Dr. Mahmoud Yazdan Panahi
Tehran
Laminectomy surgery
Laminectomy surgery is one of the types of lumbar disc surgery in which part of the lamina (the bone that covers the spinal cord) is removed to reduce the pressure on the spinal cord and nerves. This operation is performed for patients who have severe pain, muscle weakness or numbness due to lumbar disc herniation. Among the advantages of this surgery, we can mention a decrease in the quality of movement, an increase in pain and an increase in its complications.. Infection, bleeding, muscle weakness and the possibility of spinal instability... Microdiscectomy is a minimally invasive procedure for the treatment of lumbar disc herniation in which the surgeon uses a microscope to remove the protruding part of the disc that is pressing on the nerve. This type of lumbar disc surgery is usually performed on patients who do not respond to severe leg pain. Microdiscectomy involves faster recovery, less pain, and a shorter recovery period. A few weeks back to daily activities... endoscopic surgery
Endoscopic surgery is a minimally invasive method for the treatment of lumbar disc herniation, which is performed using a small camera (endoscope) through a small incision. The surgeon, guided by images on the monitor, removes the protruding part of the disc without harming the surrounding muscles. The advantages of this method include reducing pain after surgery, faster recovery, and reducing the risk of infection. Possible complications are recurrence of disc herniation, nerve damage, and temporary pain after surgery. Kyphoplasty and vertebroplasty are two treatment methods that are used to repair fractures caused by osteoporosis or vertebral pressure in the vertebral column through a special syringe.. A needle to increase strength.... In kyphoplasty, before injecting cement, a small balloon is inflated in the vertebra to restore its normal height.. The benefits of this lumbar disc surgery method include reducing pain, increasing spine strength, and improving quality of life... Possible complications include cement leakage, Infection and the possibility of new fractures.. After surgery, the patient needs special care and bone strengthening.. Chest area (middle part of the spine)... This method is minimally invasive and is performed through small incisions on the chest so that the surgeon can remove the damaged part of the disc with a camera and special tools... The advantages of this surgery include less pain, reduced muscle damage, and a shorter recovery period than open methods.
Lumbar disc fusion surgery is one of the types of lumbar disc surgery in which two or more vertebrae of the spine are connected to each other in order to prevent abnormal movement and pain caused by disc herniation. This method is recommended for patients who have severe instability of the spine, disc wear or advanced arthritis. The benefits of this surgery include reducing pain, improving motor function and preventing further damage to nerves, etc. It is one of the side effects of subsequent surgeries... After the operation, doing rehabilitation and strengthening exercises is very necessary to maintain the health of the spine... Closed decompression surgery
Compression pack surgery is one of the newest types of lumbar disc surgery, which is performed non-invasively... In this method, the surgeon reduces the pressure on the nerves without the need to make large incisions using a laser or special tools. It is one of the minimally invasive methods in lumbar disc surgery, during which a small part of the inner core of the disc that causes pressure on the nerves is removed. This method is usually recommended for patients who have severe pain caused by disc herniation and have not responded to non-surgical treatments. Give... Lumbar disc surgery with discogel injection... Discogel injection is one of the new methods in lumbar disc herniation surgery, in which special gel is injected into the damaged disc to reduce the pressure on the nerve.. An option for patients with mild to moderate disc pain.
The advantages of this method include pain reduction, no need for anesthesia, and faster recovery than open surgery. But in more severe cases, other methods may be needed, such as lumbar disc surgery. The choice of treatment method must be based on a doctor's examination. Coblation surgery. It is recommended for patients with mild to moderate disc herniations. The advantages of this method include pain reduction, minimal invasiveness, and no need for long-term hospitalization. Lumbar disc treatment with this method accelerates recovery and the patient returns to daily activities faster. But in more severe cases, more open surgeries may be needed. Laser surgery.
Lumbar disc surgery with laser is one of the new methods in lumbar disc herniation surgery, which uses laser rays to remove a small part of the disc that presses on the nerve.... This method is recommended for patients who have moderate to severe pain and have not responded to non-surgical treatments.. The advantages of this method include minimal invasiveness, rapid pain reduction and short-term recovery... Since this method is performed with high precision, damage to the surrounding tissues is minimized... In some patients, several treatment sessions may be needed to achieve the desired effect... Types of lumbar disc surgery, which one is the most suitable? **Dr. Roger Hartle**, Chief of Spine Surgery at Weill Cornell Medical Center in New York and United Nations Consultant on Spine Surgery:
> "Choosing between various methods of lumbar disc surgery, such as microdiscectomy, laminectomy or fusion surgery, depends entirely on the patient's anatomical condition, the severity of pressure on the nerve and the response to non-surgical treatments. Based on a study we conducted in 2024 on 1,200 patients, it was found that for patients who had returned to daily activities, chromodiscitis was correctly selected. 87% of cases within three months after surgery; while this number in Fusion surgery was 64%.. Therefore, the success of the treatment depends not only on the type of surgery, but also on the correct choice for each patient."
In the continuation of this discussion, Dr. Mahmoud Yazdan Panahi also emphasizes that deciding on the type of lumbar disc surgery should be based on a detailed MRI examination, clinical examination, and the patient's physical condition, not just personal preferences or common methods...