Lumbar Discoscopic Discectomy

Lumbar Discoscopic Discectomy

Overview

Lumbar Discoscopic Discectomy is a minimally-invasive procedure is designed to relieve pain caused by herniated discs pressing on nerve roots. This surgery is performed through a small tubular device under local or epidural anesthesia, allowing the patient to leave the hospital the same day.

Guide Wire Inserted

After the disc protrusion is confirmed, a guide wire is inserted to the disc. The surgeon uses a special type of x-ray machine called a fluoroscope to find the correct route to the herniated disc.

Dilating Tube Inserted

The surgeon passes a dilating tube over the guide wire to push apart the tissue down to the disc and to move the nerve root out of the way. Painful tissue in the path of the tube may be anesthetized.

Working Sleeve Positioned

The working sleeve, through which the surgery will be performed, is slid over the dilating tube and positioned on the disc surface. The guide wire and dilator are then removed.

Endoscope Inserted

The surgeon inserts an endoscope (which contains a light and a small camera) through the tube. The surgeon can now view the disc and epidural space on a video monitor. The rest of the procedure is viewed with this endoscope, allowing the surgeon to carefully guide the surgical tools and inspect the results.

Damaged Portions Removed

Surgical instruments are used to remove degenerative and extruded portions of the disc nucleus. Because only enough of the disc is removed to reduce pressure inside the disc, the spine remains stable.

Disc Wall Treated

The disc wall defect is treated with a laser and radiofrequency probe. The surrounding vertebral bones and nerves are inspected to make sure decompression was successful. The instruments and sleeve are removed.

End of Procedure

The insertion area in the skin is covered with a small bandage. Because no muscles or bone are cut during the procedure, recovery is fast and scarring is minimized. The patient may need a day of bed rest after the procedure and physical therapy. Most may return to normal activity within one to six weeks.

TYPES OF INJURIES WE TREAT

NECK

Cervical Radiculopathy
Compression Fractures of the Spine
Degenerative Disc
Facet Joint Syndrome
Herniated Disc (Cervical)
Lumbar Radiculopathy Sciatica
Myelopathy
Spinal Stenosis
Spondylolisthesis
Spondylosis

BACK

Anterior Cervical Discectomy Fusion
Cervical Posterior Foraminotomy
Laminectomy
Laminectomy with Fusion
Lumbar Discoscopic Discectomy
Lumbar Microdiscectomy
Lumbar Pedicle Screw Fixation
Micro Endoscopic Discectomy
Posterior Lumbar Interbody Fusion
Posterolateral Fusion
Selective Endoscopic Discectomy

HAND CARE AND MANAGEMENT

Absorbable Antibiotic Bead Treatment for Osteomyelitis
Artificial Joint Replacement of the Finger
Basal Joint
Biologics Treatment for Rheumatoid Arthritis
Carpal Tunnel Release (Open Technique)
Carpal Tunnel Release (Percutaneous Method)
De Quervain’s Release
Digital Mucous Cyst Excision
Digital Nerve Repair
Distal Radius Fracture Repair with Volar Plate
Endoscopic Carpal Tunnel Release
Endoscopic Carpal Tunnel Release (Lins)
Finger Felon Drainage
Finger Fracture Fixation
Finger Joint Fusion (DIP Joint)
Ganglion Cyst Removal
Joint Synovectomy
Limited Palmar Fasciectomy for Dupuytren’s Contracture
Needle Aponeurotomy for Dupuytren’s Contracture
Scaphoid Fracture Open Reduction and Internal Fixation (ORIF)
Tendon Repair
Trigger Digit Release
Wrist Arthroscopy
Wrist Fusion (Total Wrist Arthrodesis)

HAND PROCEDURES

Animal Bites
Basal Joint Osteoarthritis
Boutonniere Deformity
Boxer’s Fracture
Carpal Tunnel Syndrome
Colles Fractures
Complex Regional Pain Syndrome (CRPS)
De Quervain’s Tenosynovitis
Digital Mucous Cysts
Distal Radius Fracture (Broken Wrist)
Dupuytren’s Disease
Finger Dislocation
Finger Felon
Finger Fracture
Fingertip Injuries
Flexor Tendon Injuries
Fractures of the Hand (Metacarpal Fractures)
Ganglion Cysts of the Hand
Kienbock’s Disease
Mallet Finger
Nerve Injuries of the Hand
Osteoarthritis of the Hand
Osteomyelitis
Paronychia
Polydactyly of the Hand
Raynaud’s Phenomenon and Disease
Rheumatoid Arthritis (RA) of the Hand
Rheumatoid Arthritis (RA) of the Hand (Arthritis Foundation Approved)
Scaphoid Fractures
Swan Neck Deformity
Syndactyly of the Hand
Thumb Ulnar Collateral Ligament (UCL) Injury
Triangular Fibrocartilage Complex (TFCC) Tears
Trigger Digit
Volar Plate Injuries

