Cervical laminectomy for spinal cord compression. Information for patients Neurosurgery

Size: px
Start display at page:

Download "Cervical laminectomy for spinal cord compression. Information for patients Neurosurgery"

Transcription

1 Cervical laminectomy for spinal cord compression Information for patients Neurosurgery

2 What is a compression of the spinal cord and how has it been caused? The bones in our back are called vertebras and each one is separated by an inter-vertebral disc. Behind the vertebral bones/disc joints is the spinal canal containing the spinal cord. Each disc joint acts like a pressure cushion and allows movement between each vertebral bone. Disc joints can be affected by wear and tear/degenerative changes, (a process also known as spondylosis), this results in bulging of the disc and overgrowth of adjacent bone edges (osteophyte formation). In a small proportion of affected individuals, the extent of such wear and tear/degenerative changes causes narrowing of the spinal canal (canal stenosis) with compression of the spinal cord (myelopathy). What are the symptoms? Continued compression of the spinal cord leads to difficulty walking, ultimately to the point of being wheelchair bound. If the level of the cord compression is in the upper part of the cervical spine, the hands and fingers also become affected with gradual loss of fine finger movements, e.g. difficulty using knife and fork, doing buttons up, or handling coins. How is the diagnosis made? The diagnosis of a disc bulge/osteophyte causing cord compression is confirmed by doing an MRI scan of the spine. Occasionally, if an individual cannot have an MRI scan, for example, has a pacemaker, another type of scan called a CT myelogram will be carried out instead. You may also require a neck X-ray where you will need to bend your head forward and back so that we can look for any abnormal movement (instability). page 2 of 8

3 What is an MRI scan? This is a simple and safe test, with the scans being produced using a technique known as magnetic resonance imaging. There is no radiation involved and no need for admission to hospital. The length of time spent in the scanner is usually about 10 minutes. Specific arrangements can be made for patients with claustrophobia, for example sedation or using an 'open' scanner. Why should I have a cervical laminectomy operation for cord compression? The aim of the surgery is to prevent further deterioration, i.e. to maintain the status quo and stop things getting worse. You are strongly advised to have the surgery if your surgeon has identified your spinal cord as being compressed and has recommended an operation. Unfortunately, further neurological deterioration over months to years is inevitable. Any improvement as a result of surgery is a bonus and only occurs in less than one third of those undergoing the procedure. The surgery will not benefit neck pain. What does the operation involve? The operation usually takes up to 2 hours and is performed under general anaesthetic whilst you are asleep. During the operation you will be lying on your front and an X-ray is used to mark the appropriate disc levels to be decompressed. The surgery is usually undertaken through a cut about 5-10cm in length at the back of your neck. This allows the surgeon to remove the bone at the relevant level. The surgeon may leave a plastic drain overnight following surgery that is removed by the ward nurse the next morning. A blood transfusion is only rarely needed. page 3 of 8

4 Are there any alternatives? A more common operation for cord compression is called an anterior cervical discectomy/fusion where the decompression is performed from the front as compared to a cervical laminectomy where the decompression is via the back. There are advantages and disadvantages to both approaches. Your surgeon will have decided to perform a cervical laminectomy for a specific reason. This may be because you may have: many disc levels of cord compression you are aged over 70 years have compression of the spinal cord from the back have compression of the spinal cord high in the neck (that can't be easily reached by going from the front) Are there any risks? As with any procedure there are risks you should consider. These include: A clot in the leg (deep venous thrombosis) and/or clot in the lung (pulmonary embolus) can occur (1 in 100) Dural tear/cerebrospinal fluid leakage can occur; the dura is the thin canvas sleeve that covers the spinal nerves (1 in 100) Nerve root injury; this could cause permanent numbness or weakness (1 in 100) Wound infection (1 in 500) Spinal cord injury/limb paralysis (1 in 200) for example from a blood clot or displacement There may be some additional risks either because of a specific medical problem that you otherwise suffer from, for example diabetes or age related page 4 of 8

5 Serious complications are uncommon. There are many steps that we take to try and stop complications happening and to reduce the impact of such complications when they do happen. Preparation for surgery At the Pre-operative Assessment Clinic the nurse will assess your state of health and will organise any necessary tests. This may include blood tests, urine tests, an ECG (heart tracings) and x-rays. Our aim is to start discharge planning at this appointment. We will ask you questions about your home situation. It is important for you to ask for any extra help that you feel you may need when you go home, so that plans can be set in place as soon as possible. This will help to avoid any unnecessary delays in you going home. Consent As with any procedure we must seek your consent beforehand. Staff will explain the risks, benefits and alternatives where relevant before they ask for your consent. If you are unsure about any aspect of the procedure or treatment proposed, please do not hesitate to ask for more information. How long will I be in hospital? You would normally be expected to go home the day after the surgery. page 5 of 8

