Spine Surgery for Herniated Disc Compressing a Nerve in Phitsanulok

Discover Advanced Technologies for Treating Herniated Disc with Nerve Compression

There are several surgical techniques available for the treatment of herniated disc with nerve root compression. Traditionally, the standard open discectomy involves a midline incision measuring approximately 6–10 centimeters, depending on the patient’s body habitus and subcutaneous fat thickness. After making the incision, paraspinal muscles are carefully retracted to expose the vertebrae at the affected level. A tubular retractor system is then used to maintain muscle separation, allowing access to the spinal canal. Upon visualization of the compressed nerve root, surgical instruments are employed to gently mobilize the nerve medially, enabling the surgeon to identify and remove the herniated or extruded disc fragment responsible for nerve impingement. The incision is then closed in layers.

This traditional approach typically requires a hospital stay of 5–7 days and a postoperative recovery period of 4–6 weeks.

Modern advancements have since led to the development of microsurgical discectomy techniques, utilizing an operating microscope for enhanced precision and minimal tissue disruption. This minimally invasive approach significantly reduces recovery time, postoperative pain, and hospital stay duration.

Spine Surgery at Bangkok Hospital Phitsanulok: 2018–June 2024

• Total number of spine surgeries performed: 117 cases

• Postoperative mobility: All patients were able to ambulate shortly after surgery

Why Patients Choose Bangkok Hospital Phitsanulok (BPL) for Spine Surgery

1. Procedures are performed by board-certified spine surgeons utilizing state-of-the-art technology.

2. Every surgical case is reviewed and discussed in a multidisciplinary spine conference to ensure optimal planning and patient outcomes.

3. Patients receive holistic care from a multidisciplinary team — including preoperative evaluation, perioperative support, and comprehensive discharge planning.

4. Long-term follow-up care is provided for up to one year post-surgery, including quality of life assessments and ongoing consultations with specialists.

5. Importantly, no postoperative spinal infections have been reported throughout our surgical program’s history.

Spine Surgeries Performed (2018–June 2024): 117 Casesผ่าตัด Spine ทั้งหมดปี 2018-2024 (June ) =  117 ราย

All patients were able to ambulate postoperatively.

Highlights of Spine Surgery Services at Bangkok Hospital Phitsanulok (BPL):

1. Procedures performed by board-certified spine specialists using advanced surgical technologies.

2. All cases are reviewed through multidisciplinary preoperative conferences to ensure individualized treatment planning.

3. Comprehensive care is provided by a multidisciplinary team from preoperative evaluation through postoperative rehabilitation and discharge.

4. Postoperative quality of life is monitored for up to one year, with ongoing consultation and support from specialized clinicians.

5. To date, there have been no reported cases of postoperative spinal infections.

6.