Doctor insights on:
What Are The Advantages And Disadvantages Of The Endoscopic Laser Spine Surgery
Less invasive: Pro: less invasive (small incision, less tissue disturbance), maybe faster recovery (hard to prove) con: more x-ray exposure, fewer surgeons competent in technique, may or may not prove more effective than conventional surgery both it and conventional share surgical risks: infection, bleeding, continued symptoms, relapse, nerve or blood vessel problems, etc. ...Read moreSee 1 more doctor answer
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
Why: Laser spine surgery carries with it the same dangers as conventional spine surgery. The real question is are there advantages of laser spine surgery over conventional spine surgery. According to a paper by the mayo clinic laser spine surgery does not provide any advantage over conventional spine surgery. There are no independent studies that have confirmed the benefits of the laser spine surgery over conventional spine surgery. Additionally there in the next the tremendous expense of laser spine surgery that cost approximately 2 to 3 times that of conventional. ...Read more
Nothing new about it: The use of lasers for spine surgery have been around for years. These devices are used mainly to burn and destroy tissue or nerves in attempts to manage pain. There are places throughout the country that advertise this new state of the art technology. Not much new about it. Not any riskier than traditional spine surgery. Not sure it is more effective. ...Read moreSee 1 more doctor answer
Safe not effective: Laser spine surgery simply means removing disc with a laser rather than manually. It is typically performed percutaneously. Although there are reported benefits, in order to state that it is effective, those benefits have to beat the placebo effect which is considerable. Most of the laser surgeries done are for disc bulge which doesn't need surgery in the first place. ...Read moreSee 1 more doctor answer
Multiple: This is an important question to discuss with your doctor prior to surgery. For most cases, the following medications should be avoided: 1. Blood thinners (to decrease risk of bleeding) 2. Aspirin/plavix/anti-platelet meds (to decrease risk of bleeding) 3. Avoid recent spinal steroid injections (to decrease risk of infection). ...Read moreSee 2 more doctor answers
Several: Make sure you understand your diagnosis and procedure. A lot of "laser" procedures are heavily marketed but don't have much evidence to show any benefit of the laser. Consider a second opinion prior to the procedure by another spine specialist. Ensure that you have tried non-operative treatment without success. The arrangements otherwise are similar to those prior to any other surgery. ...Read moreSee 2 more doctor answers
Uncertain: Most spine surgeries have risks and benefits, most often based upon peer reviewed literature. Most facilities that offer these "laser" procedures should discuss such risks. As a reconstructive spinal surgeon, I have seen patients treated in these facilities who report acceptable pain relief. I have also performed major revision surgery for bad outcomes from laser surgery. ...Read moreSee 2 more doctor answers
Doctor: Talk with your surgeon. They can tell you the limitations and expectations, if you undergo a procedure. They should also inform you on where the procedure is done, since many of the "laser" procedures are done in various type of treatment facilities. If done in an outpatient setting, verify that the surgeon has admitting privileges at a nearby hospital in case overnight care is required. ...Read moreSee 2 more doctor answers
Decompression: Most of the techniques of laser spine surgery involve decompressing the neural elements. This tends to be best at relieving radicular pain-pain which radiates down arms or legs. Surgical back pain is related to instability which is only relieved with a stabilizing procedure such as a fusion, disc replacement, or (experimental) joint replacement. Laser is unlikely to help pure back pain. ...Read moreSee 1 more doctor answer
As medicine advances, do you think there will ever be a cure for scoliosis in the near future instead of surgery? I've heard of laser spine surgery?
Potentially: As out knowledge advances on the causes of scoliosis we may find new ways to treat the condition early before surgery is required. However, if you already have the condition and it is worsening to the point surgery is needed, it is quite effective. That said, laser spine surgery has no role in the correction of scoliosis. ...Read moreSee 1 more doctor answer
Depends: It depends on exactly what is being done, your surgeon's experience and training, your size and medical condition, the type of condition being treated. All surgery has risks. Mis can reduce some risks, but may increase other. Have a frank discussion with the surgeon recommending the procedure. ...Read moreSee 4 more doctor answers
Yes: There will be pain from the surgery itself. Depending on the extent of the procedure this pain can last for days to a few months. Spine pain is not the best clinical indication for surgery. Many who proceed with surgery for back pain only may see some improvement in their pain, but should not expect complete resolution. ...Read moreSee 2 more doctor answers
Spine surgery: This is surgery to treat disorders of the spine. It may be a discectomy, laminectomy, or fusion. Fusion surgery usually means using special plates and screws whic typically stay in permanently. Many of these procedures can be performed using minimally invasive techniques. ...Read moreSee 2 more doctor answers
Maybe: It depends a lot on what surgery you have and how badly you want to jump. The problem is in landing can cause a lot of impact on the spine. If you have a healed spine after surgery and it is very stable, it should be ok. However, the more often you put impacts on the spine, the more it will be prone to further problems down the road. ...Read moreSee 2 more doctor answers
RSD is worse: Reflex sympathetic dystrophy is a pain syndrome that causes severe pain and usually also skin changes because of impaired sympathetic flow to nerves. Rsd is very difficult to treat. On the other hand spine surgery pain is generally limited to the recovery from surgery. ...Read moreSee 1 more doctor answer
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