Overview
This minimally invasive procedure is used to remove overgrown vertebral bone and soft tissue to relieve the compression of nerve roots in the lumbar spine. It is performed through a small incision on the back.
Preparation
Accessing the Vertebra
A series of dilators of increasing size are carefully guided down through muscles and soft tissue. The surgeon slides a tubular retractor over the dilators and removes the dilators, creating a working channel that leaves muscle tissue intact. This working channel allows the surgeon to access the target vertebra and painful nerve root in a way that minimizes incisional pain and scarring of the muscles.
Decompression
The surgeon may use a microscope or endoscope to direct surgical instruments through the working channel. Excess bone or ligament tissue is carefully removed from the space around the nerve root, relieving pressure and pain.