Indications for herniated intervertebral disc surgery with TESSYS®
The TESSYS® method can be used to remove almost all herniated discs and sequesters – irrespective of their position – through the lateral, transforaminal access under analgesic sedation.
The TESSYS® surgery is indicated for all radicular symptoms caused by herniated discs that were not improved by conservative therapeutical methods. Cauda equina syndrome indicates an immediate reason for surgery. Every surgical procedure on a spinal disc, including the TESSYS® surgery, has to be carefully prepared by using Magnetic Resonance Imaging (MRI) and/or computer tomography (CT), as well as multiple conventional x-ray images.
Before and after surgery
43-year-old man: L3-L4, lateral cranial (intraforaminal)
- Herniated discs of the lumbar spine
- Foraminal stenosis and recess stenosis
- Hypertrophies of the ligamentum flavum
- Lumbar osteophytes
- Repeat or follow up operations (scarring after other operations)
- Ventral facet joint cysts
49-year-old man: L5-S1, left caudal
Herniated disc (colored) and exposed nerve root (r.)