Lumbar spine surgeries
This surgical treatment is necessary when there is sciatic pain from a herniated lumbar disc that lasts too long, usually a few weeks or more. The procedure includes full anesthesia, a small incision and a day or two in the hospital.
In the first stage of the surgery, with the help of a portable x-ray device, the correct height in the spine is identified and then a short cut is made in the back. A microscope is used to give a clear view of the involved nerve and gently remove the parts of the disc underneath it. Care is also taken to ensure that there is no continuous bleeding and that the wound is sutured and closed.
A local anesthetic is injected into the wound during closure to help relieve pain.
Sciatic pain is often relieved immediately, but in some cases may persist after surgery for some time. Sometimes numbness in the area of pain is felt afterwards but will usually fade over time.
It is recommended to go shortly after surgery, the next day at the latest. People often go home within a day or two of surgery.
Microdiscectomy
This surgical treatment is used to treat symptoms of spina bifida or sciatica due to narrowing of the lumbar spinal canal causing nerve pressure.
The procedure involves full anesthesia, a small incision and a few days in the hospital.
The first step of the operation is to use a portable x-ray machine to make sure the correct height in the spine and then make a short cut in the back.
The surgery is performed using optical magnification to give a clear view of the involved nerves and to gently remove the bone and the thickened ligaments that compress them. At the end, care is taken to ensure that there is no continuous bleeding and the wound is sutured.
A local anesthetic is injected into the wound during closure to help relieve pain.
This process usually takes about an hour.
Then there is usually back pain, and painkillers are used.
It is recommended to get around the next day and people often go home a few days after surgery.
for myncotomy-
conditional decompression
This surgical treatment, also called arthrodesis, is a surgical procedure to connect two or more vertebrae together in order to provide stability to the spine and treat pain resulting from degenerative changes in the back or nerve pain.
The goal of the surgery is to relieve the patient's pain by creating bone growth that connects the vertebrae and limits movement in that area of the spine.
Indications for spine surgery include:
Spondylolisthesis- When one vertebra slides forward or backward relative to an adjacent vertebra and may cause mechanical pain or pain due to potential spinal nerve entrapment. This condition can be congenital (present at birth) or can develop in childhood or adulthood.
Degenerative spondylolisthesis- Degeneration of various components in the vertebrae, such as the facet or disc joints, usually occurs after the age of 50, and may lead to instability and sliding of a vertebra forward or backward, may cause narrowing of the spinal canal and mechanical or neural back pain._cc781905-5cde-3194- bb3b-136bad5cf58d_
scoliosis or kyphosis- deformation of the spine
Degenerative disc disease- (Erosion of the discs between the vertebrae) that is not relieved by non-surgical treatments such as physical therapy, drugs, steroid injections and rest.
Traumatic injury- For example, fractures in the vertebrae of the spine that damage the stability of the spine.
Recurrent disc herniation - In some cases, in the case of recurrent disc herniation after surgery, additional surgery is necessary, which also includes fixation.
infections or tumors- which cause damage to the stability of the spine.
instability- Abnormal and excessive movement between two vertebrae that causes pain and may also cause nerve pain.
The surgery is performed under general anesthesia and may include, depending on the specific treatment required in each case, the insertion of screws into the legs of the vertebrae, a mycotomy in order to free the canal and the nerves, the insertion of implants with a bone graft in them for the spaces between the vertebrae.
The surgery can be performed with an open or minimally invasive method, depending on the indication for the surgery and the required surgical treatment.