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Minimally-Invasive Lumbar Decompression Surgery

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The image of a man with severe lower back pain requiring a minimally invasive lumbar decompression surgery.

MIS Decompression for Lumbar Canal Stenosis

Lumbar canal stenosis is common as you age. This spinal disorder occurs when the spinal canal narrows down and compresses the surrounding nerves and spinal cord extending from your lower back to the legs.

As the name suggests, the Minimally-Invasive Decompression surgery is a stark contrast to the traditional open Laminectomy by preserving the crucial midline spinal structure. The idea of this surgical procedure will be to increase the space around the nerves in your back. Using a tube-assisted approach from one side, the nerves can be decompressed on both sides, making this a truly minimally invasive surgery.

Spine doctors at Spine 360, Bangalore may recommend this procedure instead of an open laminectomy because it promotes quicker recovery and has fewer complications and instability issues. The procedure is suitable for a wide range of patients with lumbar spinal stenosis, including those with recess stenosis and those who have previously undergone reoperations.

Furthermore, the procedure may be more beneficial, especially for patients with complex scoliosis or obesity, since the surgery provides clear visual access.

When You May Require Minimally-Invasive Lumbar Decompression Surgery

Our specialists may recommend this minimally invasive surgery under the following medical circumstances:
If you have mild to severe spinal stenosis.
If you are unable to stand or walk for a few minutes without experiencing debilitating pain.
If you prefer avoiding open laminectomy or other traditional treatments.
Pre-Surgical Care for Lumbar Spinal Decompression Surgery
What to Expect During the Procedure
Guidelines for Post-Surgical Care
  • Our doctors conduct a comprehensive diagnosis of your lumbar spinal stenosis to assess the extent of damage and identify the right area that’s to be treated.
  • The area that requires surgery is disinfected with an antiseptic solution to prepare you for the surgery.
  • Our anesthetist administers local anesthesia to ensure a comfortable and painless surgery.
  • You will be positioned face down to enable the surgeons to make a tiny incision in your lower back.
  • Next, your surgeon inserts multiple tubes through the incision to create a pathway and enhance the visibility around the nerves.
  • A final tube about the size of a dime is inserted to facilitate the application of specialized tools for addressing the issue.
  • The next step is to introduce a cannula, a specialized tube through the incision right up to the targeted area. To do this delicate step of the process, our surgeons will use a real-time X-ray imaging machine called Fluoroscopy.
  • Using fluoroscopy, the doctor can visualize your decompressed nerves, bone spurs, or ligaments causing the stenosis.
  • Our skilled doctors will skillfully insert specialized instruments through the cannula to meticulously remove the excessive ligamentum flavum and any bone spurs.
  • By undertaking this decompression procedure, we aim to significantly enlarge the spinal canal, providing relief from nerve compression and alleviating pain.
  • The suture is closed and bandaged after the tubes and tools are removed.
  • You will be transferred to a recovery room, where you will remain for several hours, after which our doctors will assess your condition and discharge you if they are satisfied with your progress.
  • The surgery is minimally-invasive and is hence performed as an outpatient procedure. You may return home on the same day unless your doctor advises you to stay back.
  • You may resume your normal activities since this minimally invasive procedure promotes quicker recovery than an open surgery.
  • You may experience some pain and swelling around the incision area. Our doctors will prescribe medication to heal the incision.

Know Your Minimally-Invasive Lumbar Decompression Surgery

Generally, recovery from the Minimally Invasive Lumbar Decompression Surgery spine treatment is quick. The minimally invasive spinal decompression procedure is conducted on an outpatient basis, leaving no implants inside the body.

Patients with varying degrees of spinal stenosis can swiftly return to work and resume less physically strenuous duties in just a matter of days. Remarkably, this technique necessitates no stitches or general anaesthesia, promoting a speedy recovery that outpaces traditional open surgery.

Minimally Invasive Lumbar Decompression Surgery doesn't lock you into a single treatment option or limit your choices for future therapies. Unlike spacer implants, fusion, or traditional back surgery, Minimally Invasive Lumbar Decompression Surgery allows you to keep all doors open for both conservative and more invasive treatments in case your symptoms persist or change over time.

However, the procedure is better than a traditional back surgery. Minimally Invasive Lumbar Decompression Surgery is a minimally invasive procedure that usually takes less than an hour to complete. It involves making a single, tiny incision and requires only local anaesthetic and light sedation. Unlike traditional surgery, no implants are left behind. After undergoing the Minimally Invasive Lumbar Decompression Surgery, patients can usually resume regular activity within 24 hours without any limitations, unlike traditional back surgery.

Generally, this is a successful procedure in terms of curing nerve decompression due to a herniated disc. However, you should be aware of the following risks, which are common for all surgeries:

  • The procedure may not improve the pain.
  • There are chances for the pain to worsen.
  • There is a possibility of infection or bruising around the incision area.

However, our doctors will give you the right post-surgical care to ensure quick recovery from the procedure.

  • Always follow the post-surgical instructions given by your doctor in terms of wound care, medication, pain management, and activity restrictions.
  • Track your progress by consistently attending follow-up appointments. These checkups are crucial in addressing any concerns regarding your recovery.
  • Resume your physical activities with mild forms of exercise such as walking. This will help the healing process and improve circulation and flexibility.
  • Incorporate the physical therapy exercises recommended by our doctors. These sessions are vital to strengthen your back muscles and improve mobility.
A happy doctor with a stethoscope.

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