Wednesday, 20 May 2020 @ 11 a.m., City International Hospital is pleased to offer an online seminar, topic on "Multilevel Disc Herniations & Lumbar Spondylolisthesis" presented by Dr. Le Trong Nghia – Level II Specialist – Neurosurgery.
Program information
- Streaming date and time: Wednesday, 20 May 2020 @ 11 a.m.-12 p.m.
- Feature speaker: Dr. Le Trong Nghia – Level II Specialist – Neurosurgery.
- Streaming channel: The Hospital’s fan page https://www.facebook.com/BenhVienQuocTeCity/
- If you have questions, don't hestitate to send it to our inbox or leave comments.
Figure 1. Online Health Seminar: Multilevel Disc Herniations & Lumbar Spondylolisthesis
Deals and Offers
- 10% Discount on any spinal surgery package from 25 May to 30 May, 2020. Estimated price only from 32,650,000 vnd.
- Your first neuro consultation will be reduced from 400,000 dong to 100,00 dong for any pine surgery package purchasse, starting from 18 May to 30 May, 2020.
- Call to register: 0909 802 936 or send an email to: This email address is being protected from spambots. You need JavaScript enabled to view it.
Surgical treatment information for a cervical herniated disc
1. Cases ymay need emergency spinal surgery
Common diseases in the back of the spine such as Spinal Disc Herniation, Lumbar Spinal Stenosis, Spinal Slide ... the doctor will order surgery in the following cases:
- You feel so much pain that you can't get around or do your daily activities. The pain also depends on the state and level of feeling of each patient.
- You have numbness or weakness from the disk pressing on nerves. Some case examples of pain from the back spreads to the legs, numbness along one or both legs without taking medication, weak along one or both legs, instability ... More severe cases may affect the urination and urogenital functions of the patient.
Figure 2. A herniated disc occurs when the gel-filled nucleus escapes through a tear in the disc annulus & compresses the spinal nerve causing pain and swelling.
At City International Hospital, if the patient feels only pain but no other signs, usually the doctor will order medication and physical therapy, combined with changing in daily living routines and Maintaining proper postures. However, after 3-6 months, the pain did not improve, meaning that the spine or intervertebral disc did not improve under the influence of physiotherapy, then we will examine and give Intensive subclinical designations such as MRI of the spine, X-ray of the spine in two postures ... to trace the root cause of the pain. Depending on the case, the doctor will appoint both or one of two subclinical to find the cause of pain.
Figure 3. CIH offers an online seminar "Multilevel Disc Herniations & Lumbar Spondylolisthesis" presented by Dr. Le Trong Nghia – Level II Specialist – Neurosurgery."
2. Modern micro-surgical technique with C-arm device based on X-ray technology
In the past, an “open” technique uses a large skin incision and muscle retraction so that the surgeon can directly view the area. Therefore, the incision must be large and have many muscle separations, which results in the risks of prolonged surgery such as the risk of bleeding, the risk of infection and possible nerve damage during surgery, At the same time, the patient will have more pain after surgery due to the long incision.
Figure 4. Modern micro-surgical technique with C-arm device based on X-ray technology
Later on, as medical technology has been developed, doctors and patients were given better technical support. A “minimally invasive” technique or a microendoscopic discectomy uses a small skin incision. A series of progressively larger tubes, called dilators, are used to tunnel through the muscles. Special instruments help the surgeon see and operate in a smaller space. A minimally invasive incision causes less disruption of the back muscles and may decrease recovery time. Your surgeon will recommend the technique most appropriate for your specific case.
At CIH, we have C-arm technique right in the operating room, which helps to limit the operation of the wrong location, the wrong floor (spine). C-arm in English means C-shaped arm (half circle), when manipulating it, it will hug over the patient's body to take multiple angles to determine the exact position. It is, in principle, like an X-ray machine, which has an X-ray transmitter and a receiver that shows the film, but instead of a doctor watching it like an X-ray machine, the C-arm has can get the image and show it to us right now (Real time) to confirm the surgical site. And the doctor can also change the angle, for example, horizontal shooting, shooting from left to right or diagonally taking angles with the rotating device in C-arm. Usually, the doctor will take a positioning scan at the time before surgery, then during the surgery may take more pictures to determine again as soon as the doctor is operating surgery to ensure the correct surgical position without having to look at it by eyes anymore but under a microscope or endoscope system, called Endoscopic Surgery. In microsurgery surgery, through the microscope, images including: muscles, bones, ligaments, nerves ... will be magnified many times, so we can make very small incisions for humans The disease does not require much muscle separation and does not cause nerve damage during surgery.
