root.
		Many experts consider percutaneous discectomy to be a poor alternative to standard discectomy or microdiscectomy procedures.
	www.peacehealth.org /kbase/topic/detail/surgical/hw225848/detail.htm (439 words)

	Percutaneous discectomy for a herniated disc
		Discectomy is the surgical removal of herniated disc material that presses on a nerve root or the spinal cord.
		In percutaneous discectomy, the surgeon uses continuous X-ray monitoring to follow movement in the body (fluoroscopy).
		As an alternative to the standard percutaneous disc surgery, there are a number of newer percutaneous disc procedures that involve the use of small surgical instruments in the middle of the disc in order to destroy or remove the disc material.
	www.webmd.com /hw/back_pain/hw225848.asp?printing=true (507 words)

	Anterior Cervical Discectomy is the removal of a disc in the neck - NeckSurgery.com
		Anterior cervical discectomy is an operation that involves relieving the pressure placed on nerve roots and/or the spinal cord by a herniated disc or bone spurs — a condition referred to as neural compression.
		The term discectomy is derived from the Latin words discus (flat, circular object or plate) and -ectomy (removal).
		Pressure placed on neural structures, such as nerve roots or the spinal cord, by a herniated disc or bone spur may irritate these neural structures and cause: pain in the neck and/or arms; and lack of coordination, numbness or weakness in the arms, forearms or fingers.
	www.neckreference.com /treatment-surgical-discectomy.html (566 words)

	Minimally Invasive Spine Surgery - Modern Spinal Surgery on Back.com
		In comparison, an open discectomy involves a much larger incision and also involves stripping the muscles away from the spinal column so that the surgeon can see the area where the herniated disc is located.
		In one study, patients who had a discectomy performed with the METRx System minimally invasive technique stayed in the hospital for an average of 12.1 hours, with a range of 2 hours to 48 hours.
		In comparison, the average length of stay for a traditional discectomy was 1.8 days, with a range of 24 hours to 4 days.
	www.back.com /articles-minimally.html?mastbox=yep (666 words)

	Percutaneous Discectomy
		Percutaneous discectomy is considered investigational as a technique of intervertebral disc decompression in patients with back pain related to disc herniation in the lumbar, thoracic, or cervical spine.
		Of the evaluable 27 patients, 41% of the percutaneous discectomy patients and 40% of the conventional discectomy patients were assessed as having successful outcomes at 6 months.
		Although the majority of percutaneous discectomies are performed on lumbar vertebrae, the FDA labeling of the Stryker DeKompressor Percutaneous Discectomy Probe includes the thoracic and cervical vertebrae.
	www.regence.com /trgmedpol/surgery/sur145.html (1446 words)

	Surgeries and Procedures: Lumbar: Micro-Discectomy
		The original procedure used for lumbar herniated disc was the procedure called Discectomy which is somewhat different than the Micro-Discectomy procedure.
		Discectomy was performed by placing a relatively large incision over the affected area.
		In recent years with the enhancement of the operative microscope smaller incisions were utilized to reach the operative goals of discectomy.
	www.espinedoctor.com /procedures_disc_micro.htm (418 words)

	Spine Institute of New York
		One of the most commonly performed procedures in the country, discectomy removes part of a herniated disc that causes pain by irritating a nerve.
		Discectomy is probably the most common operation used to treat sciatica.
		In general, the operation is performed on patients who have experienced intense back and leg pain--pain that has disrupted the normal course of their lives for more than 6 weeks.
	www.spineinstituteny.com /treatments/discectomy.html (249 words)

	Discectomy
		Percutaneous discectomy (“percutaneous” means ‘through the skin’) is a therapeutic treatment for patients suffering from low back and leg (radicular) pain due to contained disc herniations.
		Discectomy is generally performed in an Ambulatory Surgery Center (ASC) or local surgery center, where we're able to offer I.V. sedation and monitoring by a nurse.
		Discectomy probe removes disc tissue, which may relieve painful pressure on the surrounding nerves.
	www.cdiradiology.com /Default.aspx?tabid=255 (415 words)

