Cervical Herniated Disc C4 C5
Anterior cruciate ligament injuries in the post-surgical recovery
Anterior cervical spine corpectomy surgery
Why who need this procedure?
Compression of the nerve in the cervix can cause neck pain and / or pain, numbness and weakness that extends to the shoulders, arms and hands.
Cable degenerative diseases, including herniated discs and osteophytes are common causes of spinal nerve compression. Vertebral fracture a tumor or infection can also cause pressure on spinal nerves.
To determine if your condition requires treatment with a cervical corpectomy and melting earlier, your doctor will examine your spine and your medical history, and may order an x-ray, computed tomography (CT) or MRI imaging (MRI) of the cervical vertebrae. Anterior cervical corpectomy and fusion is recommended only after conservative treatment methods no. Your surgeon will take a number of factors into consideration before making this recommendation, including the condition being treated, your age, health and lifestyle and the expected level activity after surgery. Please discuss this treatment option thoroughly with your cable provider care.
The surgical approach
* The skin incision is about an inch and a horizontal and can be left or right neck. It is a vertical incision in the neck is often used to allow greater exposure.
* The thin platysma is divided and the plane between the muscle sternocleidomastoid and the strap is entered.
* Then a plane between the trachea / esophagus and the carotid sheath can be entered.
* A thin layer of fibrous tissue covering the spinal cord can be easily dissected away from the disk space.
The removal of the vertebral hard
* A needle is inserted into the disk space and on the radiograph is performed to confirm that the surgeon is at a correct spine.
* Once the space the correct disk has been identified in X-ray, the disc is removed by first cutting the outer annulus fibrosis (fibrous ring around the disc) and removing the nucleus pulposus (the smooth internal drive).
* The surgeon performs a discectomy at each end of the vertebral body to be removed (eg, C4-C5 and C5-C6 vertebral bodies to eliminate C5). More than one vertebral body can be removed.
* The PLL is removed to allow access to the cervical canal. This procedure allows the channel to completely decompressed. Dissection is often performed using an operating microscope to aid visualization of the channel.
* The dissection is carried back and forth a ligament called the ligament posterior longitudinal. This ligament can be gently removed to allow access to the spinal canal to remove any osteophytes (bone spurs) or disc material that can be extruded through the ligament.
* Results Corpectomy in a very unstable and must be addressed.
* Often leg transplant is used to close the gap (in red). It is often not sufficient for stability, and a plaque is also used above (in green).
* A Despite the stability of the plaque may not be enough, and this may require posterior instrumentation as well.
Possible Risks / Complications
The expected outcome of the procedures for decompression / fusion of the neck is good. Similar diskectomy,
The risks and possible complications include: –
* Injury to the nerve roots
* Damage to the spinal cord
* Relocation graft
* Damage to the trachea / esophagus
* Continuing pain
Patients feel some pain after surgery, especially in the area of the incision. While tingling sensations or numbness is common, and should decrease time must be reported to the doctor. Most patients are encouraged to be in place and move in a few hours after surgery. After surgery, your doctor will give instructions on when where you can resume your normal daily activities. After corpectomy, is often used external immoblization to increase the internal stabilization plates.
Often patients are encouraged to maintain a daily exercise program of low impact. Walking, slowly increasing distance each day is the best exercise after surgery. A little soreness is normal, but pain is a signal to slow down and relax.
Signs of infection such as swelling, redness or drainage at the incision site, and fever should be controlled by the surgeon immediately. Keep mind, the amount of time it takes to resume normal activities is different for each patient. Discomfort should decrease a little each day. More patients will benefit from a program exercise after surgery or medically supervised physical therapy after surgery. You should ask your doctor about exercises to help recovery.
The expected outcome of the procedures for decompression / fusion of the neck is good. Surgery is very effective in reducing pain in the arms and shoulders caused by compression of the nerve. However, some neck pain may persist
List of other anterior cervical discectomy surgery available in India
Percutaneous endoscopic lumbar discectomy *
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