Minimally Invasive Options
Minimally Invasive Treatment Options
When appropriate, some neurological conditions may be treated with minimally invasive procedures. They include:
- Microsurgery for herniated disks
When pain from a herniated (bulging) disk limits the quality of your life—and other treatments do not help—microsurgery may be the answer. A microdiskectomy is a surgical procedure in which the surgeon, using a high-powered microscope to magnify the affected disk(s) and nerves, makes a small incision in the area of the herniated disk and removes the ruptured portion.
- Balloon kyphoplasty for spinal fractures
Osteoporosis causes more than 700,000 spinal fractures each year in the U.S. Spinal fractures can also be caused by cancer such as multiple myeloma. Left untreated, a single fracture can lead to subsequent fractures. The result may be a condition called kyphosis. To correct the deformity with kyphoplasty, the surgeon uses a hollow instrument to create a small pathway into the fractured bone. A small, orthopaedic balloon is guided through the instrument into the vertebra. The collapsed vertebra is raised and surgical cement is inserted into the void left by the repositioned bone.
- Endoscopic surgery for carpal tunnel syndrome
Carpal tunnel syndrome is a common, painful disorder of the wrist and hand caused by pressure on the median nerve in the wrist. People who use their hands and wrists repeatedly in the same way tend to develop carpal tunnel syndrome. Temple offers both endoscopic and open procedures to treat carpal tunnel syndrome by relieving pressure on the median nerve. With endoscopic surgery, one or two small incisions may be made in the hand. Using an endoscope, a thin, flexible lighted tube with a camera, tools are inserted under the carpal ligament. With open surgery, an incision is made in the palm with standard surgical tools.
- Endoscopic Treatment for Hyperhidrosis (Excessive Sweating)
Up to one percent of the population suffers from hyperhidrosis, a neurological condition caused by an overactive sympathetic nervous system. The condition causes excessive sweating, usually of the hands, armpits and feet, making it very difficult to perform even simple acts such as shaking hands or writing on paper or on a keyboard. Temple neurosurgeons treat hyperhidrosis with a surgical procedure called endoscopic transthoracic sympathectomy (ETS). Using an endoscope, a thin, flexible lighted tube with a camera, a tiny incision is made on the side of the chest and tiny silver clips are placed inside the chest. Sweating in the hands is usually immediately and permanently eliminated.