How the surgery is performed lumbar disc herniation?
Surgery for lumbar disc herniation and lumbar canal stenosis was performed with the patient under general or spinal anesthesia, patient positioning is usually prone, face down, and radiological control level to deal. Once located the vertebra to be treated and after lumbar incision, perform an opening in the channel, we remove the hernia and usually, if there is spinal instability, we practice posterior fixation. This setting is usually performed in the spinous processes with titanium material and under the control of fluoroscopy. We have observed that in the cases required better results without posterior fixation are obtained.
What is the postoperative?
Usually the patient is out of bed the day after lumbar fascia and treatment and may be discharged from hospital the same day or the next day but owing to rest for 40 days, continue with sash, go to the 12 - 15 dias to wound management and radiological control 40 days to start functional rehabilitation.
What are the risks?
In any surgery there are risks and is particularly, although minimal, can be derived from the same prosthesis, which does not have mobility or not infected. Therefore we take all measures within our reach as is the rest for 40 days with lumbar belts and antibiotic treatment to prevent possible infection of the prosthesis.