Advanced Lumbar Disc Surgery in Bhubaneswar
Lumbar disc surgery is a surgical procedure designed to address issues in the lower back's intervertebral discs, which act as cushions between the vertebrae. This surgery aims to repair or remove damaged disc material that causes pain, nerve compression, and mobility issues. Doctors typically recommend this procedure for patients who have not found relief through non-surgical treatments like fisioterapi, medications, or injections.
Types of Lumbar Disc Replacement Surgery
The following are the main types:
- Total Disk Replacement: Involves removing the entire damaged disk and replacing it with an artificial implant
- Partial Disk Replacement: Replaces only a portion of the damaged disk
Best Lumbar Disk Surgery Doctors in India
Why Might I Need Lumbar Disc Replacement?
Lumbar disc replacement is considered for patients experiencing chronic lower back pain caused by one or two damaged discs. Ideal candidates meet the following criteria:
- Pain originates from one or two discs in the lumbar spine.
- No significant joint disease or spinal deformities like scoliosis.
- No prior spinal surgery or major nerve compression.
- Appropriate body weight and overall good health.
Symptoms Requiring Lumbar Disc Surgery
Patients with the following symptoms may be candidates for surgery:
- Linu panggul- pain radiating from the lower back through the buttocks and down the legs.
- Muscle weakness or difficulty moving the legs
- Tingling or numbness in the legs and feet
- Reduced reflexes in the knees or ankles
- Changes in bowel or bladder function (in severe cases)
Diagnostic Tests for Lumbar Disc Surgery
To accurately diagnose lumbar disc issues, doctors use a combination of tests:
- Magnetic Resonance Imaging (MRI): Provides detailed images of soft tissues, nerves, and discs.
- CT Scan: Offers cross-sectional views of the spine, which is useful for patients who cannot undergo an MRI.
- X-rays: Show bone alignment and detect fractures or abnormalities.
- Myelography: Involves injecting contrast dye for enhanced spinal imaging.
- Electromyography (EMG): Measures nerve function using electrodes placed in muscles.
These tests help surgeons plan the procedure and rule out non-spinal causes of pain.
Modalitas Pengobatan
Treatment for lumbar disc problems depends on the severity of symptoms:
- Perawatan Non-bedah:
- Medications like NSAIDs and muscle relaxants
- Physiotherapy to improve flexibility and strengthen core muscles
- Epidural steroid injections to reduce inflammation
- Alternative therapies like acupuncture or chiropractic care
- Perawatan Bedah:
- Doctors recommend surgical intervention when conservative treatments fail or if there is severe nerve compression.
- Termasuk prosedur seperti diskektomi (removing part of the disc) or artificial disc replacement.
Lumbar Disc Surgery Procedure
Operasi biasanya memakan waktu 2-3 jam dan melibatkan langkah-langkah berikut:
- Mengatur anestesi umum to ensure the patient is unconscious and pain-free.
- Making a small incision in the abdomen to access the spine.
- Carefully moving organs and blood vessels aside to reach the damaged disc.
- Removing the damaged disc material and replacing it with an artificial disc.
- Closing the incision with stitches or surgical glue.
Modern techniques use minimally invasive methods, resulting in smaller incisions, less pain, and faster recovery.
Persiapan Pra-operasi
Proper surgical preparation is crucial for a successful outcome:
- Medical Evaluation: Includes blood tests, imaging scans
- Lifestyle Modifications: Patients are advised to berhenti merokok dan menjaga berat badan yang sehat.
- Home Preparation: Arrange for post-surgery assistance with daily activities and transportation.
- Pre-surgery Instructions: Avoid food and drink after midnight and use antibacterial soap before the procedure.
Selama Pembedahan
The surgical team ensures patient safety and precision throughout the procedure:
- The surgical team carefully position the patient to allow optimal access to the spine.
- Administration of the general anaesthesia
- The surgeon makes a small incision in the lower back and carefully moves surrounding structures to access the lumbar spine.
- Advanced tools like surgical microscopes are used for accuracy.
- Removal of the damaged lumbar disc and creating space for the artificial disc implant
- Positioning of the artificial lumbar disc between the vertebrae
- After ensuring proper alignment, the surgeon closes the incision with sutures or staples
Vital signs, nerve function, and anaesthesia response are monitored continuously.
Pemulihan Pasca Operasi
Recovery after lumbar disc surgery involves:
- A 1-2 night hospital stay for monitoring
- Manajemen nyeri dengan obat yang diresepkan
- Terapi fisik untuk memulihkan kekuatan dan mobilitas
- Gradual return to daily activities:
- Light activities within a week.
- Driving after 2-6 weeks.
- Strenuous activities after 3-6 months
- Regular follow-up appointments to monitor healing
Mengapa Memilih Rumah Sakit CARE?
Rumah Sakit CARE di Bhubaneswar is a leading centre for spine surgery, offering:
- Highly experienced surgeons specialising in complex spinal procedures.
- State-of-the-art diagnostic and surgical equipment.
- Teknik invasif minimal untuk pemulihan lebih cepat.
- Program rehabilitasi komprehensif yang disesuaikan dengan kebutuhan individu.
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