6 What can I expect after the operation? There will be some pain in the area of the skin wound itself and also in your neck. Although we prefer you to stay in bed the night after surgery, you can get up to go the toilet. You will be seen by the physiotherapist on the morning after surgery who will ensure that movements such as getting out of bed are done correctly. There is usually no need for physiotherapy following discharge. You will need to attend your local GP practice for removal of skin wound clips or sutures at about 7-10 days following surgery. The ward nurse will give you further details. Driving is generally considered inadvisable in the early weeks. If you are overweight, you should consider losing weight as this will reduce the chances of spine wear and tear related problems in the future. When can I go back to work? If you work, you will require 6 weeks off. A sick note for work should be obtained from the ward nursing staff before you go home from hospital. You will also receive a letter asking you to phone the hospital to make an appointment for a follow-up clinic appointment for about 6-8 weeks following your surgery. At this appointment you will either see the Consultant, Registrar or Nurse Practitioner. page 6 of 8

7 Is there anything I should look out for when I go home? Painful, swollen calf Red and swollen wound Leakage from the wound Weakness in arms and/or legs Who should I contact if I have any concerns? If you have any concerns, please contact the ward you were discharged from, the consultant s secretary, or the neurosurgical nurse practitioner. Ward N If you develop severe shortness of breath, coughing, and chest pain, you may have developed a clot in the lung, and should 999 or go to your nearest Accident and Emergency Department. page 7 of 8

8 Produced with support from Sheffield Hospitals Charity Working hard to fund improvements that make life better for patients and their families Please donate to help us do more Registered Charity No Alternative formats may be available on request. Please Sheffield Teaching Hospitals NHS Foundation Trust 2016 Re-use of all or any part of this document is governed by copyright and the Re-use of Public Sector Information Regulations 2005 SI 2005 No Information on re-use can be obtained from the Information Governance Department, Sheffield Teaching Hospitals. PD6446-PIL2302 v3 Issue Date: March Review Date: March 2018

Cranio-cervical decompression. Information for patients Neurosurgery

Cranio-cervical decompression. Information for patients Neurosurgery Cranio-cervical decompression Information for patients Neurosurgery page 2 of 12 What is a cranio-cervical decompression? A cranio-cervical decompression is an operation involving the back of the head

More information

Arthroscopic capsular release. Information for patients Orthopaedics - Upper Limb

Arthroscopic capsular release. Information for patients Orthopaedics - Upper Limb Arthroscopic capsular release Information for patients Orthopaedics - Upper Limb Introduction The Upper Limb Unit team would like you and your family to understand as much as possible about the operation

More information

CT myelogram. Information for patients Radiology

CT myelogram. Information for patients Radiology CT myelogram Information for patients Radiology page 2 of 8 Myelogram Why do you need a myelogram? Most people who have a suspected problem with the nerves in their neck or back can be investigated with

More information

Sub-acromial decompression surgery. Information for patients Orthopaedics - Upper Limb

Sub-acromial decompression surgery. Information for patients Orthopaedics - Upper Limb Sub-acromial decompression surgery Information for patients Orthopaedics - Upper Limb Introduction The Upper Limb Unit team would like you and your family to understand as much as possible about the operation

More information

Total elbow replacement. Information for patients Orthopaedics - Upper Limb

Total elbow replacement. Information for patients Orthopaedics - Upper Limb Total elbow replacement Information for patients Orthopaedics - Upper Limb Introduction The Upper Limb Unit team would like you and your family to understand as much as possible about the operation you

More information

Thoracic outlet syndrome and cervical or first rib removal. Information for patients Sheffield Vascular Institute

Thoracic outlet syndrome and cervical or first rib removal. Information for patients Sheffield Vascular Institute Thoracic outlet syndrome and cervical or first rib removal Information for patients Sheffield Vascular Institute page 2 of 12 You have been diagnosed with having thoracic outlet syndrome (TOS). This information

More information

Liver biopsy. Information for patients Hepatobiliary

Liver biopsy. Information for patients Hepatobiliary Liver biopsy Information for patients Hepatobiliary page 2 of 8 What is a liver biopsy? A liver biopsy is a procedure in which we remove a small sample of tissue from your liver and examine it under a

More information

What is a lumbar puncture? Information for patients Neurology

What is a lumbar puncture? Information for patients Neurology What is a lumbar puncture? Information for patients Neurology page 2 of 8 What is a lumbar puncture? A lumbar puncture is the removal of some of the fluid which surrounds your brain and spinal cord. Lumbar

More information

Upper limb surgery in high spinal cord injury. Information for patients Therapy Services

