What Is Diskectomy?
The surgical procedure of removing the abnormal discs from the spinal cord which impinge on the nerves and blood vessels is known as diskectomy. These abnormal discs have a tendency to compress the vital structures in the vicinity and cause pain and discomfort. It also causes restricted movements, disabling various kinds of movements.
Medical Conditions Requiring Diskectomy:
- Degenerative disk disease: In this condition, various anatomical variations occur in the intervertebral discs causing restriction in various types of movements.
- Lumbar disc herniation: In this condition, the interior matrix of the intervertebral discs in the lumbar region become distorted leading to fusion of the vertebrae.
- Anterior cervical fusion: A condition characterized by partial to total fusion of the atlas, axis and the remaining vertebrae of the neck which ultimately results in the limited and painful neck movements.
- Failed back syndrome: This is characterized by a series of back pains that occur following spinal surgeries.
Signs and Symptoms Indicating a Diskectomy:
- Severe back pain, from the cervical to the sacral end, or anywhere in between
- Restricted movements
- Discomfort while walking, sitting or getting up
- Tingling sensations in the limbs or extremities owing to the fusion that causes nerve compression
Diagnosis Required Prior To Diskectomy:
- Various types of two and three dimensional imaging techniques can be put to sue for the detection and confirmation of spinal vertebral fusions. These are as follows:
- PA/AP view: The standard two dimensional views in the posteroanterior or vice versa view help in the diagnosis of the site at which the fusion has taken place. However if a surgical intervention is needed, it becomes mandatory to go for a three dimensional view in order to get the most accurate diagnosis of the pathological site or sites.
- Computed Tomography CT scan: This view gives a three dimensional image of the overall vertebral disc and the adjacent structures. The complete anatomy of the vertebral disc as well as that if the vertebrae can be studies and then proceeded for the surgical planning.
- Magnetic Resonance Imaging MRI: This image gives insight into the blood vessels and nerves that are in and around the intervertebral disc. Disfigured anatomy of the disc may lead to nerve or blood vessel compression, fusion. Thus it becomes essential to bring into picture an imaging technique that can detect the site and number of nerves getting compressed.
Types Of Diskectomy:
- Endoscopic Diskectomy/Nano endoscopic diskectomy: Often also termed as the closed technique, it does not require the removal of bone from the fused parts of the spinal cord. Thus it does not cause any internal cuttings also. This procedure is more into recontouring the intervertebral discs so as to relief the symptoms of pain and discomfort. This process usually does not lead to failed back syndrome.
- Microdiscectomy: This is an open surgical procedure in which a portion of herniated nucleus is removed with the help of surgical instruments. As a means to guide the surgical apparatus inside the spinal cord, microscopes are used for proper magnification and adequate lightening. They involve bone cutting and can contribute to the failed back syndrome post surgically.
Treatment Procedures For Diskectomy:
- You will be advised to stop eating or keep empty stomach at least ten hours before the surgery
- On admission into the operative room, you will be given general anesthesia and sedation so as to ensure smooth processing of the surgical procedure
- Depending upon what your diagnostic tests have confirmed, a call as to how to approach the pathology that had already been taken by the surgeon will now be worked upon
- The procedure can take about 5 to 10 hours
- Once the operation is over, you will be kept under observation where your vitals will be monitored
- On discharge, you will be explained the pros and cons of the surgery along with the do’s and don’ts.
Complications And Risk Factors Associated With Diskectomy:
- Injury to blood vessels in and around the site of pathology
- Bleeding, hematoma, internal bleeding
- Leaking of the cerebrospinal fluid CSF
- Infection at the site of wound
- Scarring, keloid tissue formation
- Loss of sensation in either of the limbs, limited movements
Am I Good Candidate For Diskectomy?
If you experience any of the following symptoms, you are surely an ideal candidate for the diskectomy procedure:
- Constant pain in the back region
- Discomfort while making various movements
- Burning sensation along the course of the spinal cord
- Tingling sensation or numbness in the extremities
- Persistent back pain even after being operated multiple times for spinal pathologies
A minimum of three to four weeks are required for you to resume your normal routine life. You may also be advised complete bed rest or allowed minimum movements. Physiotherapy is needed to guide you to bring your back to normal movements.
Success Rate of Diskectomy:
Diskectomies have a success rate of 94 percent for a five year long period. There are hardly any chances of failures, unless the patient falls, has accidents and requires a second surgical opening.
Benefits Of Diskectomy:
Diskectomy at the proper time will benefit you in the following ways:
- Help you perform your daily routine activities as per your will
- Relieve you of back pain that has been caused due to bony fusions
- Bring back sensations and remove the tingling and numbness from the extremities
- Prevent inappropriate nerve compressions
- Save your muscles from getting fatigued
A diskectomy in India will cost you around 1,80,000 to 2,50,000 INR . This amount is roughly about 60 to 65 percent less than what you will be required to pay in the United States, Australia, UK and New Zealand.
Why choose India:
Team MedcureIndia deals with medical tourism all over the world dealing with the pathologies from head to toe. We assure our highly esteemed clients how valuable their lives are for us. And keeping the same in mind, we direct our clients to the best affordable spine surgeons for diskectomy procedure with a promise of complete recovery.
Frequently Asked Questions:
• What causes bony fusion?
Bone can be fused owing to the extension and outgrowth of the bone.
• Why does the disc degenerate?
Fracture, trauma, bacterial infections or ageing is majorly responsible for degeneration of the disc.
• What is the function of the disc?
The disc is meant to cushion the vertebrae and act as a shock absorber.