To gain access to the spinal nerve root and remove a rupture…

To gain access to the spinal nerve root and remove a ruptured disc during a laminectomy/micro disc procedure, the surgeon uses a powered, handheld drill/burr (Stryker TPS or RemB) to open a small pilot hole in the bony lamina. The surgeon will typically convert to using a different cutting instrument after to avoid damaging the dura. What instrument is  used to enlarge the small hole and remove additional lamina bone?

It is crucial to remember the ESU unit should only be used _…

It is crucial to remember the ESU unit should only be used ________  to prevent nerve tissue damage. The ST should communicate this with the circulating nurse who can then make adjustments. The settings/device should be adjusted before the surgeon begins dissection in the fine neural tissue.