Percutaneous discectomy is a minimally invasive procedure used to reduce a herniated disc. It has been using to treat sciatica, by removing part of the intervertebral disc to provide decompression and relieve the pressure of the disc on adjacent nerve roots. Percutaneous discectomy also called as dekompressor discectomy.
Patients who require percutaneous discectomy are those who are suffering from sciatica or leg pain caused by a herniated or slipped disc. Person who is suffering from radiculopathy and pure axial pain which is caused by a central focal protrusion or central bulge of the disc can also get benefits from percutaneous discectomy.
Percutaneous discectomy removes part of a herniated disc that is irritating a nerve, resulting in prompt pain relief. Percutaneous discectomy is performed with local anesthesia. The whole surgery procedure is below
- Surgeon uses a small needle to reach the disc and the use of needle in turn eliminates the need for an incision.
- The needle is guided to the disc by fluoroscopy and a probe with a rotating tip which is carefully inserted through the needle.
- When the surgeon will turn on the probe, the rotating tip of probe removes small portions of the disc nucleus and creating empty space which allows the disc to reabsorb the herniation and relieving pressure on the nerve.
- The spine remains stable since only enough of the disc is removed to reduce pressure inside the disc.
The whole procedure takes less than a one hour.
Benefits of Percutaneous discectomy are;
- It reduce back and leg pain which is the goal
- Most patients were better able to carry out everyday tasks after the procedure
- Most patients returned to work after the procedure
- In general, most patients were satisfied with their treatment
- Percutaneous discectomy improved quality of life in many patients
No invasive procedure is without risks. So there are also some side effects of percutaneous discectomy, common complications are temporary lack of sensation or abnormal sensation. Although some people will also experience other complications which include;
- Cyst‑like lesions at the operation site; some needed surgery to remove them
- Bleeding into the tissues
- Tears in the tissue surrounding the spinal cord
- Inflammation of the spine, with or without soft tissue infection
- A fragment breaking away from the disc in 1 patient
- Temporary problems with the nerves in the foot in 4 patients, including foot drop in 1 patient
Zaki Anwar MD is an Anesthesiologist and Interventional Pain Management Specialist. He has vast expertise for the diagnosis and treatment of back pain, headaches, migraines, neck pain, sciatica pain and various pain conditions.
For further queries call on 815.412.6166