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

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