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Lumbar DND

Laser Discectomy with Neural Decompression (DND) - Lumbar

Through one or more tiny, 3 millimeter incisions at the base of the spine, the physician uses a laser and HD camera to visualize and shrink the soft tissue material impinging on spinal nerves.

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Benefits of Lumbar DND

The goal of a lumbar discectomy with neural decompression is to reduce symptoms in the lower back and/or legs by relieving pressure on the nerves in the spinal canal. This minimally invasive procedure may be performed to shrink bulging or herniated disc material or scar tissue using a tiny camera and laser, inserted through a small endoscope. Compared to traditional approaches, the laser DND creates considerably less surgical trauma, less bone and tissue damage, and results in fewer complications and a reduced recovery period. In addition, avoiding overnight hospital stays can also mean a lower out of pocket cost for the patient. Note: we do see patients whose previous spine surgeries are no longer providing them the relief they need.

To determine if you are a candidate for a laser DND, contact one of our Patient Care Managers at 877.474.2225. If you have already seen a physician, send us a copy of your recent MRI or CT for review using the button below.

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Details of the Lumbar DND

The laser DND treats soft tissue nerve impingements such as herniated disc or scar tissue, and the innovative approach is exclusive to North American Spine. A unique benefit to this procedure is that the physician is able to visualize the entire lumbar spine through the sacral approach, and is able to treat multiple levels at once.

On the day before your DND, you will arrive at the treatment facility, accompanied by a friend or family member. You will meet with your physician and undergo a pain mapping procedure, to help the physician locate the precise source of your pain. The following day, you will undergo the laser DND procedure.

The laser DND is typically completed in less than an hour. One or a combination of the following approaches may be performed:

  • Sacral. In this approach, the physician will insert an endoscopic fiber optic scope through a tiny 3 millimeter incision in the sacrum, the natural opening at the base of the spine. Through direct visualization, the physician is able to examine the inside of the spinal canal, injecting dye into the epidural space. The dye makes a path around abnormalities such as disc tears, ruptures, herniations and scar tissue, allowing the physician to accurately and precisely visualize the problem area(s). A special surgical laser is then fired to shrink the damaged disc material and relieve pressure on the spinal nerves. This approach is so minimally invasive that only one suture is requires to close the entry point on the lower back.
  • Posterolateral. In this approach, the physician will insert a small, hollow needle through the posterior (back) side of the lateral (side) spine directly into the damaged disc tissue. A laser is then passed through the needle into the disc where it is fired intermittently to shrink bulging/herniated disc tissue, decompress the affected nerve, and seal the tear. Fluoroscopy is used to watch and guide the progress of the procedure. The entry sites from the posterolateral approach don’t require sutures—just a small bandage.

While every surgery carries some risk of injury or infection, adverse complications are rare and most patients are able to go home the day of the surgery. Your physician will counsel you on these risks prior to the procedure.

Preparing for the Lumbar DND

Before pursuing a DND, prospective patients should have tried conservative methods, such as physical therapy, anti-inflammatory medication, and spinal injections. If those methods have not produced meaningful relief, you may be a candidate for a North American Spine procedure.

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Lumbar DND Recovery

The recovery period following this procedure is typically much shorter than the recovery period for open back surgery. While any surgery requires time to heal, many patients report relief within the first few days and are able to return to light activities as well. More in-depth, customized recovery guidelines will be provided by your North American Spine physician.

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Lumbar DND Testimonial

Connie M.

Condition: Pinched Nerve

Procedure: Lumbar DND

“I think vacations will be fun again!”

“I had two lumbar, two thoracic and one cervical level Discectomy Neuro Decompression (DND). From the very first surgery I could sleep all night!”

“I spent many years trying everything from chiropractic and massage (alternating each every other week for at least 15+ years) and several rounds of physical therapy; to multiple level spinal injections (only lasting about 2 ½ weeks) and had three rhizotomys (that had stopped helping). I couldn’t walk much more than 2 blocks before having back, hip, and leg pain lasting for hours… I was on a mission to find other possible answers and/or options… I finally found North American Spine…I was on top of the world again. I had my life back!!!”

Connect With A Patient

Some of our former patients have been kind enough to offer to speak with back and neck pain sufferers who are looking into treatment options. We encourage you to take them up on it! After we determine a treatment plan, we’ll connect you with a past patient who had a similar condition and procedure.

Connect with a Patient

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