Lumbar microdiscectomy recovery time
Shahid Beheshti University of Medical Sciences
Risk factors Family history, lumbar load (and obesity), and patients who worked longer hours with a larger “time urgency” were found to be at increased risk for disk herniation. Physical exercise and sleeping on a hard bed were isolated as potential protective factors. Spine 2009 Dec 1;34(25):E918-22.
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Microdiscectomy or open discectomy (MD/OD) are the standard procedures for symptomatic lumbar disc herniation and they involve removal of the portion of the intervertebral disc compressing the nerve root or spinal cord (or both) with or without the aid of a headlight loupe or microscope magnification.
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In 2011,Yasemin Sahin et al. conducted a study on 60 patients undergoing lumbar microdiscectomy to investigate the postoperative analgesic effects of epidural tramadol infiltration, and they concluded that tramadol administration into epidural space significantly decreases analgesic consumption in patients undergoing microdiscectomy.6
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All lumbar AIDR procedures are performed under general anaesthetic. Patient positioning and intraoperative real time fluoroscopy, depending on the device used, are critical to the exposure and successful insertion of the arthroplasty device. For lumbar disc arthroplasty a transperitoneal or retroperitoneal approach is required.
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Microdiscectomy and exercise therapy Percutaneous discectomy vs disc surgery (Q vs C) Lee, 2006115 CCS Percutaneous endoscopic lumbar discectomy Open lumbar microdiscectomy with partial hemi-laminectomy Tassi, 2006149 HCS Percutaneous laser disc compression Standard surgical microdiscectomy Chatterjee, 199562 RCT Automated percutaneous lumbar ...
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PLDD as a viable alternative treatment of herniated lumbar disc disease can be performed in an outpatient setting with rapid recovery and return to daily routine (2, 3). This method was first used in 1986 and received approval from the U.S. Food and Drug Administration in 1991(4).
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Unlike open surgery, microdiscectomy entails lesser pain, infections and faster recovery (95). In anterior discectomy, an incision is made in the front part of the body. In cervical discectomy, the incision is made through the neck.
Lumbar Discectomy Recovery Timeline: Your Guide to Recovery
Over years microdiscectomy has gradually evolved to become a gold standard operative technique for lumbar disc herniation 1,2,3. Further advances were made with adoption of an endoscope in conventional lumbar discectomy i.e. endoscopic discectomy which combines spinal endoscopy and techniques used in microdiscectomy.
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Clinicians should always be aware of the risk of neurogenic shock in severe acute spinal injury with possible cord involvement. Neurogenic Shock, is defined as vascular hypotension with associated bradycardia usually resulting from traumatic disruption of the sympathetic outflow between (T) 1 and Lumbar (L) 2 and the subsequent unopposed vagal tone.
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