Facetectomy

Facetectomy is a surgical procedure that involves the removal of one or more facet joints. The facet joints are small, stabilizing joints located between and behind adjacent vertebrae. When these joints become diseased or damaged, they can cause severe pain and loss of mobility. Facetectomy is often performed to relieve symptoms of spinal stenosis, degenerative disc disease, and spondylolisthesis.

Procedure

The procedure is performed under general anesthesia. The surgeon makes an incision in the back over the affected vertebrae and removes the necessary amount of bone and soft tissue to expose the facet joints. The joints are then removed using a combination of special surgical tools and techniques. Once the joints are removed, the surgeon may perform a fusion surgery to stabilize the spine.

Risks and Complications

Like all surgical procedures, facetectomy carries some risks. These may include infection, bleeding, nerve damage, and complications from anesthesia. There is also a risk that the surgery will not relieve the patient's pain. In some cases, the surgery may even cause new pain or other symptoms.

Recovery

Recovery from facetectomy can take several weeks or months. Patients are usually advised to limit their activities and avoid heavy lifting for a period of time after the surgery. Physical therapy may be recommended to help strengthen the back and improve mobility.

See Also

• Spinal fusion
• Laminectomy
• Discectomy