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Lumbar Laminectomy for Discectomy with Spinal Fixation
Surgical Procedure
15
Medical
Professional
04/06/2020

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Term
What is the purpose of a Laminectomy for Discectomy with Spinal Fixation procedure?
Definition
It's used for decompression of a nerve root that has been impinged by an extruded fragment of disc material.
Term
What are the 5 main regions of the spine and how many bones do each have?
Definition
Cervical (7 bones), Thoracic (12 bones), Lumbar (5 bones), sacrum (5 bones), and Coccyx (4 bones).
Term
What is Spondylosis?
Definition
Formation of osteophytes.
Term
What region of the spine is the most prone for Laminectomy for Discectomy?
Definition
The lower lumbar region is the most prone due to it's weight bearing configuration.
Term
What are the diagnostic tests and procedures for this surgery?
Definition
Plain radiographic films of the spine, CT or MRI scanning, and myelogram to identify lumbar disc herniations.
Term
What can happen to the body if a nerve root is compressed?
Definition
The compression can result in paraplegia, quadriplegia, or in severe cases, may cause sensory loss in the upper extremities.
Term
What position will the patient be in for this procedure?
Definition
Prone.
Term
Which instrument may be used to remove bone spurs?
Definition
Kerrison Rongeur
Term
What is a possible specimen for this procedure?
Definition
Disc fragments from an intervertebral disc.
Term
If a vertebrae is "fused" due to the removal of a disc, what can be used to replace the disc?
Definition
Bone graft (donor bone, autograft, etc.)
Term
If an autograft is harvested, where is it harvested from?
Definition
The iliac crest
Term
What are the responsibilities of vertebrae C1 (atlas) and C2 (axis)?
Definition
C1: Supports the skull
C2: Allows the skull to rotate, flex, and extend.
Term
What is the name of the foramen that houses the spinal cord?
Definition
Vertebral Foramen
Term
Through what foramen do spinal nerves exit the Vertebral Foramen?
Definition
Intervertebral Foramina
Term
What will the patient be laying on during the procedure?
Definition
A Wilson Frame
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