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Clinic SPINE CLINIC

Disc

Disc is a flexible substance between the vertebrae that avoids the impact resulting by standing, sitting, and running to the vertebrae. Each disc is composed of two nucleuses in the middle and the ring that covers the nucleus.

If the ring ruptures due to high pressure, it cause:

– Disk nucleus herniation
– Pressure on spinal nerves and back and leg pain
– In extreme cases, if untreated, it can lead to numbness and tingling and even paralysis in the lower limbsEndoscopeAn endoscope is a device that can be used for seeing the vertebrae and the tissue around the vertebrae and disc directly without making any incision on the lumbar region and for removing a part of the disk causing pressure on the nerve.The advantages of endoscopic disc to surgeryIn surgery, some part of the vertebra bone is inevitably removed for access to disk, while in endoscopy no part of the bone will be removed.
In conventional surgery, the risk of post-operative adhesions around the spiral nerves is more than endoscopy. During endoscopy, an incision with a length of 8mm will be made in the lumbar region that matters in aesthetic terms.
Endoscopy is an outpatient procedure in which the patients do not need to be hospitalized in the clinic and can return to their daily activities soon.

Requirements for endoscopic disc surgery

Your new MRI along with your examination results will be reviewed by the clinic physician and, if eligible, you can undergo this procedure.

Preparations for endoscopic disc surgery

– Pre-operative fasting for about 6 hours
– The presence of a person accompanying the patient to do the paperworks
– Having all medical records of the patient

How endoscopic disc surgery is performed

First, the exact entrance location of the endoscope will be determined using CT scan or fluoroscopy. After anesthesia, by making and incision of 8mm in this area, the endoscope will be inserted into the inter-vertebral hole and the part of the disc that cause pressure on the nerve root will be removed.

Possible complications of endoscopic disc surgery

Complications of endoscopic disc surgery are very few (4%). The most common complication of endoscopy is tingling and pain in the inter-vertebral nerve region that has been reported only in 5-15% of the cases and will be lost spontaneously in a few weeks.

Post-operative hospitalization

This surgery is usually operated on an outpatient basis and does not require hospitalization.

Post-operative bed rest

After endoscopy, you should rest at home for a week and then gradually start your normal activities.

Disc recurrence
In cases where the patients pain has not been desirably reduced, second endoscopy may be required for removing the remaining disc.