Specialties
Minimally-Invasive Lumbar Microdecompression
Our Goal for You:
- Identify the cause of your pain.
- Minimize your down time with non-surgical or minimally invasive procedures if possible.
- Get back to living the life you want.
Overview
This minimally invasive procedure is used to remove overgrown vertebral bone and soft tissue to relieve the compression of nerve roots in the lumbar spine. It is performed through a small incision on the back.
Preparation
After anesthesia has been administered and the patient is positioned face down, the surgeon uses a portable x-ray machine to identify the diseased vertebral level or levels. Then, the surgeon makes the smallest possible incision in the skin directly above the target level.
Accessing the Vertebra
A series of dilators of increasing size are carefully guided down through muscles and soft tissue. The surgeon slides a tubular retractor over the dilators and removes the dilators, creating a working channel that leaves muscle tissue intact. This working channel allows the surgeon to access the target vertebra and painful nerve root in a way that minimizes incisional pain and scarring of the muscles.
Decompression
The surgeon may use a microscope or endoscope to direct surgical instruments through the working channel. Excess bone or ligament tissue is carefully removed from the space around the nerve root, relieving pressure and pain.
Completing the Decompression
The surgeon may then shift the working channel, repositioning the retractor so that it is directed at the other side of the vertebra. This allows the surgeon to access the opposite side of the vertebra without creating a new incision in the skin. The surgeon inspects and relieves any compression, ensuring that the nerve roots on both sides of the vertebra are completely free of obstruction.
End of Procedure and Aftercare
The instruments and the working channel are removed, and the incision is closed and bandaged. Most patients are discharged from the hospital the same day and can return to their usual activity level within a few weeks of surgery. The patient may take pain medication to relieve incisional pain, but usually this is needed for less than 1-2 weeks.
Why Choose Advanced Spine Centers
Board Certified & Fellowship Trained.
Voted 2019’s Best Spine Surgeon.
Internationally Recognized Trainer to Spine Surgeons.
Pioneer in Non-Surgical & Micro-Surgical Procedures.
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Common Patient Questions
ExcellentBased on 147 reviewsRobert AliceaThe doctor and his staff were very welcoming and kind ..explained my issues in detail . Will highly recommendGerman CisnerosEvery visit to Dr. Courtney's office is educational and most beneficial. Dr. Courtney and ALL of his staff are the best!Jamey DerryberryMy wife and I both go to Dr Courtney for back issues. Great care. Great staff. Great surgical facility and smooth process. LOVE THEM!!!Mark CotterDr Courtney and his staff truly care about my well being. They are the only ones I have found that have been able to help me with my workman's comp claimJ “JAFO”Does your back hurt? Has your back been hurting, yet no other surgeon can or won't help you; or worse tells you nothing is wrong? You're in the wrong place! I had 4 back operations with no improvement. I had an additional 6 other consultations with "there's nothing wrong with you". The truth was I was probably 2-3 months away from permanent leg and lower back paralysis. He fixed me. I can stand, I can walk. I threw away my crutches of 13 years. If you need back correction - GO SEE THIS DOCTOR! He will fix you, and fix you correctly, if it is humanly possible. Enough said! Go see him. He tells the truth and tells it like it is. 🙂Terri StewmanDr courtney and his staff are great! Dr courtney always takes his time with you and I feel he truly cares about his patients.Ross WigingtonGreat Dr and helped me multiple times over the years Would recommend to anyone that needs helpBridgette e MentesanaDr. Courtney is knowledgeable and takes the time to really explain what’s going on and explain why you’re in pain and the several options to correct the issue. I never felt rushed and he was on time to our appointment which is such a rare thing. The rest of the office staff was absolutely top notch. They were really down to earth and so nice, you could tell they liked their jobs and were treated well. It was a very welcoming atmosphere. I felt very comfortable and I knew I was in capable hands just by the way he treated his staff and listened to his patients. Highly recommend.Marie BentonDr Courtney did my neck surgery and my 360 back surgery. I would not go to another surgeon, he cares about his patients and it shows! His staff is great as well! I trust his opinion and skills 100%