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Different Types of Back Surgery For Patients To Consider
Posted By admin On May 23, 2011 @ 1:29 pm In Back Surgery | No Comments
Patients with sore or painful spines typically come into my office with questions about the different types of back surgery. That said, there are several key points a patient should consider as they consider back surgery types. Here are some ideas for both patients and caregivers:
Unless an emergency situation exists, few surgeons will operate on the spine without a minimum of three to six months of more conservative treatment. Patients may be advised to rest, alter their activities or attend physical therapy during this time. Aspirin or ibuprofen may be recommended to treat the pain, but the doctor may also prescribe more powerful pain relievers or muscle relaxers. Epidural or facet injections should also be considered or tried prior to considering operative intervention.
The type of back surgery [1] needed depends on the nature of the injury and diagnosis. Both the severity and the location of the injury will be evaluated carefully before the surgeon makes a recommendation. If more than one technique is possible, the patient’s health, lifestyle and the surgeon’s preference will also be factors in the decision.
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. In a laminectomy, the surgeon removes the back of the vertebra, called the lamina, as well as any portion of the disc that requires removal. By removing the lamina, the spinal canal has more space thus relieving pressure on the compressed nerve.
If a nerve is receiving pressure from a source other than or in addition to a herniated disc, the surgeon may elect to perform a foramenotomy. In this procedure, scar tissue or bone can be removed to free the nerve. The procedure is normally used to correct pressure on nerves at the points where they emerge from the spinal column.
Spinal fusion may be performed in conjunction with another surgery, such as a discectomy or laminectomy, or it may be performed to correct a condition such as an instability known as spondylolisthesis. The net effect of the surgery is that the spine can no longer bend where the two vertebrae have been fused. A relatively new procedure involves replacing the disc with an artificial prosthesis. Patients may have difficulty, however, in locating a surgeon with extensive experience with replacement surgery. The results of disc replacement are still being studied and remain unknown.
I hope this help you understand some of the different back surgery types.
Until next time,
Stuart
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