	Minimally Invasive Discectomy
		As shown by the many patient disasters which led to the unfortunate withdrawal of chymopapain for nucleolysis the ability of a carpenter is more important than the nail.
		Automated percutaneous lumbar discectomy (also referred to as Percutaneous Nuclectomy) was introduced by Gary Onik in 1985 as a means of providing a more safe mechanical means of debulking the interior of a disc.
		Through the use of terms such as "thermodiscoplasty, thermoannuloplasty" and "band-aide surgery" laser discectomy has raised to new heights abuse of modern technology and has, in the process, created procedure mills designed primarily for the benefit the procedurists and not the patients.
	www.burtonreport.com /InfSpine/MinInvasProcDiscectomy.htm (1154 words)

	discectomy, minimally invasive, endoscopic, laminectomy, minimal access, herniated disc, microscope, houston, texas, ...
		The principles of minimally invasive lumbar discectomy are the same as a standard lumbar microdiscectomy.
		A small linear incision is made off of the midline, instead of an incision in the midline (used for the standard lumbar discectomy approach), and the path to the spine is through the muscle, rather than stripping the muscle off of the bone.
		The advantage of the minimally invasive lumbar discectomy is that the muscle is separated, instead of being stripped from the bone, which is speculated to lead to accelerated healing times.
	www.lowback-pain.com /surgery.endodiscectomy.htm (314 words)

	Stryker DEKOMPRESSOR - Literature Review
		Percutaneous Discectomy (removal of the intervertebral disc nucleus to relieve back and leg pain) is the most commonly performed neurosurgical procedure with open surgical discectomy having been successfully performed for over fifty years [1].
		Percutaneous discectomy is associated with reductions in complications and recovery times associated with open disc surgery.
		The Stryker DEKOMPRESSOR® Percutaneous Discectomy Probe represents a breakthrough in patient treatment due to the minimally invasive and efficient manner in which it accomplishes removal of the intervertebral disc nucleus.
	www.stryker.com /interventionalpain/dekompressor/lit_rev.htm (1110 words)

	Minimally Invasive Anterior Cervical Discectomy
		Anterior Cervical Discectomy is a procedure used by spine surgeons to remove a herniated (ruptured) disc.
		The standard discectomy and fusion requires an open surgery transverse or longitudnal incision and invasive intervention to remove the diseased disc and put in a graft.
		The success of minimally invasive cervical discectomy is equal to, or greater than, traditional open surgery even with fusion.
	spineupdate.com /acd.htm (456 words)

	Discectomy - Back Pain - Treatment (Site not responding. Last check: 2007-10-25)
		To remove the pressure on the nerve root, areas of the disc and surrounding bone are removed – a procedure known as a discectomy.
		If possible, a micro-discectomy is performed, whereby a limited section of the disc is cut away; a full discectomy is more radical and involves the removal of the whole disc, a procedure often accompanied by a spinal fusion.
		Surgeons claim that discectomies are usually successful; however, they do not treat the cause of either a bulging, or slipped disc, and hence they are ultimately flawed.
	www.backrack.co.uk /discectomy.shtml (595 words)

	Decompression of Intervertebral Discs Using Laser (Laser Discectomy) or Radiofrequency Energy (Disc Nucleoplasty™)
		Laser discectomy and Disc nucleoplasty™ are considered investigational as techniques of disc decompression and treatment of associated pain.
		Laser discectomy has been practiced for over a decade, and there is fairly extensive literature describing different techniques using different types of lasers, a large number of case series and a number of review articles.
		One cadaver study was identified in which chymopapain was used to pre-treat discs prior to automated percutaneous lumbar discectomy; the pretreatment did not result in a higher yield of nucleus material.
	www.regence.com /trgmedpol/surgery/sur131.html (1773 words)

	BioMed Central \| Full text \| Cost-effectiveness of microendoscopic discectomy versus conventional open discectomy in ...
		Open discectomy is the standard surgical procedure in the treatment of patients with long-lasting sciatica caused by lumbar disc herniation.
		Currently, open discectomy is the golden standard in the surgical treatment of lumbar disc herniation.
		Whether microendoscopic discectomy is more cost-effective than unilateral transflaval discectomy has to be determined by this trial.
	www.biomedcentral.com /1471-2474/7/42 (4303 words)

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