{"id":1514,"date":"2023-02-28T12:55:33","date_gmt":"2023-02-28T12:55:33","guid":{"rendered":"https:\/\/drashishdesai.in\/?page_id=1514"},"modified":"2023-10-07T11:50:46","modified_gmt":"2023-10-07T11:50:46","slug":"cervical-disc-surgery","status":"publish","type":"page","link":"https:\/\/drashishdesai.in\/index.php\/cervical-disc-surgery\/","title":{"rendered":"Cervical Disc Surgery"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1514\" class=\"elementor elementor-1514\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-16bb466 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"16bb466\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2acf59e\" data-id=\"2acf59e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f6f07b9 elementor-widget elementor-widget-heading\" data-id=\"f6f07b9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.10.2 - 29-01-2023 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h1 class=\"elementor-heading-title elementor-size-default\">Cervical \/ Lumbar Disc Surgery<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b55a966 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b55a966\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e680fba\" data-id=\"e680fba\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-17aec9c elementor-widget elementor-widget-heading\" data-id=\"17aec9c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Cervical Disc Surgery\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56ecbca elementor-widget elementor-widget-text-editor\" data-id=\"56ecbca\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.10.2 - 29-01-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>Prolapsed cervical intervertebral disc when causes significant compression on the spinal cord or nerve root, requires surgery.\u00a0It usually occurs as a result of sudden jerk to neck, weight lifting, degenerative causes or as a result of trauma.<\/p><p>Patient may complaint of neck pain, which may radiate down to one or both upper limbs, along with weakness and\/or tingling numbness in upper or lower limbs. Patient may complain of imbalance in walking with\/without bladder bowel involvement.\u00a0Diagnosis is by MRI of the cervical spine. CT scan of the spine may be needed at times for additional information on the bony architecture.\u00a0Surgery for the cervical disc can be done from the anterior approach, front of the neck and less often via the posterior region. Previously surgery involved only discectomy, ie removing of the disc. However, recently along with discectomy, fusion and fixation of the spine is done with a bone graft and metallic implants, cervical plate and screws.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-54962e5 elementor-widget elementor-widget-image\" data-id=\"54962e5\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.10.2 - 29-01-2023 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"819\" height=\"292\" src=\"https:\/\/drashishdesai.in\/wp-content\/uploads\/2023\/05\/sp.png\" class=\"attachment-large size-large wp-image-1748\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/drashishdesai.in\/wp-content\/uploads\/2023\/05\/sp.png 819w, https:\/\/drashishdesai.in\/wp-content\/uploads\/2023\/05\/sp-300x107.png 300w, https:\/\/drashishdesai.in\/wp-content\/uploads\/2023\/05\/sp-768x274.png 768w\" sizes=\"(max-width: 819px) 100vw, 819px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-21de037 elementor-widget elementor-widget-text-editor\" data-id=\"21de037\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p style=\"font-weight: 400;\"><span style=\"font-style: inherit; font-weight: inherit;\">Surgery is done under general anasthesia. It involves placing a cut on the front of the neck, usually along the skin crease. The level is localised using C arm. Muscle dissection is done and the spine is reached. Operating microscope is then brought in the field and discectomy is done under vision from the microscope. Complete disc removal is done followed by cutting the PLL (posterior longitudinal ligament) so as to free the spinal cord. Bone graft is harvested from the iliac crest which involves a separate incision on the iliac region. Appropriate size graft is placed in the disc space and a cervical plate is put over it and fixed with screws in the adjoining vertebral bodies. Alernatively, cage with plate is available with prefixed space for bone graft and predirected screw slots.<\/span><\/p><p style=\"font-weight: 400;\">In certain traumatic cases or degenerative cases, the vertebral body may be removed to free the spinal cord \u2013 corpectomy and the defect is filled with bone graft and overlaid by a cervical plate or an expandable mesh cage filled with bone graft is used.<\/p><p style=\"font-weight: 400;\">Less often cervical discectomy may be done from the back of the neck \u2013 posterior approach. It may be done for large soft discs that are lateral to the spinal cord. It involves a small incision at the back of the neck and removal of the small portion of the bone and approaching the disc via microscope. Extruded fragment of the disc is removed and nerve root freed from the pressure. Fixation is not needed is the main advantage of this procedure. However, entire portion of disc is not removed and patient may require anterior surgery at later date.<\/p><p style=\"font-weight: 400;\"><span style=\"font-style: inherit; font-weight: inherit;\">A cervical collar is advised after surgery on the cervical spine. Mobilisation is done by the physiotherapy and rehabilitation team.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1c1377f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1c1377f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-615cbed\" data-id=\"615cbed\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e147173 elementor-widget elementor-widget-heading\" data-id=\"e147173\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Lumbar Disc Surgery\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1db2693 elementor-widget elementor-widget-text-editor\" data-id=\"1db2693\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Lumbar disc herniations occur as a result of heavy weight lifting , sudden jerk to the lower back, long time overuse of the back or as a result of trauma.<\/p><p>Patient experiences back pain that may radiate down one or both legs, in addition to feeling of tingling numbness in the legs with or without weakness of the legs. Some patients may complain of bladder bowel involvement symptoms. Patient may feel back pain on prolonged standing or walking.