Our Summary

This research paper examines a series of five patients who had a specific type of back operation between 2015 and 2021. The operation, called transpedicular transthoracic microdiscectomy, was performed using an advanced imaging technology that helped surgeons see detailed structures inside the body.

This technology was particularly useful when treating large or complex disc herniations in the back (when a disc in the spine pushes out of its normal place). It allowed the surgeons to do a less invasive surgery, reducing the need for more complex procedures.

The patients in the study were mostly men and middle-aged. The results were mostly positive, with four out of five patients experiencing significant improvement in their symptoms after the operation. However, one patient had complications after the operation, including a lung problem and pneumonia, and another patient experienced worsening of weakness in the legs later on.

The researchers conclude that using this advanced imaging technology can be effective for this type of complex back surgery, as it helps surgeons see the important structures and do a less invasive operation.

FAQs

  1. What is transpedicular transthoracic microdiscectomy and how is it performed?
  2. What are the potential complications of this type of back operation?
  3. How has advanced imaging technology improved the outcomes of complex back surgeries like transpedicular transthoracic microdiscectomy?

Doctor’s Tip

A helpful tip a doctor might tell a patient about microdiscectomy is to follow post-operative instructions carefully, including taking prescribed medications, attending follow-up appointments, and engaging in recommended physical therapy exercises. It is also important to avoid strenuous activities that could put strain on the back during the recovery period. Additionally, maintaining a healthy weight and practicing good posture and body mechanics can help prevent future back issues.

Suitable For

Patients who are typically recommended for microdiscectomy are those who have:

  1. Severe or persistent leg pain, weakness, or numbness caused by a herniated disc in the lumbar spine.
  2. Symptoms that have not improved with conservative treatments such as physical therapy, medications, and steroid injections.
  3. A disc herniation that is pressing on a spinal nerve and causing symptoms such as sciatica.
  4. Good overall health and no underlying medical conditions that would make surgery risky.
  5. A willingness to commit to post-operative rehabilitation and follow-up care to ensure a successful recovery.

It is important for patients to discuss their specific symptoms, medical history, and treatment options with a spine specialist to determine if microdiscectomy is the most appropriate treatment for their condition.

Timeline

Before the microdiscectomy:

  1. Patients typically experience chronic back pain, leg pain, and other symptoms related to a herniated disc.
  2. Patients undergo diagnostic tests such as MRI or CT scans to confirm the diagnosis of a herniated disc.
  3. Patients may try conservative treatments such as physical therapy, medication, or injections to manage their symptoms.

After the microdiscectomy:

  1. Patients are prepped for surgery and undergo the microdiscectomy procedure, which involves removing a portion of the herniated disc to relieve pressure on the nerves.
  2. Patients are monitored in the hospital post-surgery for any complications and to manage pain.
  3. Patients are typically discharged from the hospital within a few days and are advised to gradually increase their activity level.
  4. Patients may undergo physical therapy to help with recovery and strengthen the muscles supporting the spine.
  5. Patients may experience improvements in their symptoms such as reduced pain, improved mobility, and overall better quality of life.

What to Ask Your Doctor

  1. What is a microdiscectomy and how is it different from other types of back surgeries?
  2. Am I a suitable candidate for a microdiscectomy procedure?
  3. What are the potential risks and complications associated with microdiscectomy?
  4. What is the success rate of microdiscectomy in treating my specific condition?
  5. How long is the recovery period after a microdiscectomy and what can I expect during this time?
  6. Will I need physical therapy or rehabilitation after the surgery?
  7. Are there any restrictions or lifestyle changes I should follow post-surgery?
  8. How long will it take for me to see improvement in my symptoms after the surgery?
  9. What are the alternatives to microdiscectomy and how do they compare in terms of effectiveness and recovery time?
  10. What is the experience and success rate of the surgeon in performing microdiscectomy procedures?

Reference

Authors: Kilmister EJ, Guy N, Wickremesekera A, Koeck H. Journal: J Neurosurg Case Lessons. 2022 Sep 19;4(12):CASE2297. doi: 10.3171/CASE2297. Print 2022 Sep 19. PMID: 36593678