In most patients with sciatica has an excellent response to conservative treatment, without requiring any type of surgery. However, there are some situations in which the procedure is necessary:
When there is dysfunction or urinary visceral caused by compression of the spinal cord or its roots.
When there is severe stenosis symptomatic and refractory to conservative treatment and their specialist decide that surgery is the best treatment.
If there are progressive neurological disorders such as weakness in the legs, for example.
If symptoms become severe and conservative treatment is not effective in improving the quality of life.
The spine surgery is a delicate procedure and should preferably be done by a specialist trained and certified by the Brazilian Society of Spine and experienced in the technique being used.
There are several types of procedures that can be made. The type of procedure is dependent on several factors and needs of the patient. The surgeon must take into account the medical history, age, physical condition, occupation and other factors.
The main purpose of the surgery are pain relief, restoration of nerve function and spinal cord and the prevention or termination of the abnormal movements of the spine.
There are several types of surgical procedures for the treatment of sciatica. Your specialist will recommend the best procedure for you and remember that the final decision should always be yours.
Two of the most common procedures are:
Dissectomia or Microdissectomia: The surgeon removes part or all of the herniated disc causing nerve root compression. The difference between these procedures is that microdissectomia is a minimally invasive procedure, but your statement is more restricted.
Laminectomy or laminotomy: These procedures are based on partial or total withdrawal of a portion of the vertebra called blade that protects the spinal canal and spinal cord and its roots. These procedures may create more space for the nerves thus reducing the likelihood of chest compressions.