Kraus Back and Neck Institute in Houston, TX spinehealth.com

Relief from Lower Back and Neck Pain

 
surgery optionsavoid surgery
      At the Kraus Back and Neck Institute (KBNI), we specialize
                 in non-surgical as well as surgical treatments
                                of Back and Neck  Pain
     Conservative to Surgical Options: MINIMALLY INVASIVE SPINE SUGERY 
              
 "Applying Science to the Art of Medicine"                                                  
                              .....................................................................
  
                       
                 Dr. Kraus is available for Neurosurgery consultation (surgical and non-surgical) in Houston.
                      Offices:  1) West Houston Medical Center
                                    2) Memorial Hermann Memorial City Hospital
                                    3) Katy
           FILM REVIEW:  send an e mail                                       
                                                         
      To arrange  an appointment, call 281-870-9292,  visit  neurosurgerypa.com
or   send an e mail
              For national and international patients, we can help with  travel arrangements
                                
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                                         top doctors houston texas 2007 top docs united states neurosurgery spine   top doctors houston texas 2008 top docs united states neurosurgery spine  top doctors houston texas 2009 top docs united states neurosurgery spine   best doctors in america, united states neurosurgery spine
                                            Dr. Kraus is honored to be listed in
                                            "Best Doctors in America" (2001-2008) and
                                             "Top Doctors of Houston, Texas" (2007, 2008, 2009)     

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Low Back Pain, can be very debilitating.  The effects of Low Back Pain in the USA are staggering!!
    
 
   

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   last updated
  June 19, 2009

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Lumbar Discectomy

Indications for surgery

  • pain radiating to lower extremity in distribution of a nerve, which does not improve with 6 weeks of conservative care
  • patient reluctance to wait for 6 weeks of conservative care, especially if it is likely they will need surgery in any case
  • progressive motor deficit or cauda equina syndrome.

 

Surgery

houston, texas, west houston, river oaks, neurosurgeon, neurosurgery, surgery, surgery, discectomy, laminectomy, fusion, spinal, lumbar, lumbar spineLumbar discectomy involves the removal of a small amount of the roof of the spinal canal, known as the lamina.  The operation is typically done under magnification, with the surgeon using either an operating microscope or loupes (small magnifying glasses worn by the surgeon, like a pair of glasses).  The nerve roots are gently moved aside, and the herniated disc removed (in the illustration  on the right, a small herniated disk (red)  is seen pushing into the nerve roots (yellow)).   During a typical discectomy, roughly 75% of the disk in the interspace is removed as well.  Then, the would is closed.

Sometimes a discectomy is referred to as a laminectomy, because a small amount of the lamina, or roof of the spinal canal, may be removed in order to get to the herniated disc and disc space.

Outcomes

85-90% of appropriately selected patients have good outcomes, with improved pain.   Leg pain is improved more consistently than low back pain.

Complications

superficial wound infection: 2%
deep wound infection: 1%
increased motor deficit: 1-8%
dural tear (resulting in spinal fluid leak): 5%
recurrence of disk herniation: 6%

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