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Ventral discectomy is surgical procedure for the removal of a portion of an intervertebral disc from the front side of the spine.
Neurosurgery Ventral Discectomy
In this procedure, a surgeon accesses the damaged disc in the cervical (neck) region of the spine through the front of the neck. The goal is to remove the herniated or damaged disc material that may be pressing on spinal nerves or the spinal cord. The specific type of discectomy may vary based on the details of the procedure and the level of the spine being treated.
Commonly performed procedures include:
- Anterior Cervical Discectomy and Fusion
- Cervical Artificial Disc Replacement
- Anterior Lumbar Discectomy
Following are the procedure steps:
Patient Preparation: The patient is positioned on the operating table, usually lying on their back. Anesthesia is administered to ensure the patient is unconscious and pain-free during the surgery.
Incision: A small incision is made on the front of the neck, typically along a natural skin crease. The surgeon carefully moves aside the muscles and other tissues to access the front of the spine.
Disc Removal: The damaged or herniated disc material is identified and carefully removed from the affected spinal level.
The surgeon may use surgical instruments and a microscope or magnifying glasses for precision.
Nerve Decompression: If the herniated disc was compressing spinal nerves or the spinal cord, relieving this pressure is a key goal of the procedure.
Bone Graft or Disc Replacement: Depending on the specific case, the surgeon may choose to fill the space left by the removed disc with a bone graft from the patient's own body or a donor graft. This promotes spinal fusion. Alternatively, in some cases, an artificial disc may be inserted to maintain motion at that spinal level.
Closure: The muscles and tissues that were moved aside are carefully repositioned. The incision is closed with sutures or staples.
Recovery: After the surgery, the patient is monitored in the recovery room. Physical therapy and rehabilitation may be prescribed to aid in recovery and restore strength and mobility.
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