Dr. Siddharth Katkade is a highly skilled, world wide trained and dedicated Spine Surgeon with over 10+ years of experience in field of specialised Spine Care and Orthopaedics.

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Cervical Spine Surgery – Microdiscectomy

Cervical Spine Surgery - Microdiscectomy

Cervical Spine Surgery - Microdiscectomy

Cervical Microdiscectomy is a minimally invasive surgical procedure used to treat conditions affecting the cervical spine (neck), primarily focused on relieving pressure on the spinal nerve roots or spinal cord, often caused by a herniated disc. It’s a type of decompression surgery where the surgeon removes a portion of the damaged intervertebral disc that is causing pain and other neurological symptoms.

Indications for Cervical Microdiscectomy :-
  • Herniated Discs: The most common reason for this surgery is a herniated or bulging cervical disc, where the inner material of the disc protrudes through the outer ring and puts pressure on nearby nerves or the spinal cord.

  • Failed Conservative Treatments: This procedure is generally considered when non-surgical treatments like medication, physical therapy, and injections have not provided significant relief from symptoms.

  • Significant Symptoms: It’s recommended for patients experiencing significant pain, numbness, tingling, or weakness in the neck, shoulders, arms, or hands due to nerve compression.

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Procedure Overview :-

  1. Anesthesia: The procedure is performed under general anesthesia, where the patient is unconscious.

  2. Incision: A small incision is made in the neck, either from the front (anterior approach) or the back (posterior approach), depending on the location of the herniation.

  3. Access and Decompression: Using specialized instruments and a microscope or endoscope, the surgeon carefully navigates to the affected disc.

  4. Disc Removal: The herniated portion of the disc is removed to relieve pressure on the compressed nerves or spinal cord.

  5. Closure: The incision is closed with sutures or staples.

Advantages of Cervical Microdiscectomy :-

  • Minimally Invasive: It typically involves a small incision, leading to less tissue damage, scarring, and postoperative pain compared to traditional open surgery.

  • Faster Recovery: Patients generally experience a quicker recovery time and shorter hospital stay.

  • Rapid Pain Relief: Relief from nerve compression symptoms, like pain, can be immediate for some patients.

  • Improved Mobility: By removing the problematic disc material, the procedure can restore mobility and improve quality of life.

  • High Success Rate: Microdiscectomy is known for its high success rates in relieving symptoms of a herniated disc.

Risks and Complications :-

While cervical microdiscectomy is generally considered safe, some risks and complications can occur, although they are uncommon. These include: 

  • Recurrence of herniated disc: There’s a chance the remaining disc material could herniate again.

  • Nerve damage: Injury to the spinal cord or nerves can occur, but it is rare due to the use of a microscope or endoscope.

  • Infection or bleeding: These are possible with any surgery.

  • CSF leak: Inadvertently puncturing the membrane surrounding the spinal cord can result in a leak of cerebrospinal fluid.

  • Difficulty swallowing or speaking: These are rare complications that may occur after surgery due to nerve manipulation.