The benefits, risks, and alternatives to this procedure are list in the following table:
ENDOSCOPIC TRANS- FORAMINAL MICRODISCECTOMY may relieve back pain, leg pain, and numbness or weakness caused by a pinched nerve root.
• Blood loss. Blood loss from ENDOSCOPIC TRANSFORAMINAL MICRODISCECTOMY is usually very small. But as with any surgery, there is always the potential for major or even life-threatening blood loss.• Dysthetic (stabbing, burning) leg pain (fewer than 5 in 100 cases).• Infection (fewer than 1 in 100 cases). Even with antibiotics and careful sterile techniques, there is still a very small risk of developing a wound infection.• Damage to spinal nerves (fewer than 1 in 10,000 cases). If nerves are damaged, you could be left with permanent pain, numbness or weakness in your arms (as a result of prolonged position) or your legs, such as foot drop.• Scar tissue formation (postlaminectomy syndrome; fewer than 5 in 100 cases), and development of spinal instability (postlaminectomy instability; fewer than 20 in 100 cases) requiring more surgery including spinal fusion• Failure to relieve symptoms. Your surgeon will do everything possible to give you the best results. Even so, surgery may not relieve all your symptoms.
ENDOSCOPIC TRANSFORAMINAL MICRODISCECTOMY is usually done after nonsurgical treatment options have failed. These can include:
• Medications• Physical therapy• Traction• Spinal injections• Watching and waiting
If you feel your symptoms are not severe enough to have surgery, tell your doctor. He or she will respect your decision.
Disclosure On The Impact Of Health Care Reform On Your Care
I hereby ACKNOWLEDGE that my doctor will make every attempt to deliver the best care possible in the context of the dynamically changing health care environment. where there is an increasing amount of regulation and rules as to appropriateness and medical necessity of procedures and surgeries. In fact, your doctor is subject to such Medical Necessity and Appropriateness of Procedure Rules imposed by insurance companies, hospitals and surgery centers, where providers at the Center For Advanced Spine Care are currently performing procedures and surgeries at. As a result, the treatment recommendation that your doctor/surgeon may make could be affected by these rules and may not be necessarily the most appropriate or preferred treatment in his or her clinical judgement. In addition, procedures and surgeries may not be authorized and your doctor may simply not be able to perform certain procedures on you. With the transition of our local health care system from a Clinical Guidelines based system to a Rules based system, your doctor may not be able to provide the preferred recommended care given those newly imposed constraints.