Upper limb surgery in high spinal cord injury. Information for patients Therapy Services Upper limb surgery in high spinal cord injury Information for patients Therapy Services Introduction If you have had an injury to the upper part of your spinal cord you may have very limited or no movement

More information

Rivaroxaban to prevent blood clots for patients who have a lower limb plaster cast. Information for patients Pharmacy

Rivaroxaban to prevent blood clots for patients who have a lower limb plaster cast. Information for patients Pharmacy Rivaroxaban to prevent blood clots for patients who have a lower limb plaster cast Information for patients Pharmacy Your doctor has prescribed a tablet called rivaroxaban. This leaflet tells you about

More information

Laparoscopic Ventral Mesh Rectopexy

Laparoscopic Ventral Mesh Rectopexy Laparoscopic Ventral Mesh Rectopexy (LVMR) Information for patients General Surgery What is a LVMR? A laparoscopic ventral mesh rectopexy (LVMR) is an operation in which the rectum (last part of the bowel)

More information

Lumbar drains. Information for patients Neurosurgery

Lumbar drains. Information for patients Neurosurgery Lumbar drains Information for patients Neurosurgery Why do I need drainage of my cerebrospinal fluid (CSF)? The brain and spinal cord are bathed in clear fluid like a baby in the womb. This cerebrospinal

More information

Single Level Anterior cervical discectomy

Single Level Anterior cervical discectomy National Hospital National Hospital for Neurology and Neurosurgery Single Level Anterior cervical discectomy Spinal Neurosurgery Information for patients Contents Introduction 4 What do you need to do

More information

What is a lumbar puncture? Information for patients Outpatient Parenteral Antibiotic Therapy Service

What is a lumbar puncture? Information for patients Outpatient Parenteral Antibiotic Therapy Service What is a lumbar puncture? Information for patients Outpatient Parenteral Antibiotic Therapy Service page 2 of 8 A lumbar puncture is the removal of some of the fluid which surrounds your brain and spinal

More information

Transjugular intrahepatic portosystemic shunt (TIPS) Information for patients Sheffield Vascular Institute

Transjugular intrahepatic portosystemic shunt (TIPS) Information for patients Sheffield Vascular Institute Transjugular intrahepatic portosystemic shunt (TIPS) Information for patients Sheffield Vascular Institute You have been given this leaflet because you need a procedure called a transjugular intrahepatic

More information

Anterior Cervical Discectomy and Fusion for Cervical Radiculopathy or Cervical Myelopathy (ACDF)

Anterior Cervical Discectomy and Fusion for Cervical Radiculopathy or Cervical Myelopathy (ACDF) Anterior Cervical Discectomy and Fusion for Cervical Radiculopathy or Cervical Myelopathy (ACDF) About your condition The pressure from your bulging disc(s) might be causing your pain, numbness or weakness.

More information

Preventing blood clots while you are in hospital and after you leave. Information for patients Pharmacy

Preventing blood clots while you are in hospital and after you leave. Information for patients Pharmacy Preventing blood clots while you are in hospital and after you leave Information for patients Pharmacy Why does blood clot? When we cut ourselves, we bleed. To stop us from bleeding too much, chemicals

More information

Exercises following neck dissection surgery. Information for patients Therapy Services

Exercises following neck dissection surgery. Information for patients Therapy Services Exercises following neck dissection surgery Information for patients Therapy Services What are the benefits of exercise following my surgery? The following exercises are designed to help prevent stiffness

More information

About your graft for dialysis. Information for patients Sheffield Kidney Institute (Renal Unit)

About your graft for dialysis. Information for patients Sheffield Kidney Institute (Renal Unit) About your graft for dialysis Information for patients Sheffield Kidney Institute (Renal Unit) page 2 of 12 You will have discussed with your doctor that your kidney condition means that you need to have

More information

Having a hysterectomy

Having a hysterectomy Having a hysterectomy Gynaecology Oncology Information for patients Gynaecology It is expected that you will have discussed other methods of treatment for your health concern with your doctor and have

More information

Vascular malformation embolisation. Information for patients Sheffield Vascular Institute

Vascular malformation embolisation. Information for patients Sheffield Vascular Institute Vascular malformation embolisation Information for patients Sheffield Vascular Institute You have been diagnosed with a vascular malformation, which may benefit from a treatment called embolisation. This

More information

Caudal epidural. Information for patients Pain Management Service

Caudal epidural. Information for patients Pain Management Service Caudal epidural Information for patients Pain Management Service As part of your treatment it has been suggested that you may benefit from a caudal epidural. It is difficult to say how much this treatment

More information

Pancreas transplants. What you need to know. Information for patients Sheffield Kidney Institute (Renal Unit)

