The spinal canal, through which the spinal cord and nerves pass, is a thin, long, curved tube composed of bones stacked on top of each other. If the width of this canal, which has a certain diameter, decreases, the narrowed canal easily compresses the nerves passing through it.
As a result, pain in the waist and legs, numbness, restlessness, tingling, gait disturbance, forced sitting after a while while walking, gradually shortening the walking distance, frequent urination, deterioration of urine and stool control, weakness in the legs, negative sexual functions. symptoms may occur. The narrow canal in the neck region also affects the arms.
This method, known as the screwless (platinum-free) surgery method for narrow canal disease, is very valuable. What makes the surgery especially valuable is that no instruments (screws) or any other foreign objects are attached to the patient, as in other treatment methods for stenosis disease. As a result, the recovery period is shorter.
The patient’s nerves are relieved by removing the hernia, bone and connective tissues that compress the spinal nerves, using microsurgical technique and an operating microscope. As with other methods applied in most centers, it is not necessary to use screws and similar additional materials. Even if there is canal narrowing in more than one interval, it can be operated with this method.
During this operation, the narrow spinal canal is entered into the inner part of the spinal canal and the canal is widened from the inside, thus preserving the anatomical structure as much as possible. As a result of the preservation of the anatomical structure that provides stabilization, it is not necessary to attach screws and similar instruments to these patients. Therefore, it is a great advantage that no foreign body is placed in the patients.
These patients, who were operated with microsurgical technique, are able to walk on the day of the operation. They are discharged from the hospital 1-2 days later. It is recommended to use a waist corset while standing for about 1 month. After about 20 days, the exercise program is started. For a disease that reduces the quality of life and is quite painful, there is recovery in such a short time.
This surgery, which is performed with microsurgery technique, is performed in certain centers and by surgeons experienced in microsurgery. These patients can walk on the same day without facing the risk of paralysis and are discharged in 1-2 days, just like in our herniated disc operations.
This technique is applied when there is no scoliosis (bending) or spondylolisthesis (sliding) in the spine. If there is slippage and bending in the spine of the patients, it is necessary to apply a screw-plate to the patients with this surgery.
