PELD or Percutaneous Endoscopic Lumbar Discectomy is an advanced minimally invasive spine surgery done for the decompression of the lumbar disc space and removal of nucleus pulposus via a posterolateral approach. PELD is also a good treatment option in management of spinal tumors and structural deformities also in patients whose pain threshold is low or who are not responding well to conservative treatments like pain killers, anti inflammatory drugs and rehabilitation.
Percutaneous Endoscopic Lumbar Discectomy (PELD) is not the Conventional excision but a treatment which in between the conservative and open surgery. Therefore, it does not disrupt the normal soft tissue or the vertebral structures. After inserting a thin wire into the skin, the surgeons treat the herniated disc with laser and radio-frequency thermal effect under endoscopic guidance.
What is Percutaneous Endoscopic Lumbar Discectomy (PELD)?
Percutaneous Endoscopic Lumbar Discectomy (PELD) is a unique approach for the treatment of non-sequestrated disc herniation (disc prolapse). An advanced minimal invasive technique, PELD is performed for the decompression of the lumbar disc space and removal of nucleus pulposus via a posterolateral approach. In addition to decompression surgery, the technique has been found effective in management of spinal tumors and structural deformities.
This Surgery is usually recommended to address problems of:
- Herniated Nucleus Pulposus
- Bone Spurs
- Foraminal Stenosis
- The main reason for this surgery is pressure on a nerve going to the arm.
- Cervical cord compression causing myelopathy (weakness in arms and legs).
How is the surgery done?
An incision is made at the back of the neck, and the muscles pulled to one side. The lamina (the "roof" of the spine) may be removed in order to decompress the spinal cord, or only the part of the lamina may be removed that is over the foramen where the nerve roots are being trapped. A foraminotomy, making more room for the nerve root, or a discectomy, removing protruding part of the disc or disc fragments, may be done to relieve pressure on a nerve. The muscles are released and the incision is closed.
The cervical spine begins at the base of the skull and supports the weight of the head. The spinal cord runs from the brain down through the cervical spine, controlling the function of the body's organs and limbs. In between each of the 7 vertebrae of the cervical spine are soft pads or discs which act as shock-absorbers and allow for bending and movement of the head. Each disc is made up of two parts, a soft center called the nucleus and a tough outer band called the annulus.
Advantages
- Under the local anesthesia, the elderly patients or even the diabetes patients could tolerable the procedure.
- Cosmetic effects since it are minimally invasive spinal surgery.
- It preserves vertebrae and normal nucleus pulposus and removes only the lesional site so that there is no risk of evoking the neural adhesion. Bloodless surgery, no transfusion is required.
- It saves the time and the costs. 75% of the patients discharged on the same.
- Due to rapid recovery, comparing to open surgeries, it is recommendable for the workers or students with the desire of early return-to-work.
How much does Percutaneous Endoscopic Lumbar Discectomy cost?
Our world class spine hospitals in India are fully equipped with state of art diagnostic centres with advanced Digital X-ray, MRI and CT scan facilities and fully-equipped operating room with specialized equipment like endoscope and laser, to undertake such specialized procedures. The surgery is performed by experienced orthopedicians or neurosurgeons, who have specialized in spine surgeries and who have undergone specialized training in the world’s best spine surgery hospitals in USA, UK and Australia. Our hospitals also provide excellent patient care at extremely affordable costs which is just around 20-30% of the surgery cost in countries like US.
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