Pancreas transplants. What you need to know. Information for patients Sheffield Kidney Institute (Renal Unit) Pancreas transplants What you need to know Information for patients Sheffield Kidney Institute (Renal Unit) page 2 of 16 What is the pancreas and why is it transplanted? The pancreas is part of the digestive

More information

Carotid Endarterectomy

Carotid Endarterectomy Information for patients Carotid Endarterectomy Northern General Hospital You have been diagnosed as having Carotid Artery Disease and need an operation called a Carotid Endarterectomy. This leaflet explains

More information

About your fistula for dialysis. Information for patients Sheffield Kidney Institute (Renal Unit)

About your fistula for dialysis. Information for patients Sheffield Kidney Institute (Renal Unit) About your fistula for dialysis Information for patients Sheffield Kidney Institute (Renal Unit) You will have discussed with your doctor that your kidney condition means that you need to have regular

More information

Recurrent varicose veins. Information for patients Sheffield Vascular Institute

Recurrent varicose veins. Information for patients Sheffield Vascular Institute Recurrent varicose veins Information for patients Sheffield Vascular Institute You have been diagnosed as having varicose veins that have recurred (come back). This leaflet explains more about recurrent

More information

Bladder neck bulking injection. Information for patients Gynaecology

Bladder neck bulking injection. Information for patients Gynaecology Bladder neck bulking injection Information for patients Gynaecology What is a bladder neck bulking agent? It is a treatment option for stress urinary incontinence in women. What are the benefits of this

More information

Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion Stimulation (DRG) Information for patients

Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion Stimulation (DRG) Information for patients Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion Stimulation (DRG) Information for patients Dorsal Root Ganglion Stimulator Spinal Cord Stimulator page 2 of 12 Stage 1 - Screening trial The following

More information

Endovascular repair for abdominal aortic aneurysm (EVAR) Information for patients Sheffield Vascular Institute

Endovascular repair for abdominal aortic aneurysm (EVAR) Information for patients Sheffield Vascular Institute Endovascular repair for abdominal aortic aneurysm (EVAR) Information for patients Sheffield Vascular Institute page 2 of 12 You have been diagnosed as having an Abdominal Aortic Aneurysm (AAA) and it has

More information

Laparoscopic (keyhole) colorectal (bowel) resection

Laparoscopic (keyhole) colorectal (bowel) resection Laparoscopic (keyhole) colorectal (bowel) resection Your operation explained Information for patients Colorectal Surgery Introduction This leaflet should be read together with a booklet which explains

More information

Posterior Lumbar Decompression for Spinal Stenosis

Posterior Lumbar Decompression for Spinal Stenosis Posterior Lumbar Decompression for Spinal Stenosis Issue 6: March 2016 Review date: February 2019 Following your recent MRI scan and consultation with your spinal surgeon you have been diagnosed with

More information

Orbital decompression surgery for proptosis

Orbital decompression surgery for proptosis Orbital decompression surgery for proptosis Procedure information Information for patients Ophthalmology (Ocular Plastics) Large Print This leaflet explains about the problem you have and how surgery can

More information

Posterior Cervical Decompression

Posterior Cervical Decompression Posterior Cervical Decompression Issue 5: March 2016 Review date: February 2019 Following your recent MRI scan and consultation with your spinal surgeon, you have been diagnosed with a narrowing of your

More information

1st stage neuromodulation test

1st stage neuromodulation test 1st stage neuromodulation test Information for patients Urology PROUD TO MAKE A DIFFERENCE SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST page 2 of 12 This leaflet is to give you some background information

More information

Hyperhidrosis and thorascopic sympathectomy. Information for patients Sheffield Vascular Institute

Hyperhidrosis and thorascopic sympathectomy. Information for patients Sheffield Vascular Institute Hyperhidrosis and thorascopic sympathectomy Information for patients Sheffield Vascular Institute You have been diagnosed as having hyperhidrosis. This leaflet explains more about hyperhidrosis and its

More information

Botox for chronic migraine. Information for patients Neurology

Botox for chronic migraine. Information for patients Neurology Botox for chronic migraine Information for patients Neurology This leaflet is not intended to replace the manufacturer's information page 2 of 8 What is Botox? Botox is the brand name for Botulinum Toxin

More information

Injection sclerotherapy. Information for patients Sheffield Vascular Institute

Injection sclerotherapy. Information for patients Sheffield Vascular Institute Injection sclerotherapy Information for patients Sheffield Vascular Institute page 2 of 8 You have been diagnosed as having varicose veins that are suitable for injection sclerotherapy. This leaflet explains

More information

Trans urethral resection of prostate (TURP)

Trans urethral resection of prostate (TURP) Trans urethral resection of prostate (TURP) Information for patients Urology PROUD TO MAKE A DIFFERENCE SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST What is the prostate? Only men have a prostate

