Our Summary

This research study examined 61 patients who had a lumbar microdiscectomy, a common procedure to relieve back pain. The researchers looked at MRI scans before and after surgery, and followed up with the patients five years later.

They found that there were significant changes in the structure of the discs in the spine, as well as arthritis in the joints between the vertebrae. These changes were seen in the disc where the surgery was performed, and the disc below it, but not the disc above. They also found that a condition called perineural fibrosis, where scar tissue forms around the nerves, was quite common after the surgery.

However, they noted that compression of the spinal cord and nerve root impingement, which are serious conditions that can cause pain and other symptoms, were reduced after the surgery.

The only factor that was linked to these post-surgery changes was the patient’s age at the time of the procedure.

The researchers concluded that these changes could be due to the surgery, but might also be part of the normal aging process of the spine.

FAQs

  1. What changes were observed in the spine after a lumbar microdiscectomy?
  2. What is perineural fibrosis and how common is it after a lumbar microdiscectomy?
  3. What factors were found to influence post-surgery changes in the structure of the discs and joints in the spine?

Doctor’s Tip

One helpful tip a doctor might give a patient about microdiscectomy is to be aware that there may be changes in the structure of the discs in the spine and potential development of arthritis in the joints between the vertebrae after the surgery. It is important to follow up with your healthcare provider regularly to monitor any changes and address any new symptoms that may arise. Additionally, maintaining a healthy lifestyle, including regular exercise and proper body mechanics, can help support the healing process and prevent further issues in the future.

Suitable For

Typically, patients who are recommended for a microdiscectomy are those who have a herniated disc in the lumbar spine causing compression of the spinal cord or nerve roots. This can result in symptoms such as back pain, leg pain, numbness, and weakness. Patients who have not found relief from conservative treatments such as physical therapy, medications, or injections may be good candidates for a microdiscectomy. Additionally, patients who have significant nerve compression or symptoms that interfere with daily activities or quality of life may also be recommended for this surgery. It is important for patients to discuss their symptoms and treatment options with their healthcare provider to determine if a microdiscectomy is the right choice for them.

Timeline

Before the microdiscectomy:

  • Patient experiences persistent back pain, leg pain, and sciatica
  • Patient undergoes diagnostic tests such as MRI or CT scans to identify the cause of the pain
  • Doctor recommends microdiscectomy as a treatment option for herniated disc or spinal stenosis
  • Patient undergoes pre-operative evaluations and consultations with the surgeon
  • Surgery date is scheduled and patient prepares for the procedure

After the microdiscectomy:

  • Patient undergoes the microdiscectomy procedure to remove the herniated portion of the disc
  • Patient is monitored in the recovery room and then transferred to a hospital room for post-operative care
  • Patient may experience pain and discomfort at the surgical site
  • Patient begins physical therapy and rehabilitation to improve strength and flexibility
  • Patient follows up with the surgeon for post-operative appointments and monitoring
  • Patient gradually resumes normal activities and experiences improvement in back pain and leg symptoms

Overall, the timeline of a patient before and after microdiscectomy involves a process of evaluation, surgery, recovery, and rehabilitation to address the underlying spinal condition and alleviate pain and symptoms.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with microdiscectomy surgery?
  2. How long is the recovery period after microdiscectomy surgery?
  3. Will I need physical therapy or rehabilitation after the surgery?
  4. What can I do to prevent further disc herniation in the future?
  5. Will I need any additional treatments or surgeries in the future?
  6. How likely is it that I will experience recurrent back pain after microdiscectomy surgery?
  7. Will I need to make any lifestyle changes or modifications to prevent further damage to my spine?
  8. What are the expected long-term outcomes of microdiscectomy surgery?
  9. Are there any alternative treatments or procedures available for my condition?
  10. How often will I need follow-up appointments or monitoring after the surgery?

Reference

Authors: Gelalis ID, Papanastasiou EI, Theodorou DJ, Theodorou SJ, Pakos EE, Samoladas E, Papadopoulos DV, Mantzari M, Korompilias AV. Journal: Eur J Orthop Surg Traumatol. 2019 Feb;29(2):313-320. doi: 10.1007/s00590-018-2338-0. Epub 2018 Nov 8. PMID: 30411244