\u00a0<\/p><p>MRI clinches the diagnosis and patient with significant disc herniation compressing the thecal sac or nerve root are advised surgery.<\/p><p>Surgery for herniated lumbar disc is done via an incision on the lower back. General anaesthesia is administered. Patient is turned prone on bolsters or spine frame. Conventional or open technique involved placing an incision on the lower back, dissecting the muscles and exposing the lamina. Laminectomy is done with Kerrison punches and ligamentum flavum is excised, discectomy is done and the thecal sac is freed.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a434f2b\" data-id=\"a434f2b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2346733 elementor-widget elementor-widget-image\" data-id=\"2346733\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"377\" height=\"569\" src=\"https:\/\/drashishdesai.in\/wp-content\/uploads\/2023\/05\/12.png\" class=\"attachment-large size-large wp-image-1749\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/drashishdesai.in\/wp-content\/uploads\/2023\/05\/12.png 377w, https:\/\/drashishdesai.in\/wp-content\/uploads\/2023\/05\/12-199x300.png 199w\" sizes=\"(max-width: 377px) 100vw, 377px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-81687fe elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"81687fe\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5929d4c\" data-id=\"5929d4c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4e45ec5 elementor-widget elementor-widget-text-editor\" data-id=\"4e45ec5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Technical advancement involves using the microscope or the endoscope for removing the extruded disc. Sequential tubular retractors are inserted via a small skin incision and muscles are split and the tube is docked under C arm guidance. Using a microscope or endoscope, part of the lamina is removed and ligamentum flavum is excised and the extruded disc is removed. Advantages of minimally invasive approach includes smaller incision, less muscle dissection and less pain, lesser blood loss, faster recovery and earlier return to work.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fdb1e5e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fdb1e5e\" data-element_type=\"section\" data-settings=\"{&quot;shape_divider_top&quot;:&quot;curve&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<div class=\"elementor-shape elementor-shape-top\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n    <path class=\"elementor-shape-fill\" d=\"M1000,4.3V0H0v4.3C0.9,23.1,126.7,99.2,500,100S1000,22.7,1000,4.3z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ad7e385\" data-id=\"ad7e385\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4166dbb elementor-widget elementor-widget-heading\" data-id=\"4166dbb\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">Dr. Ashish Desai<\/h6>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9924f6e elementor-view-default elementor-vertical-align-top elementor-widget elementor-widget-icon-box\" data-id=\"9924f6e\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<link rel=\"stylesheet\" href=\"https:\/\/drashishdesai.in\/wp-content\/plugins\/elementor\/assets\/css\/widget-icon-box.min.css\">\t\t<div class=\"elementor-icon-box-wrapper\">\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\t\t\t\t<h2 class=\"elementor-icon-box-title\">\n\t\t\t\t\t<span  >\n\t\t\t\t\t\tBook An Appointment\t\t\t\t\t<\/span>\n\t\t\t\t<\/h2>\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tHi ! Would you like to book a quick appointment?\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8098feb elementor-widget elementor-widget-wpforms\" data-id=\"8098feb\" data-element_type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"wpforms-container inline-fields\" id=\"wpforms-10\"><form id=\"wpforms-form-10\" class=\"wpforms-validate wpforms-form\" data-formid=\"10\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/1514\" data-token=\"11d1e4c4932ebb87127cd80c8862e37e\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-10-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-10-field_0\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-10-field_0\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][0]\" placeholder=\"Enter your full name\" required><\/div><div id=\"wpforms-10-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-10-field_4\">Phone number<\/label><input type=\"text\" id=\"wpforms-10-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" placeholder=\"Phone number\" ><\/div><\/div><div class=\"wpforms-submit-container\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"10\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-10\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Send\" aria-live=\"assertive\" value=\"wpforms-submit\">Send<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Cervical \/ Lumbar Disc Surgery Cervical Disc Surgery Prolapsed cervical intervertebral disc when causes significant compression on the spinal cord or nerve root, requires surgery.\u00a0It usually occurs as a result of sudden jerk to neck, weight lifting, degenerative causes or as a result of trauma. Patient may complaint of neck pain, which may radiate down &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/drashishdesai.in\/index.php\/cervical-disc-surgery\/\"> <span class=\"screen-reader-text\">Cervical Disc Surgery<\/span> Read More &raquo;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-global-header-display":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"disabled","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"disabled","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":""},"aioseo_notices":[],"blog_post_layout_featured_media_urls":{"thumbnail":"","full":""},"categories_names":null,"comments_number":"0","_links":{"self":[{"href":"https:\/\/drashishdesai.in\/index.php\/wp-json\/wp\/v2\/pages\/1514"}],"collection":[{"href":"https:\/\/drashishdesai.in\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drashishdesai.in\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drashishdesai.in\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drashishdesai.in\/index.php\/wp-json\/wp\/v2\/comments?post=1514"}],"version-history":[{"count":24,"href":"https:\/\/drashishdesai.in\/index.php\/wp-json\/wp\/v2\/pages\/1514\/revisions"}],"predecessor-version":[{"id":1990,"href":"https:\/\/drashishdesai.in\/index.php\/wp-json\/wp\/v2\/pages\/1514\/revisions\/1990"}],"wp:attachment":[{"href":"https:\/\/drashishdesai.in\/index.php\/wp-json\/wp\/v2\/media?parent=1514"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}