Doctor insights on:
Laminaplasty Or Fusion
A type of spine : Surgery where implants which are usually several screws that attach to the bones of the spine and are then interconnected over one or more levels with usually a pair of metal rods -this is the instrumentation. A fusion is a healing together of two or more spine bones or vertebra with the use of bone material or synthetic substitutes. ...Read moreSee 1 more doctor answer
A fusion gets rid of a joint or disk between to bones, getting the bones to join together with bone between them. If successful, it eliminates almost all the motion between the bones. Sometimes fusion simply occur as a result of disease, rarely from aging. Most of the time ...Read more
Is a laminectomy or minimally invasive foramenectomy w/o fusion better for mixed foraminal and spinal cervical stenosis?
Ask your surgeon(s): They'll review your imaging with you and discuss your options. But before further surgeries, you mention physical therapy and cymbalta, (duloxetine) but there may be other non-surgical options including other medications, pain psychology and interventional pain procedures that may be helpful for your condition. Good luck! ...Read more
Depends: The answer depends on the anatomy of the problem and of course the symptoms present. Many people have degenerative discs and live pain free. Fusions can be done if there is instability or deformity present. Disc replacement can be done in the absence of instability and deformity if the patients pain correlates well with the imaging findings. See a spine surgeon to discuss further. ...Read more
If it is you!: It depends on one's perspective and really on how healthy you are and how severe the disc herniation is and if any other associated pathology or if there was any other prior surgery or treatment(radiation) through the surgical approach that may complicate the surgery or if you are a smoker, obese, diabetic, have an existing chronic remote infection, renal disease etc. ...Read moreSee 2 more doctor answers
Depends on reason: This depends on the reason for this type of surgery, the number of levels involved. , whether this is a repeat surgery, the health and age of the patient, the smoking status of the patient, their weight and nutritional status and other co morbidities or problens like diabetes, thyroid disease, etc.. The bone density can also play a role, ie, osteoporosis. ...Read more
Does cervical spine or lumbar spine surgery have the best prognosis and ease of surgery? Is artificial disc replacement or fusion surgery best for treating cervical spondylosis?
Many variations: Anterior or posterior, discectomy, decompression, or fusion. All affect recovery rates. For fusions, anterior cervical tends to be an easier recovery than lumbar. Cervical adr is quite comparable to fusion for short and mid-term outcomes. Longer term studies may show better long-term results than fusion, but we currently don't have enough data. ...Read moreSee 2 more doctor answers
What are the possible risks of NOT having surgery when anterior lumbar interbody fusion with posterior fixation is indicated (ALIF L4,L5,S1,fix L5-S1?
Depends: Have you tried nonsurgical options? Surgery is typically indicated if you're having neurologic dysfunction and/or chronic intractable pain from a serious disc herniation and have failed to improve with conservative options. At your age make sure that you've had a couple of opinions and have tried nonsurgical options including physical therapy, medication, and possibly injections ...Read more
Are headaches after undergoing a anterior cervical discectomy plus spinal fusion significant or common?
They can be: Headaches are tricky, sometimes they are primarily caused by cervical spine problems, often times they are exacerbated by them, but it is difficult to predict whether surgery will ever help them, except in the case of an obvious c34 disc and radiculopathy with occipital nerve type pain which is mechanical. ...Read moreSee 1 more doctor answer
Different surgeries: Spinal decompression surgery is performed nerve root impingement-usually from bone or ligaments in the spinal canal or where the nerve roots exit-the neuroforamena. Generally called a laminectomy, it involves removing bone and ligament from the spine. A spinal fusion locks together two or more segments of the spine, usually with screws and rods. Bone is added as well to allow the bones to knit. ...Read moreSee 2 more doctor answers
It is very common.: Transforaminal interbody fusion, or tlif, is a common spinal procedure. It is just one of many tools used in spine surgery. It's important that the decision for surgery be made carefully, and that the particular combination of procedures be individualized for a person's anatomy and symptoms. ...Read more
Spine Pain Options: This pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read moreSee 2 more doctor answers
What are the pros/cons of a 3 level cervical laminectomy w/o fusion vs a keyhole endoscopic decompression for stenosis(disc &spurs compressing nerves?
Complex: It is a little complex to fully discuss in such a forum; but a for amounting would be appropriate if you are just having symptoms of foraminal stenosis causing pain in the arm, where a laminectomy may be needed if you have problems related to central cord compression. Definitely would need to discuss face to face with your surgeon. ...Read more
Yes!: The surgery is major, though generally well tolerated. The surgery is near the spinal cord and many nerves. It requires moving the esophagus, the muscular tube where food passes to your stomach. The windpipe and voice box are also moved. Any of these can be injured or work less well after surgery (temporarily or permanently). Risk depends on many factors, so talk to your surgeon. ...Read moreSee 2 more doctor answers
Terms confusion: Disc replacement usually refers to an artificial disc implant. The disc is removed during fusion operation and replaced with bone or an implant and this may referred to as a disc replacement. This is a misnomer. For more information , visit www.eSpine.com ...Read moreSee 3 more doctor answers
Middle of your foot: This is most likely a fusion of the 1st, 2nd and 3rd metatarsal or long bone in your foot to the cuineoform bones which are in the tarsal area of your foot. The bones are held together with hardware, plates, screws, staples any of these can be used to allow the bones to heal together. Usually the hardware does not need to be removed. ...Read more
What is best for a vertebral compression fracture and why: vertebroplasty, balloon kyphoplasty, or radiofrequency kyphoplasty?
Yes: Increases fusion rates which are already excellent, equivalent alternative is auto graft hip bone and six weeks in collar allograft donor bone with plate and limited post op immobilization has yielded excellent results for decades . benefits: no second surgical site and no immobilization can be achieved with cervical disc replacement as well sucess rate for relief if arm pain well documented ...Read more
Rarely: Spine fusion is reserved for when symptoms arise from spinal instability. Examples include unstable fracture, severe scoliosis, or symptomatic vertebral slip resulting in a pinched nerve. A symptomatic bone spur can almost always be removed without fusion. Like any surgery, fusion should be considered only when there is a clear benefit to offset inherent risks. ...Read moreSee 1 more doctor answer