Shared Flashcard Set

Details

Rhizotomy
Surgical Procedure
21
Medical
Professional
04/08/2016

Additional Medical Flashcards

 


 

Cards

Term
What is a Rhizotomy?
Definition
Surgical procedure to sever nerve roots in the spinal cord.
Term
What does a Rhizotomy relieve?
Definition
Chronic back pain
Term
What does a facet rhizotomy do?
Definition
It is for spinal joint pain and may provide lasting low back pain relief
Term
What exactly does a facet rhizotomy disable?
Definition
It disables the sensory nerve at the facet joint
Term
Why else could a rhizotomy be performed for?
Definition
Patients with spasticity that is insufficiently responsive to oral medications or injectable therapies.
Term
Who is the most likely to receive this procedure?
Definition
Children with cerebal palsy
Term
Why is this procedure most commonly performed?
Definition
It is performed for those patients with lower extremity spasticity that interferes with walking.
Term
What is the rubber pad used for?
Definition
To isolate the nerve roots
Term
What is used for pain relief?
Definition
Fentanyl
Term
What might surgeons use to sever the nerves?
Definition
They may use laser or electrosurgical probe
Term
Where is the incision made for a Rhizotomy?
Definition
a 1 to 2 inch incision is made over L1
Term
What is performed to gain access to the spinal cord and spinal nerve?
Definition
a laminectomy
Term
What nerve roots are placed on the top of the rubber pad?
Definition
The sensory nerve roots
Term
What nerve roots are placed on the bottom of the rubber pad and why?
Definition
The motor nerve roots and they are placed there for their protection
Term
How many rootlets are the sensory nerves divided into?
Definition
They are divided into three to five rootlets.
Term
What type of recording is used to test the rootlets?
Definition
Electromyography
Term
How do you rate the severity of damage?
Definition
from 1 - 4, with the later being the most severe.
Term
What are done with severely abnormal rootlets?
Definition
They are severed, and the procedure is repeated between spinal nerves L2 and S2
Term
What is closed at the end of the procedure?
Definition
The dura mater
Term
What are some complications of a Rhizotomy?
Definition
Permanent paralysis of the legs and bladder, impotence, sensory loss and/or numbness, wound infection, meningitis, and leakage of spinal fluid through the wound.
Term
Wound Classification
Definition
Class 1: Clean
Supporting users have an ad free experience!