Doctor insights on:
Surgery Of Spine
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
If no pain no worry: If no symptoms in terms of pain or neurologic symptoms or findings, don't worry unless physician believes that the spine has an instability then you would need surgery. Otherwise, the spine can change its alignment due to degeneration or due to muscular issues or even related to disc herniation or spinal stenosis. If those are causing symptoms you treat them, not how the spine lines up ! ...Read moreSee 1 more doctor answer
It varies: It varies tremendously based upon the nature of the surgery performed. Infection, spinal fluid leak, and nerve injuries are among the more common complications. If you are contemplating survey, you would sure want to have this conversation with your surgeon. Thank you for your question. ...Read moreSee 1 more doctor answer
What are the risks of spinal surgery? What are the risks of spine surgery for herniated disks, located just below the level of the shoulder blades?
Varies: In general, spinal surgery is safe with relatively low complication rate. Complications can be spine and surgery related or related to anesthesia and perioperative medical complications. Each specific spinal surgery, such as in a thoracic disc herniation which you are describing, has it's own unique risks and benefits and so you should certainly have a good talk with your surgeon. Thank you. ...Read moreSee 2 more doctor answers
Experience/training: Orthopaedic and neurologic surgeons are qualified with basic training to perform spinal fusions. Surgeons from both fields can undergo additional training in spine surgery known as a fellowship. The best recommendation of choosing a surgeon should be based upon experience and training. Understand board certification status, and ask for patient recommendations. ...Read moreSee 1 more doctor answer
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
Selection: The most important factor in most spinal surgeries is selection. That being said, in a perfect candidate for disc replacement with what would be described as purely discogenic pain at a single level in the lumbar spine the success rate is approximately 80-90 percent good results. ...Read more
Varies: It depends completely on the nature of the surgery performed. Some of the minimally invasive surgeries we perform have little or no down time. Other, much more extensive surgeries, may have recovery times that extend several months. Thank you for your question. ...Read moreSee 1 more doctor answer
Having scoliosis surgery and fusion to thoracolumbar spine to pelvis and l5/s1 decompression with multilevel osteotomies. What happens in surgery ?
Lumbar scoliosis: Simple. Incision made in back to visualize spine to be fused. Length of incision appropriate for fusion. The facet joints are removed and the bone prepared for fusion. At l5-s1, facet and disk removed, and spacer placed into disk along with bone graft. Multiple laminectomy and facet excisions (osteotomy) to make spine more flexible. Rods/screws placed to maintain correction. Bone graft placed. ...Read moreSee 1 more doctor answer
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
Spine Stabilization : Spine fusion surgery locks adjacent vertebral segments together permanently. Except in the neck, it should be reserved for patients with symptomatic instability of the spine (i.e. Fracture, severe deformity, slipped vertebra pinching a nerve). In the neck, because the surgical approach to treat a pinched nerve is often through a disk, fusion without significant instability is appropriate. ...Read moreSee 2 more doctor answers
Several depending : Depends on the type of surgery- laminectomy, diskectomy or fusion ( with or without instrumentation) or a combination of these, whether it is a second surgery and from what approach is used as well as dependent on your underlying physical condition ( age, weight, diabetic, smoker, bone density). Risks include: infection, nerve injury, spinal fluid leakage, scar tissue formation, and more. ...Read moreSee 1 more doctor answer
Pain: If by failure you mean what is the chance you will still have pain -50%. If the disc is causing loss of sensation or strength then the chances are somewhat better of aiding it. Back surgery for pain has abysmal results. Wt loss, strengthening your abs without laying on your back and glucosamine have at least as good of results if not better. ...Read moreSee 2 more doctor answers
An Orthopaedic Spine: Surgeons that is well trained could perform an endoscopic posterior cervical endoscopic surgical procedure to decompress your cervical spine. But you have to make sure you are not focused more on the secondary goal than on the primary goal (properly addressing your pathology and resolving your symptoms). Some pathologies may not be best treated with endoscopy, so beware, and listen to your surgeon. ...Read moreSee 1 more doctor answer
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