Cervical Discectomy & Neural Decompression (DND)
Indications: Head and neck pain, pain between the shoulders, pain in the arms along with weakness, tingling and numbness in the hands and arms. (Specifically: headaches and migraines.)
The Cervical Discectomy with 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 are problematic.
After being comfortably positioned on the operating table in the face-up position, the patient is given oxygen, connected to appropriate monitors and administered intravenous sedation to induce sleep
With the aid of fluoroscopy, needles are placed individually from the right side of the front of the neck down into each disc to be treated. This is followed by contrast to visualize the disc anatomy.
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 treatment relieves much of the cervical spine pain and headaches as well as diminishing pressure on the cervical nerves leading to diminished pain, weakness, tingling or numbness down the arms. Antibiotics are then injected into each disc followed by removal of the instrumentation.
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.