Nursing Students Student Assist
Published Feb 27, 2008
MrsRNn2009
46 Posts
: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
1 Article; 14,604 Posts
here are websites where you can get information about surgery:
[*]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.