Lumbar Discectomy & Neural Decompression (DND)
Low back pain, pain in the hips and/or legs, along with weakness,
tingling or numbness in the legs.
Lumbar Discectomy Neural Decompression Procedure is performed
in a surgery center and typically is accomplished over the
course of 45 to 90 minutes depending on the anatomy of the
patient, the complexity of the pathology and how many discs
After being comfortably positioned on the operating table
in the face-down position, the patient is given oxygen, connected
to appropriate monitors and administered intravenous sedation
to induce sleep. The patient may have a breathing tube inserted
into the trachea or windpipe if considered necessary for safety
during the procedure. This is accomplished after the patient
goes to sleep.
A Thulium laser is then used to treat the posterior annulus
of each bulging or herniated disc. The procedure places sufficient
energy into the annulus to turn off the nociceptors or pain
nerves, char the annulus and sometimes shrink the bulge or
herniation as well as seal the blood vessels extending into
the annulus. These vessels bring compounds to the disc that
cause further inflammation and pain in the area. This procedure
is what relieves much of the low back and even leg pain as
well as weakness, tingling and numbness in the legs. Lumbar
facets that are symptomatic can be treated at the end of this
portion of the procedure.
Completion of the procedure commences by removal of the instrumentation
from the canal, and a sterile dressing applied.
After the procedure is completed, the patient is awakened
and moved to the recovery room until discharged. The averagetime
in the recovery room is about 1 hour.
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