ICAC | Microcirugía de columna vertebral en Madrid

What is the spinal microsurgery?

Microdiscectomy is the specific technique that we use within microsurgery to eliminate herniated discs.. This is the most widely practiced method in spine surgery.

The procedure is usually performed through a 3-4 cm incision over the desired region or space. This is done by removing the muscle and tissue until we reach the posterior vertebral lamina where we locate the yellow ligament (also known as Flavum Ligament).

We proceed to open it, identifying the epidural space where we will observe the neurological structures. Once the dura and the root are visible, the nerve root is mobilized to see the herniated disc material and possible bone osteophytes that may cause compression of the neurological structures.

Minimally invasive technique by professional traumatologists at ICAC

Once the compressive cause has been determined, it is removed. 

Special care must be taken with local bleeding, as well as with the possibility of durotomies (opening of the dural membrane) which would lead to the release of cerebrospinal fluid through it with all the complications that it would trigger.

The microdiscectomy It is indicated for patients who present the following pathologies:

  • Disc herniation with clinical/MRI agreement. In this pathology, the disc and lumbar herniated microsurgeries, as well as microsurgery of vertebra or intervertebral disc rupture.
  • Persistent sciatica.
  • Failure of conservative therapy.
  • Unique space.

The choice of spinal microsurgery in these pathologies must be evaluated by an expert professional, thus guaranteeing a precise and effective therapeutic approach for each particular case.

In microdiscectomy, special surgical material and optical instruments are used that influence the duration. Generally, this procedure completes in approximately 2 hours. It is important to note that the complexity of the case and the patient's response to the procedure may influence the overall duration.

The patient preparation for microdiscectomy surgery It consists of the following parts:

  • A prior assessment is carried out during the consultation in which the details of the intervention are explained and informed consent is given.
  • The corresponding preoperative study is carried out.
  • If the surgery is scheduled in the morning, it is required to go on an empty stomach and if it is in the afternoon, do not eat solid food or liquids after 9 am.
  • Metal objects are prohibited during operation.

Meticulous preoperative preparation is crucial to ensure a conducive and safe environment during minimally invasive microsurgery, ensuring optimal results and successful recovery.

Once the surgery has been carried out, the protocol to follow is as follows:

  • The patient is administered prophylactic 24-hour postoperative antibiotics.
  • Ambulation after 12 hours postoperatively.
  • Removal of staples in two weeks.
  • Avoid spinal flexion and load-bearing efforts for approximately one month.

The evaluation of the microsurgery results It is carried out in 5 dimensions: pain, function, general health status, patient satisfaction and work situation.

There are also different pain assessment scales VAS-Oswestry-Sf-36 Ve 1.4

The recovery after microdiscectomy It is generally fast. Hours after the intervention, the patient usually returns to their activities, and in many cases, it is not necessary to undergo extensive rehabilitation sessions.

After undergoing a microdiscectomy, patients experience a remarkable recovery, returning to normal life between 1 and 3 months after the operation, with excellent results.

Minimally invasive microsurgery offers numerous benefits compared to traditional approaches. These include:

  • Significant reduction in postoperative pain.
  • Shorter recovery time.
  • Small scar.
  • Less damage to surrounding tissues.

Choosing this type of surgery should be evaluated with a professional, who can ensure that it is the appropriate approach to address the patient's condition.

Although spinal microsurgery has notable benefits, like any medical procedure, it can carry certain risks. Possible complications may include infections, bleeding, damage to surrounding nerves, or problems related to anesthesia. It is crucial that patients evaluate the possible risks with their doctor and resolve any questions before undergoing the operation.

The consequences after spinal surgery can vary significantly depending on the specific condition of the patient and the extent of the intervention. While some patients may experience notable improvements in their health status, others may face challenges during the recovery process. It is essential to choose specialized centers that guarantee the best possible results, facilitating a successful recovery and return to daily life quickly and effectively.

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Traumatologists specializing in non-invasive surgeries in Madrid

Microdiscectomy to eliminate herniated discs


Important announcement

The ICAC, now at Teknon in Barcelona

This month of June, We have begun our collaboration with the prestigious Barcelona clinic TMEH to offer spine services at the famous Teknon Medical Center, one of the leading healthcare hospitals in Europe. Thanks to this alliance, we provide a comprehensive and specialized approach with the best solutions for those suffering from back problems.

The ICAC human team, known for being at the vanguard of innovation in traumatology, now brings his talent and advanced ultra-minimally invasive surgery techniques to Barcelona.

This collaboration with TMEH at Teknon Medical Center not only allows us to treat more patients more effectively, but also reinforces our commitment to innovation and excellence in healthcare.

We are excited to be able to offer these services in one of the most important cities in Europe and continue leading the field of traumatology and, in this specific case, in the treatment of the spine.