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North American Spine
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| iSpine Discuss North American Spine in the Main forums forums; With a central herniation, how does the surgeon access/approach the protrusion to perform a "microdiscectomy? It's obvious ... |
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10-20-2011, 05:17 PM
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Tony Yeung works from inside the disc, so central herniations are not a problem to reach. Very centrally located herniations are more difficult to get to with more traditional endoscopic techniques. With open microdiscectomies, the can more easily move things around to get there.
How severely degenerated is your disc? If it's too severely degenerated, then discectomy may not be your best option. Mark
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1997 MVA 2000 L4-5 Microdiscectomy/laminotomy 2001 L5-S1 Micro-d/lami 2002 L4-S1 Charite' ADR - SUCCESS! 2009 C3-C4, C5-C6-C7, T1-T2 ProDisc-C Nova Summer 2009, more bad thoracic discs! Life After Surgery Website President: Global Patient Network, Inc. Founder: www.iSpine.org 
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10-21-2011, 10:06 PM
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For central herniations there is a great alternative to open surgery. Its called micro-endoscopic or somewhere METRx surgery (tubular retractor).
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"The world of spinal medicine, unfortunately, is producing patients with failed back surgery syndrome at an alarming rate" 2005 - 2012: Rich personal experience with spinal disorders and various treatments (surgical, therapeutic, diagnostic) Co-Founder: Vertebris Internationl Spine Hospital Founder: Spinoteka - Society for Spine Diseases
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10-24-2011, 12:08 PM
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Degeneration isn't that bad on MRI views. There is good disk height and the "herniation" is 3-4mm directly in the center. It rears it's head mostly when i sit.
When I stand up or lay down there isn't much discomfort. periodically I only have minimal back pain, usually it's not a problem. Most problem is sciatica. I'm sure if I become more aggressive with my activity the symptoms will worsen. So I stay as active and "controlled" as I can hoping it will resolve. But this is getting old. Always looking for advice or opinions.
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10-25-2011, 06:01 AM
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North American Spine:
Theoretically that they do can work. I called them and I got a sales pitch like the DXR 9000. I think that NAS helps some people and that the technology is valid but from what I read their surgeons are hacks and there are no peer reviewed studies. A laser fired in the disk can make it better but the surgeon needs skill and training. I don't think the NAS jokers like most American surgeons are well trained. Just my opinion. You may want to roll the dice but before you do read this. http://radiology.rsna.org/content/225/3/895.full.pdf http://radiology.rsna.org/content/225/3/895.full.pdf Traction works. Learn how to do it. I am too far gone for the disk to recede but some of you may find it helpful. I still try it. I don't exceed 30 lbs for cervical.
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