Lateral disc hernia. Posterior microdiscectomy

What is a lateral herniated intervertebral disc?

A lateral herniated intervertebral disc — is the result of degenerative changes in the spine, where the intervertebral cartilage shifts beyond its normal position, breaking through the structures of the spinal column (ligaments) and occupying space in the lateral canal — in the area of the exit of the nerve roots. This causes intense pain or other neurological symptoms.

This is one of the most common types of intervertebral hernias. This variant of pathology usually requires surgical intervention (microdiscectomy), as conservative treatment does not yield the desired effect — the pain does not go away, and the problem is not resolved. Once patients learn the real cause of their pain, they often opt for surgical treatment of the lateral herniated intervertebral disc.

If MRI data reveal minor shifts, this is called disc protrusion. If the process is more pronounced — it is already a herniated intervertebral disc.

Note: Pain is a typical symptom of the compression of sensitive nerve roots in caso of hernia. In advanced cases, this can lead to severe consequences such as paresis, paralysis, or dysfunction of the pelvic organs.

How is lateral hernia diagnosed?

For accurate diagnosis of a lateral spinal hernia at the "Dobrobut" Medical Center, MRI (Magnetic Resonance Imaging) is used.

Before the examination, it is essential to consult a neurologist or neurosurgeon at the clinic. Specialists will determine which section of the spine needs to be examined, which will allow you to save costs and avoid unnecessary procedures.

What is posterior microdiscectomy?

Posterior microdiscectomy — is a minimally invasive microscopic surgical intervention where the bulging part of the intervertebral hernia (part of the pulposus nucleus) is removed along with part of the cartilaginous ring that compresses the nerve roots, causing pain or other neurological manifestations.

Today, microdiscectomy is recognized as the "gold standard" globally for the surgical treatment of intervertebral hernias.

When is posterior microdiscectomy indicated?

Indications for surgery include the compression of nerve roots that causes a pain syndrome unresponsive to medication, or other neurological symptoms.

The decision on surgical treatment is made individually in each case, considering the neurological picture, the general condition of the patient, and the results of MRI.

How is the preparation for surgery conducted?

Before the surgical intervention at the "Dobrobut" Medical Center, the patient undergoes a comprehensive examination to identify possible contraindications, reduce the risk of complications, and ensure the safety of the procedure.

How is microdiscectomy performed at the "Dobrobut" Medical Center in Kyiv?

The operation is performed under general anesthesia.

Several small skin incisions are made over the affected segment of the spine. To access the lateral canal, part of the yellow ligament is removed to free the exit for the nerve roots. Under the operating microscope, the hernia (pulposus nucleus or part of it) is removed, thereby decompressing the nerve structures.

In most cases, the disc is additionally treated with a laser to enhance regeneration and reduce the risk of recurrence.

At the end, layered sutures and an aseptic bandage are applied.

The patient is discharged from the hospital within 1–5 days, depending on the complexity of the case. In the first 1–2 weeks, it is necessary to avoid prolonged sitting and physical loads. Gradual physical activity is allowed after 3–6 weeks.

How is endoscopic microdiscectomy performed at the "Dobrobut" Medical Center in Kyiv?

The operation is also performed under general anesthesia.

Small incisions (punctures) of up to 4 mm are made in the region of the spine. An endoscope is introduced through them, transmitting images to a monitor. Under visual control, special instruments are used to remove the hernia (partially or entirely the pulposus nucleus), while preserving the structure of the disc.

This method is less traumatic, hence the risk of complications is minimal, and the patient can be discharged as early as the next day.

Laser treatment of the disc is mandatory, contributing to regeneration and reducing the likelihood of recurrence of hernia.

After the operation, layered sutures and a sterile bandage are applied.

During the first 2 weeks after the operation, it is advisable to avoid physical loads and prolonged sitting. Gradual return to active life is permitted after 3–4 weeks.

The cost of the operation depends on the volume of intervention and the complexity of the case. Detailed information will be provided during the consultation with our specialist.

How to contact us?

If you have back pain or suspect a herniated intervertebral disc, contact the specialists at the "Dobrobut" Medical Center in Kyiv. The sooner a diagnosis is made and a decision regarding surgery is taken, the less traumatic and more effective the surgical intervention will be.

You can schedule a consultation by leaving a request on the website or by calling our contact center.

We will call you, and you will receive the most up-to-date information about the conditions and costs of surgeries at the "Dobrobut" Medical Center in Kyiv.