Micro Lumbar Discectomy (MLD) Spine Surgery In India - Low Cost |
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Micro Lumbar Discectomy (MLD) Spine Surgery Since the initial description of a herniated intervertebral disc as the cause of sciatica (pain radiating down the back of the leg) in 1934, the operation to relieve this pain has undergone considerable refinement. Compression of a nerve root in the low back causes pain in the leg, back pain and sometimes dysfunction of the nerve. Usually pain begins in the low back, then radiates into the leg with tingling numbness and weakness in the leg. The cause is herniation or bulging of softened intervertebral disk material into the spinal canal compressing the overlying nerve root. In older individuals, an over-growth of bone (osteophytes) may compress the nerve. Diagnosis is dependent upon the history of pain, physical examination of the patient, and
Anatomical changes seen with CT/MR imaging of the spine : Pain the the back and extremity, usually the back of the leg Pain and limitation of raising the leg with the patient lying on his back Loss of sensation in the leg Weakness in specific muscle groups in the leg Loss of reflexes at the knee and ankle CT/MR images showing compression of a nerve root by disc material or osteophyte
Case History : Herniated lumbar disc with sciatica, pain and numbness PS is a 30 year old housewife and mother who had experienced recurring episodes of low back pain for the past 10 years. This pain was progressively more severe for the past two years. A month before admission to the hospital she awoke with excruciating low back pain, and pain with numbness down the back of her right leg. She complained of weakness in the leg and the weakness progressed although the pain had improved. Examination demonstrated pain when the right leg was passively elevated. There was weakness in the muscles which flexed up the foot at the ankle, numbness to pin prick over the top of the foot. The reflexes at the knee and ankle were normal. A MRI image demonstrated a very large herniated disc fragment compressing the right L5 nerve root. A microlumbar discectomy was performed because of the failure of conservative treatment and the presence of severe pain and weakness. She left the hospital the same day and enjoyed immediate, near complete relief of sciatic pain. The weakness is greatly improved, but the numbness persists. Comment: The L5 nerve root is usually the root compressed by a fragment of disc material which prolapses from the disc space between the 4th and 5th lumbar vertebrae. The nerve root controls the muscles of elevation of the foot at the ankle, elevation of the big toe, sensation on the top of the foot...
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