Minimally invasive spine surgery is performed through one or more small incisions (< 1 inch) using special retractors or tube-like dilatational devices to gently separate muscle and soft tissue to access the spine. The procedure is performed using fluoroscopy, a type of real-time X-ray that enables the surgeon to see your anatomy and the position of the instruments used during surgery.  The spine surgeon uses a microscope or glasses with magnification to view the spine and nerve roots through the tube.  Special instruments are used to clear tissue away from the nerve root and remove disc material that is compressing a nerve. 

After the nerve is decompressed, the tube is removed to allow retracted muscle and other tissue to move back into place. The incision(s) is closed and dressed with a small bandage.

Potential Risks and Complications

• Microdiscectomy may not resolve pain, numbness, or weakness.
• Disc herniation may have damaged the nerve, prolonging the healing process.
• Because the entire disc is not removed during microdiscectomy, additional disc material may push through the disc wall over time, irritating or compressing nerves and causing symptoms to return.  
• Nerve injury may cause difficulty walking, problems with balance, or bowel or bladder dysfunction.
• Although rare, ileus (lack of bowel movements) or obstruction could occur, necessitating surgical intervention to fix it.

We Can Help You Make Informed Decisions

Spine surgery is an important decision. While the final decision is yours, the benefits, potential risks and complications require careful consideration.  We look forward to answering your questions and helping you to resolve your concerns about any treatment offered by Piedmont Spine Center.