Spine Surgery for Disc Problems

Overview

Most back and neck pain improves without surgery. When a slipped (herniated) disc or narrowing of the spinal canal presses on nerves and causes severe or lasting symptoms, surgery can remove the pressure. A common operation is a discectomy, in which the part of the disc pressing on the nerve is removed, often using a microscope.

Why it is done

• Severe leg or arm pain from a trapped nerve that does not improve with medicines and physiotherapy
• Increasing weakness or numbness in the legs or arms
• Loss of bladder or bowel control, which is an emergency
• Spinal injuries or instability

Before the surgery

An MRI scan confirms the cause. Your surgeon will discuss the expected benefits and risks, and you will have an anaesthesia assessment.

During the surgery

The operation is performed under general anaesthesia. The approach and length depend on the problem being treated.

After the surgery

Many patients walk on the same or the next day. Physiotherapy helps you return to activities safely. Your surgeon will advise when you can return to work and driving.

Risks

Possible risks include infection, bleeding, a leak of spinal fluid, nerve injury and the problem coming back.

At KIH

KIH's neurosurgery service treats disc problems and spinal injuries using microsurgical techniques, supported by neuroradiology, intensive care and physiotherapy.