Pagenstehera Operation

Patenstescher operation is one of the rare operations in traumatology. Aimed at removing a spinal disc. Removal of intervertebral discs is a consequence of the progression of dystrophic changes. Locally, the content of intervertebral fluid decreases and intradiscal pressure increases. The process of rupture of the fibrous ring along the periphery begins as a result of aseptic inflammation. It all starts with a banal pain in the lumbar region when bending over. The pain and limited mobility then worsen. This happens because the nucleus pulposus shifts outward, compressing the spinal nerve root. This is a direct cause of neurological disorders. There are many indications for surgery, here are the main ones: pain in the back of moderate intensity, radiating to the buttocks and limbs; kyphosis, curvature of the lumbar spine, complications of chronic pain; damage to the lumbosacral column to the middle of the lower back, after which the normal functioning of the pelvic floor organs and urinary system is disrupted; lumbar thoracic region, spondylolisthesis with neurological disorders; arthrosis and spondylosis with pain and limited mobility in the lumbar and thoracic regions; osteochondrosis complicated by a herniated disc with negative radiography.

The manipulation is carried out under local anesthesia and general anesthesia. Duration - half an hour - hour. The general operation algorithm looks like this: The surgeon cuts fibrous tissue. The disc is removed through a skin incision along the spine. In this case, only the disc is removed, the bone tissue of the spine remains intact. At the end, the skin incision on the back is sutured and drainage is installed for 2-3 days. After this, the patient needs to wear a corset and strictly follow the doctor’s recommendations. You will be able to return to your previous physical activity only after 3 weeks - 2 months. The patient may remain on sick leave for another 2 weeks. So, if we talk about the possibility of carrying out this operation, then it is better to consider it not for the treatment of chronic pain, but for prevention, when