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Treatments

Laminectomy -Cervical Microendoscope Discectomy

Cervical Microendoscopic Discectomy (Cervical Microdiscectomy with Laminectomy) is a minimally invasive procedure used to treat herniated or degenerated discs in the cervical spine (neck region), particularly when a herniated disc compresses nearby spinal nerves or the spinal cord, causing pain, numbness, weakness, or even loss of function in the arms or hands. This procedure combines two techniques: microendoscopic discectomy and laminectomy, aimed at providing decompression of the affected nerves or spinal cord.

1. Cervical Microendoscopic Discectomy:

    • Microendoscopic discectomy is a minimally invasive surgical technique where the surgeon uses a tiny camera (endoscope) and specialized instruments to remove part or all of the herniated disc that is pressing on the nerves or spinal cord.
    • The endoscope allows the surgeon to see the affected area magnified and in high resolution, using small incisions (usually less than an inch) to access the spinal discs and nerves, minimizing damage to surrounding tissues.
  1. Laminectomy:
    • Laminectomy involves the removal of a portion of the lamina, the bony covering of the spinal canal. This step is used to increase space within the spinal canal, further relieving pressure on the spinal cord and nerve roots.
    • In a cervical microendoscopic discectomy with laminectomy, a small section of the lamina is removed to allow the surgeon better access to the disc and affected nerve roots. This helps in cases where the herniated disc or degenerative changes have caused narrowing of the spinal canal (spinal stenosis), potentially compressing the spinal cord or nerves.
    • Benefits of Cervical Microendoscopic Discectomy with Laminectomy:
      • Minimally Invasive: Small incisions lead to less muscle dissection and reduced tissue damage, which often results in less pain and quicker recovery.
      • Reduced Risk of Complications: The use of endoscopic techniques reduces the risk of injury to surrounding tissues, such as blood vessels or muscles, compared to traditional open surgery.
      • Faster Recovery: Most patients experience less postoperative pain and shorter recovery times. Many people can return to normal activities within a few weeks, though full recovery may take a few months.
      • Less Postoperative Pain: The minimally invasive approach generally leads to a faster reduction in pain and fewer complications like infections or excessive bleeding.
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