Laminectomy, micro-discectomy, and nerve injury relief HELP!

[MrsRNn2009]

:typingok so my instructor tried to put a 5 hour lecture into 2.5 hours. we were left with NO info on the following 2 questions.

1.ID and decribe the surgical procedures of the spine that are performed to relieve nerve injury.

-she gave a worksheet to fill out w/

-cervical:

>open anterior & open posterior laminectomy w/ fusion

>microsurgical dissection of the disk

-lumbar:

>laminectomy w/ fusion

>micro-discectomy

>percutaneous discetomy

2. discuss the nursing management of pt's following the ID'd health deviation cervical and lumbar disk surgery

what i have found in books and online so far:

simple laminectomy is the removal of the bones and ligaments on the back of the spine, it's an incision made 2 levels above and below the site of cord compression.

but is this r/t nerve injury?

only the compression of the cord or is there other reasons you could have nerve injury, does herniated disk fall into this?

some nursing implication i found were keep BR, assess neuro, HOB flat for first 24 hours, assess extremety function...

sorry it is soo long but i have been looking everywhere for some understanding & it's all pretty brief. any help would be appreciated. thanks

[Daytonite, BSN, RN]

here are websites where you can get information about surgery:

• encyclopedia of surgery http://www.surgeryencyclopedia.com/index.html
  • http://www.surgeryencyclopedia.com/la-pa/microsurgery.html - microsurgery
    
  • http://www.surgeryencyclopedia.com/fi-la/laminectomy.html - laminectomy
    
  • http://www.surgeryencyclopedia.com/ce-fi/disk-removal.html - disk removal and mircrodiskectomy
    
  • http://www.surgeryencyclopedia.com/pa-st/spinal-fusion.html - spinal fusion
    
  • http://www.surgeryencyclopedia.com/pa-st/spinal-instrumentation.html - spinal instrumentation

  [*]http://www.or-live.com/ - or live. you can search through their archives for spinal surgeries and watch them replayed for you on video

  [*]http://www.upmc.com/healthmanagement/managingyourhealth/healthreference/procedures/ - you can search through this list for spinal procedures. there is a animation of a laminectomy that you can link into and watch

  [*]http://adam.about.com/surgery/maindex.htm - a number of spinal surgeries are listed here that you can get information on. narration is done during the surgeries.