SHOULDER CONDITIONS

Acromioclavicular (AC) Joint Arthritis
Biceps Tendon Tear (at the Shoulder)
Biceps Tendonitis
Calcific Tendinitis of the Shoulder (Degenerative Calcification)
Calcific Tendinitis of the Shoulder (Reactive Calcification)
Clavicle Fracture (Broken Collarbone)
Fracture of the Shoulder Socket (Glenoid Fracture)
Fractures of the Greater Tuberosity
Frozen Shoulder (Adhesive Capsulitis)
Hill-Sachs Lesion
Muscle Imbalance in the Shoulder
Osteoarthritis of the Shoulder
Proximal Humerus Fracture (Broken Shoulder)
Rheumatoid Arthritis (RA) of the Shoulder
Rotator Cuff Injuries
Rotator Cuff Tear
Shoulder Dislocation
Shoulder Impingement Syndrome
Shoulder Instability
Shoulder Separation
SLAP Tear (Superior Labrum from Anterior to Posterior Tear)
Subacromial Bursitis

SHOULDER PROCEDURES

Acromioclavicular (AC) Joint Separation Repair
Biceps Tenodesis
Glenohumeral Debridement
Intracapsular (Glenoid) Injection
Latarjet Procedure for Shoulder Instability
Mini-Open Rotator Cuff Repair
ORIF Surgery for Proximal Humerus Fracture
SLAP Repair

ELBOW CONDITIONS

Cubital Tunnel Syndrome
Elbow Bursitis
Inflammation of the Biceps Tendon at the Elbow
Lateral Epicondylitis (Tennis Elbow)
Medial Apophysitis
Medial Ulnar Collateral Ligament Injury
Osteomyelitis
Overuse Injuries of the Elbow
Radial Tunnel Syndrome
Throwing Injuries of the Elbow
Triceps Tendonitis

ELBOW PROCEDURES

Absorbable Antibiotic Bead Treatment for Osteomyelitis
Aspiration of the Olecranon Bursa
Cubital Tunnel Release at the Elbow
Medial Ulnar Collateral Ligament Reconstruction (Tommy John Surgery)
Ulnar Nerve Transposition at the Elbow

FOOT, ANKLE CONDITIONS

Achilles Tendon Injuries
Ankle Sprains
Bunion
Bunionette Deformity
Charcot’s Neuroarthropathy
Claw Toe
Fracture of the Talus
Hammer Toe
LisFranc Fracture-Dislocation
Navicular Stress Fracture

FOOT, ANKLE PROCEDURES

Achilles Tendon Lengthening
Ankle Fracture Surgery
Ankle Fusion, Transfibular
Anthroscopy of the Ankle
Cheilectiomy
First Metatarsal-phalangeal Joint
Gastrocenemius Recession (Intramuscular Approach)
Jones Fracture Fixation (Intramedullary Screw)
Jones Fracture Fixation (Open Reduction and Internal Fixation)
Subtalar Fusion
Talar Fracture Fixation (Open Reduction and Internal Fixation)
TightRope Fixation for Ankle Syndesmosis

HIP AND THIGH CONDITIONS

Anatomy of the Hip Joint
Avascular Necrosis (Osteonecrosis) of the Hip
Bursitis of the Hip (Trochanteric Bursitis)
Femoroacetabular Impingement (FAI)
Femur Fractures
Hamstring Muscle Injuries
Hip Dislocation
Hip Fracture
Hip Fracture Prevention
Iliotibial Band Syndrome (ITBS)
Inflammatory Arthritis of the Hip
Labral Tear of the Hip (Acetabular Labrum Tear)
Loose Bodies in the Hip
Muscle Strain Injuries of the Hip
Muscle Strain Injuries of the Thigh
Osteoarthritis of the Hip
Osteomyelitis
Perthes Disease
Slipped Capital Femoral Epiphysis (SCFE)
Snapping Hip
Sports Hernia
Transient Osteoporosis of the Hip

HIP AND THIGH PROCEDURES

KNEE CONDITIONS

Anterior Cruciate Ligament (ACL) Injuries in Women
Iliotibial Band Syndrome (ITBS)
Lateral Collateral Ligament (LCL) Injury
Meniscus Tear
Patellar Fracture
Patellar Tendinitis
Posterior Cruciate Ligament (PCL) Injuries
Quadriceps Tendon Tear

KNEE PROCEDURES

ACL Reconstruction (Arthrex® RetroScrew)
ACL Reconstruction (Arthrex® TightRope®)
ACL Reconstruction (Patellar Tendon Graft Technique)
ACL Reconstruction with Hamstring
ACL Reconstruction with Hamstring Using ARTHROTEK® and EZLoc™ Devices
Arthroscopic Chondroplasty
Arthroscopy (Overview)
Aspiration of the Prepatellar Bursa
Lateral Release and Medial Imbrication
Microfracture Drilling Procedure for Isolated Chondral Defect
Partial Knee Replacement (using OXFORD® implant)
Partial Meniscectomy
Patellofemoral Replacement
Posterior Cruciate Ligament (PCL) Reconstruction
Uni Knee Resurfacing (Encore EPIK®)
Uni Knee Resurfacing (Onlay)
Uni Knee Resurfacing (UniSpacer®)
Unicondylar Knee Resurfacing

Want to see us in person?

Make an appointment so you can start receiving 1:1 care with Neurosurgeon Dr Maxwell. Enjoy complimentary tea, coffee and live piano music with your visit at our world class facility.

Contact Form