Hernia of the spine, i.e. disc prolapse, is a very painful ailment that requires treatment. Usually conservative treatment is used with good results, but sometimes spinal hernia surgery (microdiscectomy) is required. Surgery for a spinal hernia has been filled with many myths and is terrifying for many patients. Is it right?

Spinal hernia surgery (microdiscectomy)may be necessary. However, medical treatment is usually used before surgery is decided. If conservative treatment does not bring the expected results, surgery should be considered. This is because the degeneration of the nerve cannot be allowed to prevent full recovery.

Spinal hernia surgery: indications

Spinal hernia surgery is necessary when:

  • hernia causes cauda equina syndrome (paresis and sphincter disorders)
  • paresis (drooping) of the foot
  • quadriceps paresis

The argument for the necessity to undergo surgery is also pain that makes it difficult for the patient to live normally and sciatica with sensory disorders, without movement disorders.

Spinal hernia: how is the operation (microdiscectomy)

Microdiscectomy is the "gold standard" in the treatment of spinal hernia. This operation involves the removal of a fragment of the nucleus pulposus (disk) through a small incision of the skin (up to 3 cm), using a microsurgical technique - an operating microscope and micro-tools. The patient can walk on the second day, the stay in the hospital after the surgery lasts up to 3 days.

Spinal hernia surgery: risk of complications

Spinal hernia surgery is a high-safety procedure. In approximately 96 percent of patients, it is successful, relieving their disease. However, as with any surgical procedure, there is a risk of complications. Immediately after the operation, the following may occur:

  • pain - painkillers are given
  • spine instability - exercises to strengthen the muscular corset help
  • temporary problems with urination (first day after surgery)

Serious complications after spinal hernia surgery include:

  • hypotension
  • blockagelungs
  • poor tolerance of general anesthesia
  • postoperative hematoma - can lead to paralysis
  • meningeal and urinary tract infections
  • inflammation of the intervertebral disc and body

Category:

Spine, bones, joints