Clinical case

Spine endoscopy after previous operation

In the case that we present to you today, we find a patient who, from a previous surgery, presents a fixation in the fifth lumbar vertebra with the Sacrum.

Preoperative

This arthrodesis has caused a new lumbar disc herniation at the level above due to the mobility of this segment. This new hernia causes compression in the spinal canal and the nerves it contains.

The patient suffers a lot of pain, making standing quite difficult and walking practically impossible.

We suggest you perform a minimally invasive spinal endoscopy, our innovative technique.

Operation

Minimally invasive advanced spinal endoscopy surgery is carried out in about two hours through a portal of about 3mm, located in the back of the spine:

A guide needle is inserted that will help us insert a dilator to access the work area without damaging any type of tissue.
Once the level is located and the disc is visualized, we proceed to extract the hernia very slowly so that new pieces do not come off.
The area is carefully inspected and a new piece lodged behind the first is removed.
When the entire hernia has been removed, we must clean both sides of the vertebra to ensure that the canal is clean and the neurological tissue has the correct space and is completely freed.
Finally, we cauterized the area surrounding the extracted fragment well.
An infiltration with local corticosteroids is performed.

Postoperative

After a surgery that passed without incident or complications, the postoperative period is marked by a considerable improvement in the patient's lower back pain and a liberating sensation in the legs and a disappearance of the pain suffered by the 2cm Hernia that was removed.

A new success story for the Spine Institute.