What is Transpedicular discectomy?

Apart from the open soft tissue exposure, transpedicular bone decompression and discectomy is performed in essentially identical fashion to the minimally invasive technique we describe here (the hemilamina, facet complex, and pedicle inferior to the disc space are removed with a high-speed drill, and discectomy is …

What is the average recovery time for a discectomy?

The overall lumbar discectomy recovery time is approximately 4 to 6 weeks, but you may be feeling back to normal well before that time. Be sure to work closely with your doctor to understand how your specific lumbar discectomy recovery time should progress.

What is a thoracic discectomy?

Minimally invasive, or mini-open, lateral thoracic discectomy is a procedure in which an intervertebral disc is surgically removed from the thoracic region of the spinal column, or the mid-back. Intervertebral discs separate the bones of the spine, called vertebrae. They also act as shock absorbers and enable movement.

What is a Transpedicular approach?

Methods: Modified transpedicular approach includes drilling the pedicle for removal of retropulsed bone fragment under surgical microscope without damaging the anatomic continuity of posterior column.

Can you walk after a discectomy?

Walking is encouraged as a way to get moving as soon as possible after microdiscectomy surgery. This type of exercise is gentle on the back, helps improve overall fitness, and keeps the muscles flexible. Typically, patients are advised to begin with short walks and gradually work up to a few miles.

Are you put to sleep for a discectomy?

Discectomy is usually done in a hospital. You are asleep or numb during the surgery. You will probably stay in the hospital overnight.

What can you not do after a discectomy?

Do not do any running/jogging, vacuuming, weight lifting, sweeping/mopping, laundry, shoveling or raking, riding a lawn mower, wave runner or anything that might irritate your back until you have completely healed from your surgery. Do not drive for at least two weeks after surgery.

When can I bend after discectomy?

Restrictions on bending, lifting and twisting are common after lumbar discectomy, typically for six weeks.

Do thoracic disc herniations ever heal?

The patient’s activity levels should be progressed gradually over a 6 to 12 week period as symptoms improve. In the vast majority of cases, the natural history of thoracic disc herniation is one of improvement with one or a combination of the above conservative (non-operative) treatments.

How common are thoracic disc herniations?

“You have millions of people who herniate discs in the neck or lower back, but a herniation in thoracic spine area is exceedingly rare,” Bydon explains. A herniation like Gil’s occurs in one out of every one million people per year—the likelihood of the injury is, quite literally, one in a million.

How is the transpedicular approach used in tumour removal?

The transpedicular approach is also known as the posterolateral approach. It is utilised in the removal of degenerative disc material compressing the nerve root laterally and is often in tumour biopsies or resections. The transpedicular procedure requires removal of the head of the corresponding rib and the vertebral pedicle.

What kind of surgery is used for herniated discs?

These sequelae are often the consequence of nerve root injury. This surgical intervention uses an endoscope (a “key-hole” surgery) to access the herniated disc material. It is mostly used in small and contained disc protrusions.

What are the CPT codes for lumbar discectomy?

(List separately in addition to code for primary procedure). Code first (63055-63056) CPT Codes Lumbar Discectomy/Microdiscectomy procedure 63030 Laminotomy, with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar +63035

What kind of surgery is done on the spine?

Costotransversectomy is an operation used in the thoracic spine for degenerative disc disease (in particular with central disc protrusion), trauma, tumours of the spine, and infections such as tuberculosis. The approach to the spine is usually from the side of the lesion.