More information

EEG telemetry with intracranial electrodes. Information for patients Clinical Neurophysiology

EEG telemetry with intracranial electrodes. Information for patients Clinical Neurophysiology EEG telemetry with intracranial electrodes Information for patients Clinical Neurophysiology You have already been assessed as suitable to join the Epilepsy Surgery Programme. Prior to admission for intracranial

More information

Thrombolysis in stroke patients. Information for patients Neurology

Thrombolysis in stroke patients. Information for patients Neurology Thrombolysis in stroke patients Information for patients Neurology page 2 of 8 What is a stroke? A stroke is a serious medical condition that occurs when there is either a blockage in one of the blood

More information

Carpal tunnel syndrome in pregnancy. Information for patients MSK Outpatients - Women's Health (Therapy)

Carpal tunnel syndrome in pregnancy. Information for patients MSK Outpatients - Women's Health (Therapy) Carpal tunnel syndrome in pregnancy Information for patients MSK Outpatients - Women's Health (Therapy) What is carpal tunnel syndrome in pregnancy? Carpal tunnel syndrome (CTS) is a common disorder of

More information

Arteriovenous malformation (AVM)

Arteriovenous malformation (AVM) Arteriovenous malformation (AVM) What happens now? Information for patients Stereotactic Radiosurgery PROUD TO MAKE A DIFFERENCE SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST page 2 of 8 You have now

More information

What to expect following spinal cord injury. Information for patients Therapy Services

What to expect following spinal cord injury. Information for patients Therapy Services What to expect following spinal cord injury Information for patients Therapy Services Introduction This leaflet aims to explain what spinal cord injury is and what to expect over the next few months. What

More information

Gynaecology Department Patient Information Leaflet

Gynaecology Department Patient Information Leaflet Vaginal repair Gynaecology Department Patient Information Leaflet Introduction This leaflet gives information about vaginal repair surgery used to treat a vaginal prolapse. The leaflet explains what a

More information

Pulmonary embolism. Information for patients Specialised Medicine

Pulmonary embolism. Information for patients Specialised Medicine Pulmonary embolism Information for patients Specialised Medicine page 2 of 8 What is a pulmonary embolism? A blood clot that has formed inside one of your veins, usually in your leg, is called a deep vein

More information

Posterior Lumbar Spinal Fusion

Posterior Lumbar Spinal Fusion Posterior Lumbar Spinal Fusion Information to help patients prepare for a Posterior Lumbar Spinal Fusion Operation Directorates of Orthopaedic and Rheumatology, and Neurosciences Produced: February 2007

More information

Going home after major gynaecological surgery. Information for patients Gynaecology

Going home after major gynaecological surgery. Information for patients Gynaecology Going home after major gynaecological surgery Information for patients Gynaecology page 2 of 16 Discharge advice following your surgery You have had a major operation. This booklet gives some useful advice

More information

NS01 Lumbar Microdiscectomy

NS01 Lumbar Microdiscectomy NS01 Lumbar Microdiscectomy What is sciatica? Sciatica is pain down your leg caused by pressure on a nerve where it leaves your spine. Your surgeon has recommended a lumbar microdiscectomy. However, it

More information

Physiotherapy following cardiac surgery. Information for patients Cardiac Surgery

Physiotherapy following cardiac surgery. Information for patients Cardiac Surgery Physiotherapy following cardiac surgery Information for patients Cardiac Surgery Physiotherapy is an essential part of your recovery from your operation. The physiotherapist will see you before you have

More information

Having a kidney biopsy. Information for patients Sheffield Kidney Institute (Renal Unit)

Having a kidney biopsy. Information for patients Sheffield Kidney Institute (Renal Unit) Having a kidney biopsy Information for patients Sheffield Kidney Institute (Renal Unit) This leaflet is designed to answer any questions you may have about having a biopsy of your kidney. We hope that

More information

LUMBAR DECOMPRESSION / DISCECTOMY SURGERY INFORMATION

LUMBAR DECOMPRESSION / DISCECTOMY SURGERY INFORMATION LUMBAR DECOMPRESSION / DISCECTOMY SURGERY INFORMATION WHAT IS LUMBAR DECOMPRESSION / DISCECTOMY SURGERY? During lumbar decompression/ discectomy back surgery, a small portion of the bone over the nerve

More information

Your visit to the Breast Clinic. Information for patients Breast Services

Your visit to the Breast Clinic. Information for patients Breast Services Your visit to the Breast Clinic Information for patients Breast Services This leaflet will provide you with information about the Breast Clinic and what might happen during your appointment. If after reading

More information

Carotid stenting. Information for patients Sheffield Vascular Institute

Carotid stenting. Information for patients Sheffield Vascular Institute Carotid stenting Information for patients Sheffield Vascular Institute page 2 of 12 You have been diagnosed as having carotid artery disease and you may benefit from having a procedure called carotid stenting.

