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Sciatica / Slipped Disc

Sciatica / Slipped Disc

Spine Discectomy and Stabilisation – Short Note Discectomy is a surgical procedure to remove the damaged portion of a herniated intervertebral disc that is pressing on a nerve root or the spinal cord. It is commonly performed for lumbar or cervical disc herniation causing nerve compression and symptoms like radiating pain, numbness, or weakness. Indications: Herniated disc with nerve compression Failed conservative treatment Cauda equina syndrome (emergency) Severe pain or neurological deficits Types of Discectomy: Open Discectomy Microdiscectomy (minimally invasive) Endoscopic Discectomy Stabilisation involves fusion or instrumentation to maintain spinal alignment and prevent abnormal movement after disc removal. It is often needed when there is: Spinal instability Multiple level disc disease Degenerative disc disease Recurrent disc prolapse Stabilisation Techniques: Pedicle screw fixation Rods and cages Interbody fusion (e.g., TLIF, PLIF, ACDF) Goals: Relieve nerve compression Restore spinal stability Maintain spinal alignment Improve function and reduce pain

Spine Discectomy and Stabilisation 

Discectomy is a surgical procedure to remove the damaged portion of a herniated intervertebral disc that is pressing on a nerve root or the spinal cord. It is commonly performed for lumbar or cervical disc herniation causing nerve compression and symptoms like radiating pain, numbness, or weakness.

Indications:

  • Herniated disc with nerve compression

  • Failed conservative treatment

  • Cauda equina syndrome (emergency)

  • Severe pain or neurological deficits

Types of Discectomy:

  • Open Discectomy

  • Microdiscectomy (minimally invasive)

  • Endoscopic Discectomy

Stabilisation involves fusion or instrumentation to maintain spinal alignment and prevent abnormal movement after disc removal. It is often needed when there is:

  • Spinal instability

  • Multiple level disc disease

  • Degenerative disc disease

  • Recurrent disc prolapse

Stabilisation Techniques:

  • Pedicle screw fixation

  • Rods and cages

  • Interbody fusion (e.g., TLIF, PLIF, ACDF)

Goals:

  • Relieve nerve compression

  • Restore spinal stability

  • Maintain spinal alignment

  • Improve function and reduce pain

About

Dr. Mahesh M is a highly skilled Orthopaedic Consultant with a strong commitment to delivering exceptional patient care. Holding an MBBS and DNB in Orthopaedics, alongside specialized training as an AO Surgeon.

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