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Spine treatment
Neck Disc Microscopic Surgery
microscopic discectomy
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  Neck Disc Microscopic Surgery
What is Neck Disc Microscopic Surgery?

 

It is the best when lesions are in one place but can be also applied to at least two to three lesions at the same time. Its advantage is to remove neck disc more safely because it can remove prolapsed disk completely and relieve pressed nerves of prolapsed disk or bad bones pressing nerve roots directly and precisely by using a small air drill and laserwith a microscope in the brightly enlarged view.



Indications of Neck Disc Microscopic Surgery


- Cervical disc herniationnot resolved with conservative treatment
If cervical disc is prolapsed to degenerative or traumatic and nerve root is twisted or pressed, even shoulders and arms, hands are numb and hurt.
- Cervical spondyloticmyeloradiculopathy
If protruding interspinous bones and bigger joint bones press the spinal cord itself, both hands are weakened or both legs are weakened and the strength is gone so walking difficulty may be caused or arms may be weakened enough not to lift a spoon.
- Posterior longitudinal ligament ossification
This is the symptom of a disease that vertical ligament behind vertebral body is thickened, calcified and hardened by unknown cause and presses spinal nerves or nerve roots.
- Chronic disc degeneration
This is the symptom of a disease that patients feel the pain mainly in the unilateral chest area and between both shoulders and the back of the neck as referred pain due to degeneration of the cervical spineoccurring gradually and continuing.
- Chronic cervical bone retrolisthesis
This is the symptom of a disease that cervical discand joints are weakened to degenerative or traumatic and neural pressure occurs due to cervical dislocation.


Success Rate or Prognosis of Neck Disc Microscopic Surgery

- More than 97% of success rate
- Length of hospital stay: 2-3 days


Types of Neck Disc Microscopic Surgery

>Cervical Spinal Interbody Fusion andVolar Plate Fixation
- When nerve roots are damaged by disc, protruding or prolapsed disc is completely removed at the same time from the front or side and then some cartilage, osteophytes of high and low cervical trunk are grinded and then pressed nerve roots are decompressed.
-Artificial bone or pelvic bone is collected and a neck vertebrae is fused.
-Fragment is fixed with volar plate in order for it to be well fixed in place.
(Through this process, brace wearing period can be shortened considerably.)
-There is no recurrence at the surgical site.
-If you have severetraumatic instability or retrolisthesis, additional posterior fixation may be required.



Pain Causes and Surgery Method of Neck Disc Microscopic Surgery

>Management after Neck Disc Microscopic Surgery

- Nerve root damage due to disc
- Removing protruding or prolapsed disc in front or front side
- Grinding some cartilage, osteophytes of high and low cervical trunk and then decompressing pressed nerve roots
-Taking fibula bone of the leg or iliac bone and fusing cervical vertebrae
-Rest and careful attention are required for about 2 months in order to fragment to knit well in place

 

> Fine Transforaminal Decompression(Anterior / Posterior)

This is the method of minimally invasively decompressing nerve roots through the hole of less than 1cm anteriorly or posteriorly without performing interbody fusion for degenerativecervical nerve root lesions and is the surgery of showing quick recovery and preserving the movement of the spine joints.


> Cervical Expansion Laminoplasty

This is the method of widening the existingnarrow spinal canal by fixing a metal plate to laminar side in case of more than three nodes of cervical spinal stenosis due to posterior longitudinal ligament ossification or cervicalspondylosismyelopathy.


> Management after Neck Disc Microscopic Surgery

-Do not bow. Bending back and neck to bow gives burden to neck disk.
- Do not drink while tilting your head back. You must be careful of sudden excessive neck extension.
- Avoid a high pillow (Memory foam pillow placing your head in the concave part as low as 8 ~ 10cm)
- Do not read books while lying face down nor turn your head and neck suddenly even in the slight motion in everyday life
- You feel cool when shaking neck joint but do not shake your neck enough to hear any sound. -Avoid keeping your head up to watch television or a movie played in a high position for a long time
- Excessive yoga, dance and apparatus gymnasticsaccumulate ligaments and muscles of the neck, disk damage.
- Do not take a shower or wash your hair with cold water.
- Do not carry heaving things only with one arm
- Adjust the height of the desk to your body to find the best position for your neck.
- Neck brace wear time and precautions


- Neck brace wear time and precautions

+ Neck brace wear time and precautions
+ Neck brace wear time for 2-6 weeks
- In case of one node surgery: For 2-3 weeks with a simple brace - In case of surgery of more than two nodes: For 4~6 weeks

+ Precautions for neck brace
- You do not need to wear a neck brace when lying down and sleeping.
- If there is no pain during exercise, reduce brace wearing and do not wear it for more than 90 days after surgery.
- Take a light shower from the next day after removing stitches and a full bath is possible 1 week after removing stitches.
- Make sure to wash your hair standing up.



Shortcut of Neck Disc Microscopic Surgeryfull recovery

- Spine Health Exercise Program is the shortcut of full recovery.
- Start 4-6 weeks after surgery.