More information

Pars Injection for Lumbar Spondylolysis

Pars Injection for Lumbar Spondylolysis Pars Injection for Lumbar Spondylolysis Issue 4: March 2016 Review date: February 2019 Following your recent investigations and consultation with your spinal surgeon, a possible cause for your symptoms

More information

Lumbar Nerve Root Decompression for Foraminal Stenosis

Lumbar Nerve Root Decompression for Foraminal Stenosis Lumbar Nerve Root Decompression for Foraminal Stenosis Issue 5: March 2016 Review date: February 2019 Following your recent MRI scan and consultation with your spinal surgeon, you have been diagnosed as

More information

Anterior cervical discectomy and replacement / fusion

Anterior cervical discectomy and replacement / fusion Anterior cervical discectomy and replacement / fusion Advice sheet for patients by Mr Alexander Montgomery, Consultant Spinal Surgeon This advice sheet is intended specifically for patients of Mr Alexander

More information

Suprapubic catheter insertion in the radiology department. Information for patients Urology

Suprapubic catheter insertion in the radiology department. Information for patients Urology Suprapubic catheter insertion in the radiology department Information for patients Urology page 2 of 8 What is a suprapubic catheter? A suprapubic catheter is an indwelling tube that drains the bladder

More information

ANTERIOR CERVICAL DISCECTOMY AND FUSION (ACDF) SURGERY INFORMATION

ANTERIOR CERVICAL DISCECTOMY AND FUSION (ACDF) SURGERY INFORMATION ANTERIOR CERVICAL DISCECTOMY AND FUSION (ACDF) SURGERY INFORMATION WHAT IS ANTERIOR CERVICAL DISCECTOMY AND FUSION (ACDF) SURGERY? Anterior Cervical Discectomy and Fusion (ACDF) is a surgical procedure

More information

Pelvic floor exercises for women. Information for patients Continence Service

Pelvic floor exercises for women. Information for patients Continence Service Pelvic floor exercises for women Information for patients Continence Service page 2 of 8 Why do I need to do pelvic floor exercises? Many women experience pelvic floor problems at some time during their

More information

Fractures of the Thoracic and Lumbar Spine

Fractures of the Thoracic and Lumbar Spine A spinal fracture is a serious injury. Nader M. Hebela, MD Fellow of the American Academy of Orthopaedic Surgeons http://orthodoc.aaos.org/hebela Cleveland Clinic Abu Dhabi Cleveland Clinic Abu Dhabi Neurological

More information

Volar plate avulsion injury. Information for patients The Sheffield Hand Centre

Volar plate avulsion injury. Information for patients The Sheffield Hand Centre Volar plate avulsion injury Information for patients The Sheffield Hand Centre page 2 of 8 What is volar plate avulsion injury? The volar plate is a thick ligament in the finger that prevents the joint

More information

Cystoscopy. Information for patients Spinal Injuries

Cystoscopy. Information for patients Spinal Injuries Cystoscopy Information for patients Spinal Injuries page 2 of 8 What is a cystoscopy? A cystoscopy is a procedure to look inside the bladder using a thin camera called a cystoscope. A cystoscope is inserted

More information

information The Enhanced Recovery Programme for Total Hip Replacement (1 of 6) What will happen before I come into hospital?

information The Enhanced Recovery Programme for Total Hip Replacement (1 of 6) What will happen before I come into hospital? information If you need this information in another language or medium (audio, large print, etc) please contact the Customer Care Team on 0800 374 208 email: customercare@ salisbury.nhs.uk. You are entitled

More information

Femoropopliteal/distal. bypass grafts. Vascular Surgery Patient Information Leaflet

Femoropopliteal/distal. bypass grafts. Vascular Surgery Patient Information Leaflet Femoropopliteal/distal bypass grafts Vascular Surgery Patient Information Leaflet Femoro-popliteal/distal bypass grafts This leaflet tells you about the operation known as a femoropopliteal bypass graft.

More information

Exercise tolerance testing. Information for patients Sheffield Teaching Hospitals

Exercise tolerance testing. Information for patients Sheffield Teaching Hospitals Exercise tolerance testing Information for patients Sheffield Teaching Hospitals page 2 of 8 What is an exercise tolerance test? An exercise tolerance test is also known as an exercise ECG or stress test.

