Treatment of intervertebral hernia
What is intervertebral hernia?
The intervertebral disc consists of the pulpal (gelatinous) nucleus, (central part) and dense fibrous (cartilaginous) ring. Intervertebral discs perform cushioning, protective functions, provide "flexibility" of the spinal column. Under the influence of heavy loads on the spine, frequent injuries, hereditary factors, as well as, with age, metabolism intervertebral discs are changing. The disk starts to lose fluid, may be thinned, compacted, lose their elastic properties. As a result, under the influence of the axial load on the spine gelatinous nucleus begins to shift from the center toward the cartilaginous rings. As a result, a so-called. "Protrusion" - protrusion disc without compromising the integrity of the fibrous ring. In this case, the pain develops as a result of irritation. receptors inside the ring and spinal ligaments. Develops protective tension of the surrounding muscles, which leads to fixation and "Fettering" this segment, and, subsequently, to the emergence chronic pain. A break may occur in the future. Fibrous ring and a bulging disk in the spinal canal that referred to as "herniated disc". Hernia can spread into the intervertebral foramen, in which are the nerve roots, in turn, forming nerves. The result is a mechanical compression of the roots, their swelling and inflammation that leads to the development of intense pain, often spreading over the arm or leg, and in severe cases, to impaired sensitivity and movement.
Diagnosis of intervertebral hernia
Hernia can be detected by tomographic techniques. Research - MRI and CT scan of the spine. Moreover, MRI of the spine is more informative, because it gives the best visualization of soft tissue structures. With the help of MRI can not only "see" a hernia, establish its localization and stage of the process, but also determine the degree of narrowing of the spinal canal. In the absence of opportunity tomography, to confirm the diagnosis "intervertebral hernia "contrast myelography may be used. Intervertebral cervical hernia, accompanied by symptoms of compression of the vertebral artery, is an indication for conducting vascular studies: REG, USDG of vertebral arteries. Examinations are usually carried out with functional tests (turns and bends of the head). Patients with a hernia in the thoracic region, in depending on the clinical picture, may need consultations with a cardiologist, gastroenterologist, pulmonologist with ECG, OGK review, gastroscopy, etc. Herniated intervertebral discs are subject to surgical removal, when they squeeze the spinal cord or its roots, are cause severe pain, lead neurological deficit. More often during the operation, not only a hernia, and the intervertebral disc itself. Modern surgical treatment of herniated intervertebral discs is carried out with the use of microsurgical and endoscopic techniques, minimal incision or percutaneous puncture. Therefore, they rarely lead to complications and do not require long recovery period. Intervertebral hernia surgery drives. Herniated intervertebral discs are subject to surgical removal when they squeeze the spinal cord or its roots, cause severe pain, lead to neurological deficit. More often during the operation, not only a hernia, and the intervertebral disc itself. Modern surgical treatment of herniated intervertebral discs is carried out with the use of microsurgical and endoscopic techniques, minimal incision or percutaneous puncture. Therefore, they rarely lead to complications and do not require a long recovery period. Compression of a spinal cord or spinal cord hernia, the appearance of a neurological deficit (weakness in the limb, decrease in sensitivity) and disruption of the work of the pelvic organs are absolute indications for operational treatment of herniated intervertebral discs. Relative indications include intense pain, not passing or often recurring against the background of long-term complex treatment.
Method of operation
With intervertebral hernia, most operations are directed to remove a hernia in one way or another. Discectomy microdiscectomy and endoscopic microdiscectomy can be held at the compression of the hernia of the spinal canal, because the technique of their conduct allows you to inspect the channel. Percutaneous methods (puncture laser vaporization and puncture endoscopic microdiscectomy) do not give such opportunities. Endoscopic treatment of herniation of intervertebral discs are the least traumatic, but they can only be applied with hernias of small size. Such operations are carried out under control endoscopic video and with endoscopic tools. In the surgical treatment of herniated intervertebral discs with complete removing the disc requires its replacement (plastic), since shortening of the distance between the vertebrae can lead to the development violations in other parts of the spinal column. Preservation the required size of the intervertebral gap is achieved by installing autograft from the iliac crest, allograft, synthetic prostheses or B-Twin - implant. The cost of surgery for the treatment of intervertebral hernia varies depending on the complexity of each case. For obtain comprehensive information you need to contact
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