3. Micro-Surgery Technique Using Dynamic Navigation System
For surgical removal of the Lumbar sphincter, the doctor only needs to perform C-arm 1-2 times before and after surgery. However, in the event of a SLIP or REMOVE surgical removal of the neck, the doctor may need to have a C-arm X-ray several times and a continuous scan to determine the position of each screw. For example, in 1-stage spine slide surgery, an artificial disc must be placed; 02 braces; 04 multi-screw and we have to take 3-5 times on 1 screw. Therefore, it should take at least 12 times during surgery.
Currently, for surgical cases where equipment is required, there is a new positioning technique that can help limit the number of x-rays that are performed during surgery, which is Navigation. The Navigation system is based on the previous image of an MSCT (tomography) of the spine to reproduce 3D images accurately and meticulously throughout the spine area of the patient, including muscle structure, bone , nerves and ligaments ...
Figure 5. Micro-Surgery Technique Using Dynamic Navigation System
Then, when the patient is taken into the operating room and put into the correct surgical position, the doctor will place a "marker" device on the patient's spine there, which is directly connected to Navigation. After attaching all the "markers", the Navigation system will assemble 3D images of the patient's spine previously recreated with the actual position of the current spine. The doctor will use a device called a "stylus" in the Navigation system to view and locate by moving the pen over the patient's body. When the "positioning pen" moves to anywhere, on the Navigation screen immediately shows a scan of the patient's spine at that location. Not only that, when necessary we can rotate the 3D image according to the angle, direction and depth to accurately determine the position being manipulated. This technique not only helps patients not "stick" X-ray, locate correctly but also helps shorten surgery time.
4. A Fast And Safe Recovery After Surgery
Usually after surgery, the most annoying thing about a patient is the pain of the incision. When we use devices such as microscopes to shorten the surgery time and make the incision smaller, the pain after the surgery will gradually lessen and recover faster than normal. There are two types of pain that we need to identify and control, one is the pain of the incision, this pain will recover and diminish over time, for example, a herniated disc is usually 01 day a patient with can walk.
Figure 6. A Fast And Safe Recovery After Surgery
Second is pain and discomfort caused by abnormalities in the spine & nerve roots, which is also a major cause for surgery. This pain will be completely gone or significantly reduced after the surgery, depending on the symptoms and the extent of the patient's injury. If the patient only has symptoms of pain or numbness, usually after surgery will improve markedly. In the case of a patient with weak legs, instability, dysfunction, urination will be reduced but the recovery depends on a course of physical therapy later. In this case, the patient will be supported by the physical therapy department to practice the instructions to restore muscle strength, after discharge will continue to maintain for 3 - 12 months to recover the damage. gradually.
If a patient has been ordered to have surgery but does not want to have surgery, or for many reasons, should delay the length of treatment, the damage will continue to get worse. For example, patients with pinched nerve roots before surgery, if the longer the nerve damage to the nerve, the more severe it may be at first only pain symptoms then appear numbness, weakness, dysfunction, urination, even paralysis, the recovery process after surgery will take longer and the success rate of recovery will gradually decrease.
Figure 7. Earn special deals and offers during CIH's Online Health Seminar : "Multilevel Disc Herniations & Lumbar Spondylolisthesis."
Should you have any questions, please do not hesitate to contact us:
City International Hospital
- Address: No. 3, 17A Street, Binh Tri Dong B Ward, Binh Tan Dist. (Next to AEON Mall Binh Tan). Ho Chi Minh City.
- Operator: (+8428) 6280 3333, ext. 0
- 24/7 Emergency: (+8428) 6290 1155
- Website: https://cih.com.vn/en/
- Fan page: https://www.facebook.com/BenhVienQuocTeCity/
- Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
