A discectomy is a procedure commonly performed on patients experiencing sciatic pain due to disc herniation (only after non-surgical treatment fails). This procedure may also be done emergently for the following reasons:
- Loss of bladder function
- Loss of bowel function
- Sudden onset of lower extremity weakness
- Sudden onset of lower extremity motor function (Drop Foot)
A laminectomy is a procedure commonly performed on patients experiencing pain due to the compression of the spinal canal & spinal nerves by osteophytes that have formed on & around the Lamina & Intervertebral Foramin.
Mayo set-up
Left Mayo
- Kerrison Rongeurs sizes 1-4 used for bony dissection
- Ruler (we actually just use it as a screwdriver for any loose screws on the kerrisons & leksells)
- Leksell Rongeurs narrow & wide for bony dissection
- Handheld Meyerding Retractor
- Cushing Decompression Retractor
- Nerve Root Retractor
- Midas Rex Drill with AM attachment & AM-8 Bit (bit is surgeon preference)
Right Mayo
- #10 Blade on #3 Knife Handle for skin incision
- #15 Blade on #7 Knife Handle for ligamentum flavum excision
- #11 Blade on #7 Knife Handle for disc incision
- Non-stick bayonet Bipolar Forceps
- Bayonet Forceps
- Pituitary Rongeurs in various lengths, widths, angles for disc removal
- 40 deg Angled Weitlander
- Hoen Periosteal Elevators small & large
- Double Ended Elevator (not sure of real name) we put balls of bone wax on the end to tamponade bony bleeding
- #4 Penfield
- Freer Elevator
- Nerve Hook
- Dental Tool long & short
- Straight Curettes in various sizes (we usually use a 0-2-5)
- Fore Angled Curettes in various sizes (we usually use 0-2-5)
- Back Angled Curettes (Epstien( in various sizes (we usually use (3/0-2/0-0)
- Long Disc Curettes Straight, Forward Angle, Back Angle)
Back Table
