Ed is pain free after nerve decompression surgery at the Bonati Spine Institute. Ed’s Nerve Decompression Surgery Story started with his lower back. His surgery was so successful, that a few years later when he began having trouble with numbness in his arms, he had Nerve Decompression Surgery performed on his upper back at the Bonati Spine Institute.

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Nerve decompression surgery is a surgical approach used to treat problems in the lumbar, cervical or thoracic spine associated with nerve compression due to conditions such as pinched nerves, herniated discs, spinal stenosis, sciatica, degenerative disc disease. The Bonati Spine Procedures are designed to relieve the pressure on the nerves that produce symptoms such as pain, numbness, tingling or weakness. These procedures are performed on an outpatient basis, under conscious IV sedation which allows the surgeon to have communication with the patient to ensure that the pressure on the nerves has been removed and return the patient to normal activities within days of their surgery.

The primary purpose of a nerve decompression surgery is to relieve the symptoms caused by pressure or compression. Any condition, such as a bulging disc, thickened joints, bone spurs, or even a slipped disc can narrow the spinal canal and compress the spinal nerves, which can result in irritation, pain, weakness and can lead to more serious problems such as myelopathy or cauda equina syndrome.

Nerve decompression surgery is the general term to refer to various surgical procedures. The way the surgeries are performed will depend on the technique used for decompression.

Discectomy
A discectomy is a decompression surgery that involves removing the portion of the disc that’s out of its proper place and pressing on nearby nerve roots, to provide symptom relief.

Laminotomy / Laminectomy
A laminectomy is a decompression surgery in which small sections of the bony arches of the spinal canal, also known as the lamina, are removed. The procedure is performed to relieve pressure in the area and give access to the spinal canal.

Foraminotomy / Foraminectomy
A foraminotomy is a decompression surgery that widens the space for the nerve roots in the spinal canal to exit. Both decompression surgeries are performed by removing tissue or bone that’s blocking the opening that nerves exit through.

Partial Facetectomy
A partial facetectomy is a decompression surgery that removes part of the facet that is pressing on nerves and/or nerve roots.

Partial Pediculectomy
A partial pediculectomy is a decompression surgery in which a small part of the pedicle that is pressing on the nerves or nerve roots is removed. Pedicles are located on each side on the vertebral body, bridging the front and back sections of each vertebra. A pediculectomy is performed to reduce symptoms caused by the thickening of ligamentum flavum (the yellow-colored ligament that connects the vertebrae in the spine).

Nerve decompression surgery at The Bonati Spine Institute is done under local anesthesia, in conjunction with conscious IV sedation. Thanks to this approach, the patient can communicate with the surgical team during surgery and provide feedback as the pain is alleviated.

During nerve decompression surgery, the surgical team may perform specific motion and symptom-checking tests to make sure that symptoms have been successfully treated.

After nerve decompression surgery, patients are moved to a recovery room for resting. The Bonati Spine Procedures allow for minimal downtime and don’t require a hospital stay, which means the recovery time is shorter than usual. However, after any spinal procedure, patients are expected to rest, maintain a healthy diet, avoid alcohol and smoking, and follow all post-surgery instructions provided by the surgical team.

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