• medical treatment
  • orthopaedic surgery

Unilateral invasion bilateral decompression(Murayama Medical Center)

implementation facility
  • Independent Administrative Institution National Hospital Organization Murayama Medical Center
Facility Details
program name
Unilateral invasion bilateral decompression(Murayama Medical Center)
genre
  • medical treatment:arthritis(joint pain)
  • orthopaedic surgery:spine
program details
This is a muscle-friendly posterior lumbar decompression. Using an operating microscope, the surgeon decompresses only the lesion while preserving the muscles, joints, and spinous processes on one side. Although technically very advanced, it provides a patient-friendly procedure with minimal blood loss and mild postoperative pain. It is intended for conditions where numbness, pain, and paralysis appear as a result of nerve compression in the lumbar spine. Lumbar disc herniation and lumbar spinal canal stenosis are the targets.

Depending on the extent of the lesion, a 4 to 8 cm longitudinal incision is made behind the lumbar region under general anesthesia, and the muscle on one side of the spinous process (bone in the middle of the back) is debrided and expanded. Using a surgical microscope, the vertebral arch (bone behind the lumbar spine) from one side to the contralateral side is shaved and nerve compression is circumferentially decompressed. This completely preserves the continuity of the median lumbar spine and contralateral muscles, and prevents postoperative deformity of the lumbar spine. The surgery takes one to two hours, with a bleeding rate of about 10 ml. Patients are kept in bed for the first two days after surgery, and can walk from the third day. Patients are discharged from the hospital after the wound settles at 10 days postoperatively. The average number of surgeries performed during the last three years was 312 per year. Lumbar spine surgery cannot completely eliminate symptoms. Numbness, pain, and other paralysis can remain. Although rare, it is possible for paralysis to worsen. Postoperative infection occurs in a few patients. In those cases, as reoperation under general anesthesia is required, hospital stay is prolonged. In 2021, the rate of infection was 0.3%.
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