It is important that patients understand what lumbar microdisectomy surgeons do as this will help them choose the right surgeon and understand the importance of going for a well-trained, experienced and board-certified surgeon.
Lumber microdisectomy is one of the decompression surgical procedures, the other being lumber laminectomy. Decompression surgical procedures involve the removal of small portions of the bone that lies over the nerve root and sometimes the removal of the disc material found under the nerve root. This is done to relieve the pinching of the nerve and to ensure that the pinched nerve has room to heal.
Microdisectomy, also called microdecompression spine surgery, is usually done for herniated lumbar disc. The procedure is particularly effective for leg pain (radiculopathy) treatment and less so for lower back pain treatment. Impingement/compression on the nerve root causes substantial leg pain.
In the procedure, lumbar microdisectormy surgeons make a small incision of between 1 and 1 ½ inches in the low back midline. The erector spinae (back muscles) are lifted off the lamina (bony arch) of the spine and the surgeon then enters the spine by removing membranes over the nerve roots. Operating glasses or operating microscopes are used to visualize the nerve root.
Indications for the surgery include leg pain for over 6 weeks and lack of sufficient pain relief from such conservative treatments as physical therapy and oral steroids.
The top lumbar microdisectormy surgeons in Texas belong to the South Texas Spinal Clinic. All these surgeons have American Board of Orthopedic Surgery certification and years of experience. James W. Simmons, III, D.O., Ph. D. trained at the Texas College of Osteopathic Medicine, The Univeristy of Texas at Austin, The University of North Texas and The University of Texas at San Antonio. He has an office in Stone. Gerald Q. Greenfield, Jr., M.D. studied at Johns Hopkins University and did his internship at the Walter Reed Army Medical Center. He has offices in San Antonio, Stone Oak and Boerne on Main South.
Other lumbar microdisectomy surgeons from the clinic are Gilbert R. Meadows, M.D., M. David Dennis, M.D., C. Stuart Pipkin, III, M.D., Gregg S. Gurwitz, M.D., David A. Roberts, M.D., Frank K. Kuwamura, III, MD, Jerjis J. Denno, M.D., Paul T. Geibel, M.D., David M. Hirsch, D.O., Ajeya P. Joshi, M.D., and Pablo Vazquez-Seoane MD.
Slipped disc, also called spinal disc herniation is a condition whereby a tear in the fibrous ring of a spinal disc causes the bulging out of the soft, central portion. The tear could be as a result of trauma, idiopathic or lifting injuries. Although slipped disc is associated with little or no pain, it is nevertheless important that you seek treatment because the condition can lead to sensory changes like muscular weakness, tingling, and paralysis as well as damaged nerve roots.
Lumbar laminectomy surgery for spinal stenosis, also called open decompression, is one of the most common spinal cord surgical procedures. The procedure is usually performed to alleviate the pain caused by neural impingement. This Impingement usually results from lumbar spinal stenosis. Lumbar spinal stenosis usually affects elderly patients. Lumbar laminectomy surgeons also perform the procedure to treat herniated discs, bone spurs (osteophytes herniated discs), spinal arthritis and scar tissue formation.
surgery, as the term suggests, is surgery of the spinal cord. It is important that patients go to well-trained and experienced surgeons since even the slightest mistake by a spinal surgery doctor could lead to nerve and sensory problems including paralysis.
There are many injuries that can happen to a person’s back and spinal cord. The vertebrae, discs, tissues, and nerves in back are the main support of the human body. The vertebrae are strong, however when one injures their spine it can be very painful. Spondylolisthesis is one injury or condition of the spine when one of the vertebra moves forward or backward in comparison to the subsequent vertebra. There are several different types of spondylolisthesis and can occur at any age. Conservative treatment is looked at first but if this treatment does not help, spondylolisthesis surgery is advised.
A slipped disc is a misleading title for a specific back injury. Spinal discs are located in between the bones of the spine absorbing the shock one puts on his or her body. When an injury to the back occurs the disc actually splits or ruptures rather than slip out of the vertebrae. This can be very painful and debilitating to a person decreasing their quality of life. Slipped disc treatment is available and consists of home treatment to surgical options. A qualified and competent spinal doctor should be sought out for advice and treatment.
Just about the most distressing or painful incident to someone is often a back or spinal injury. The spine consists not only of the intricate spinal cord but, muscles, bones, and vast amounts of connective tissue. The injury or chronic back problem can be debilitating, decreasing one’s quality of life. A spine doctor can help decrease or even remove the injured part in the back. For those living in southern Texas, a certified San Antonio spine doctor is near. South Texas Spinal Clinic has qualified and trustworthy doctors and staff to aid a person dealing with back pain and injury.
Many Americans experience some sort of back pain in their lives. Some pain and/or injury may be corrected with physical therapy and over the counter medications. Others may need more invasive solutions including surgery. With modern technology there are more options of which type of surgery which would work best for the problem. People dealing with lower back pain whether chronic or new and have had a decrease in motion along with pain may consider spinal fusion or disk replacement surgery. The latter is the best choice for those whose goal is to preserve motion.
Back pain is a common ailment among people today. Some pack pain can be alleviated in time and/or physical therapy; other back injuries can only be repaired by surgery.
Spinal stenosis treatment can help alleviate this very painful and often age related condition. There are some ways to alleviate the pain with non-surgical treatments although in some cases the only spinal stenosis treatment is surgical. Understanding the different options available is key.


