For large disc herniations, local or regional anesthesia and a powerful operating microscope are used. This allows removal of the herniated portion of the disc through a one-inch incision, with minimal blood loss and very little dissection. As a result, many of our patients leave the hospital the following day. Small disc herniations can often be removed by using an arthroscope. This is a percutaneous procedure that is performed using local anesthesia.
Patients are able to leave the hospital the same day, and are able to return to work quickly.
We use this minimally invasive approach for other spine problems as well. General anesthesia is no longer a standard requirement. We work closely with the anesthesiologists to tailor the anesthesia to the patient s desires and even with extensive procedures an epidural anesthesia is often possible. Understanding The Special Needs of the Older Patient Back pain is a significant problem for the elderly. Our surgeons and other members of the team are particularly sensitive to the special needs of the older patient.