More information

Intermittent self-catheterisation (ISC) Information for patients Spinal Injuries

Intermittent self-catheterisation (ISC) Information for patients Spinal Injuries Intermittent self-catheterisation (ISC) Information for patients Spinal Injuries page 2 of 12 What is clean intermittent self-catheterisation (CISC)? Urinary catheterisation is a procedure used to drain

More information

Deformity correction. A patient's guide. Information for patients Sheffield Teaching Hospitals

Deformity correction. A patient's guide. Information for patients Sheffield Teaching Hospitals Deformity correction A patient's guide Information for patients Sheffield Teaching Hospitals This leaflet applies to any deformity correction and it will set out the general principles and complications.

More information

Further information You can get more information and share your experience at

Further information You can get more information and share your experience at OS02 Total Knee Replacement Further information You can get more information and share your experience at www.aboutmyhealth.org Local information You can get information locally from: Taunton and Somerset

More information

Laparoscopic Sacrohysteropexy

Laparoscopic Sacrohysteropexy Professor Christian Phillips BSc Hons BM DM FRCOG Consultant Gynaecologist and Urogynaecologist Laparoscopic Sacrohysteropexy What is a prolapse? Uterine prolapse is a bulge or lump in the vagina caused

More information

Varicose veins. Information for patients Sheffield Vascular Institute

Varicose veins. Information for patients Sheffield Vascular Institute Varicose veins Information for patients Sheffield Vascular Institute You have been diagnosed as having varicose veins. This leaflet explains more about varicose veins and answers some of the most frequently

More information

Exoskeleton. Information for patients Spinal Injuries

Exoskeleton. Information for patients Spinal Injuries Exoskeleton Information for patients Spinal Injuries What is Ekso GT? Ekso GT is a robotic human-assisted exoskeleton that is designed as an assisted walking device for individuals with impaired walking

More information

Removal of external fixator

Removal of external fixator Removal of external fixator Information for patients Sheffield Teaching Hospitals PROUD TO MAKE A DIFFERENCE SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST This booklet aims to help you understand the

More information

Consent for radical radiotherapy to the brain. Information for patients Weston Park Hospital

Consent for radical radiotherapy to the brain. Information for patients Weston Park Hospital Consent for radical radiotherapy to the brain Information for patients Weston Park Hospital page 2 of 8 General information Radiotherapy uses high energy X-rays to kill tumour cells. Treatment is given

More information

Laparotomy for large retroperitoneal mass:

Laparotomy for large retroperitoneal mass: Laparotomy for large retroperitoneal mass: procedure-specific information UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

Your visit to the Nuclear Medicine Department. Information for patients Nuclear Medicine

Your visit to the Nuclear Medicine Department. Information for patients Nuclear Medicine Your visit to the Nuclear Medicine Department Information for patients Nuclear Medicine page 2 of 12 Your visit to the Nuclear Medicine Department Your doctor would like you to come to the Nuclear Medicine

More information

Simple removal of the kidney (simple nephrectomy): procedure-specific information

Simple removal of the kidney (simple nephrectomy): procedure-specific information PATIENT INFORMATION Simple removal of the kidney (simple nephrectomy): procedure-specific information What is the evidence base for this information? This leaflet includes advice from consensus panels,

More information

Department of Vascular Surgery Femoral to Femoral or Iliac to Femoral Crossover Bypass Graft

Department of Vascular Surgery Femoral to Femoral or Iliac to Femoral Crossover Bypass Graft Department of Vascular Surgery Femoral to Femoral or Iliac to Femoral Crossover Bypass Graft Why do you need this operation? You need this operation because you have either pain in your legs or a leg ulcer

More information

Tension Free vaginal tape. Mrs Ami Shukla, Consultant Urogynaecologist Northampton General Hospital Northampton NN1 5BD

Tension Free vaginal tape. Mrs Ami Shukla, Consultant Urogynaecologist Northampton General Hospital Northampton NN1 5BD Tension Free vaginal tape Mrs Ami Shukla, Consultant Urogynaecologist Northampton General Hospital Northampton NN1 5BD What is a TVT procedure? A TVT (Tension Free Vaginal Tape) procedure is an operation

More information

Lower limb angioplasty and stenting. Information for patients Sheffield Vascular Institute

Lower limb angioplasty and stenting. Information for patients Sheffield Vascular Institute Lower limb angioplasty and stenting Information for patients Sheffield Vascular Institute Why have I been given this leaflet? You have been given this leaflet because you need a procedure known as an angioplasty

More information

Neck care advice. Clinical and diagnostic support services centre - Physiotherapy. Patient Information. Provided for:... By:... Date:...

