How and when is endoscopic removal of a hernia of the spine

Under endoscopic removal of intervertebral disk hernia refers to the manipulation of the "fallen away" part of the disc without incisions. Minimal surgical intervention through the skin with minimal destructive effect purposefully conducted to resolve the disk of tissue that partially offset the normal range between the vertebrae. Modern and effective method for the provision of medical care for a given ailment.

Classification gruzevich formations

Forms of manifestation of hernial formation on the disk there are three stages: protrusion, extrusion and sequestration. They are formed on the spine depending on the degree of displacement and the change in the result of violations of blood flow in specific areas and a number of factors (e.g., osteoarthritis). As a result, there is a shortage of food and the flow of fluid to the tissues, and then the appearance of small cracks.

Protrusion

It is observed in cases when a disc "bulges", causing pain in the surrounding region, due to compression of the nerve grounds and accompanied by pain (of veins, ligaments, muscle tissues). The maximum distance for any in-plane direction of the end of the disk, smaller than that between its edges.

Extrusion

The phenomenon of extrusive nature, there is much less in the "protrusion" in conjunction with disruption of the edges of the disc material during the deposition of the inner part (core) is held only of longitudinal ligament with the spine. The most dangerous is the presence of extrusion in the lumbar region, which often leads to pain in the sciatic nerve.

The sequester

In the case where continuous completely lost connection with the disk displaced fabric material manifested form of the disease – sequestration.

The symptoms of hernia

The manifestation of the presence of irregularities in the tissue or disc herniation in the spine is often accompanied by a number of factors. They are:

• Expressed pain, which can be expressed as breaking, itching, burning or zeroing. Their initial manifestation may be concentrated in the lower back, buttocks or hip joint. Subsequently, to surrender into the thigh or ankle.
• Impaired perception of sensitive sensations in the legs.
• Weakness in the limbs.
• The disruption of the pelvis and its organs (signs of abnormal urine excretion delays, sexual dysfunction).

Diagnosis

Magnetic resonance imaging (MRI) is the conduct is sufficiently challenging but not dangerous and effective methodological procedures for diagnostic purposes. However, he is in no way connected with the use of ionizing radiation or any radioactive substances. Apply only the properties of the magnetic field in conjunction with pulses of radio frequencies.

This method allows to investigate patient candelabras compartment of the scanner. Today is considered the most effective diagnostic method in the detection of progressive chronic abnormalities in the spine and intervertebral discs in particular cases.

The advantage of this survey is to conduct the most detailed study of thin, soft tissues and disk structure, including the presence of a rupture of its annular structure, neural bases, of the substance of the spinal cord. Visual perception by doctors of the affected areas to the fullest extent eliminates ambiguities to cure many problems in the spine.

Depending on the need:

• CT myelography;
• To do overview and functional x-ray;
• To accurately assess the state of the muscular tissue and nerve grounds which are closest to the damage;
• Temporarily disable a complete reflex from pain conditions of one link; do a discography on a provocative basis.

Surgical treatment

This treatment is indicated for the diagnosis of painful symptoms that occur when compressed for three or four weeks. Also it is used in the growing signs of increasing weakness,subtraction, regardless of which period of time the disease. If found in breach of action in the pelvis, then immediately carry out surgery.

For today the greatest popularity have the most methods that are associated with the introduction of substances in the abdominal region of the human body. That is, intramuscularly or intravenously. It is much faster felt the effect of surgical intervention in vertebral degeneratively in gruzevich formations, and achieved regression of pain.

The most gentle of the existing methods, which allows to fully remove the new education without complications in the intervertebral disc of the waist is an endoscopic removal of a hernia of the spine. It is called "percutaneous".

The operation is performed using complex appliance, basic elements of which are the combination of precision optics and working channel. To conduct efficient and effective operations sufficient endoscope 7mm in diameter.

Spinal tumor is removed at the channel, where the connection between the spinal cord nerve base. Electro-optical device controls the needle stroke as the outside of the channel and subsequently for it. Then produce the input tube of the endoscope and partially remove the disc and sequestration, which presses the nerve and causes pain based. It further allows the intervertebral disk to properly perform a cushioning function. And due to the disappearance of radicular neurological syndrome disappear sharp pain.

See also: the consequences of the removal of a herniated disc.

Technically, such intervention is fully different from such methods, when performed removal of partially or fully the entire disk of the spine division, including the hernial education. It causes compression of the spinal cord and, as a result, the connection (splicing) of adjacent vertebral tissues.

When is endoscopic surgery for hernia of the spine, itself a consequence of reduced surgical trauma is minimal. While fully deleted the contact space between the solid shell formation in the spinal cord of brain cells and supraspinous part of the spine that contains tissue bonding, plexus of veins.

Suggest to read: rehabilitation after removal of hernia of lumbar spine.

No adverse post-operative scar and pain. Used access method prevents damage to long and short segmental muscles dorsal part of the body. Not observed bone resection, which contributes to the stability of the operated area.

Cosmetic effect after the operation is far superior to any other traditional surgical incisions after therapeutic procedures.

Be sure to read: rehabilitation after removal of a herniated disc.

For the right of passage is performed radiological control provisions surgical instruments at every stage of the removal of the intervertebral education. And the correctness of the manipulating movements are tracked by the endoscope.