Neck care advice. Clinical and diagnostic support services centre - Physiotherapy. Patient Information. Provided for:... By:... Date:... Neck care advice Provided for:... By:... Date:... Patient Information Clinical and diagnostic support services centre - Physiotherapy This booklet gives advice for people following neck surgery. It is

More information

Anterior Cervical Discectomy

Anterior Cervical Discectomy Anterior Cervical Discectomy Issue 5: March 2016 Review date: February 2019 Following your recent MRI scan and consultation with your spinal surgeon, you have been diagnosed with having a cervical disc

More information

The Leeds Teaching Hospitals NHS Trust Catheter directed thrombolysis and pelvic venous stenting for ilio-femoral DVT

The Leeds Teaching Hospitals NHS Trust Catheter directed thrombolysis and pelvic venous stenting for ilio-femoral DVT n The Leeds Teaching Hospitals NHS Trust Catheter directed thrombolysis and pelvic venous stenting for ilio-femoral DVT Information for patients Catheter directed thrombolysis and pelvic venous stenting

More information

Arthroscopy of the ankle. Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England.

Arthroscopy of the ankle. Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Arthroscopy of the ankle Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Discovery has made every effort to ensure that we obtained the information

More information

Varicose Vein Surgery. Varicose Vein Surgery

Varicose Vein Surgery. Varicose Vein Surgery What Are Varicose Veins? Varicose veins are veins under the skin of the legs which have become widened, bulging and twisted. They are very common and do not cause medical problems in most people. Normally

More information

Knee Replacement Patient Information

Knee Replacement Patient Information Knee Replacement Patient Information This information sheet is designed to help you to understand what a knee replacement involves. I perform knee replacements frequently, several times each week, and

More information

Lumbar Facet Joint Injection

Lumbar Facet Joint Injection Lumbar Facet Joint Injection Issue 5: March 2016 Review date: February 2019 Page 2 When back pain originates from the facet joints, a specific type of injection may reduce inflammation and provide pain

More information

Spinal Stenosis Surgical

Spinal Stenosis Surgical Spinal Stenosis Surgical Disclaimer This movie is an educational resource only and should not be used to make a decision on. All decisions about surgery must be made in conjunction with your surgeon or

More information

Mallet finger. Information for patients The Sheffield Hand Centre

Mallet finger. Information for patients The Sheffield Hand Centre Mallet finger Information for patients The Sheffield Hand Centre What is mallet finger? You have an injury known as mallet finger. This is when your finger can bend down at the end joint and cannot be

More information

What is an image guided nerve root block?

What is an image guided nerve root block? What is an image guided nerve root block? Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

Lumbar Discectomy and Decompression

Lumbar Discectomy and Decompression Lumbar Discectomy and Decompression Advice sheet for patients by Mr Alexander Montgomery, Consultant Spinal Surgeon Informed consent is the process of the surgical team providing information to the patient

More information

Crossover Bypass Graft Surgery Vascular Surgery Patient Information Leaflet

Crossover Bypass Graft Surgery Vascular Surgery Patient Information Leaflet Crossover Bypass Graft Surgery Vascular Surgery Patient Information Leaflet Originator: Mr Jayatunga, Consultant Vascular surgeon. Joy Lewis, Vascular Nurse Specialist Date: October 2011 Version: 1 Date

More information

Intermittent self catheterisation (ISC) Information for patients Gynaecology

Intermittent self catheterisation (ISC) Information for patients Gynaecology Intermittent self catheterisation (ISC) Information for patients Gynaecology page 2 of 8 What is ISC? Intermittent self catheterisation (ISC) is a simple technique where a narrow tube (catheter) is inserted

More information

Epidurals for pain relief after surgery Information for patients

Epidurals for pain relief after surgery Information for patients Epidurals for pain relief after surgery Information for patients Department of anaesthesia and pain medicine Epidurals for pain relief after surgery This information sheet explains what to expect when

More information

A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH)

A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH) A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH) 6565 Fannin Street Houston, TX 77030 Phone: 713-790-3333 DISCLAIMER: The information in this booklet is compiled from a variety of sources.

More information

A Patient's Guide to Cervical Laminectomy

A Patient's Guide to Cervical Laminectomy Introduction A laminectomy is a surgical procedure to relieve pressure on the spinal cord due to spinal stenosis. In spinal stenosis, bone spurs press against the spinal cord, leading to a condition called

More information

Unicompartmental knee replacement. Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England.

Unicompartmental knee replacement. Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Unicompartmental knee replacement Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Discovery has made every effort to ensure that we obtained the

More information

Total ankle replacement. Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England.

Total ankle replacement. Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Total ankle replacement Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Discovery has made every effort to ensure that we obtained the information

More information

Your anaesthetic for heart surgery

Your anaesthetic for heart surgery Your anaesthetic for heart surgery Information for patients and carers First Edition 2018 www.rcoa.ac.uk/patientinfo This leaflet gives you information about your anaesthetic for adult heart (cardiac)

More information

Surgery to the jaw joint (TMJ surgery) Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England.

Surgery to the jaw joint (TMJ surgery) Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Surgery to the jaw joint (TMJ surgery) Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Discovery has made every effort to ensure that we obtained

More information