Spine Surgery

Spine Surgery

A human Spine may get affected due to muscle weakness or internal damage. The reasons are unknown although treatments are possible. Generally, 2 major serious or chronic spinal problem is found in a human which are:-

  • Lumbar Decompression or Fusion
  • Cervical

Lumbar Decompression Spine Surgery

Lumbar decompression surgery is a kind of surgery used to treat compressed nerves in the lower (lumbar) spine. The surgery aims to improve symptoms caused by pressure on the nerves in the spine and is only recommended when non-surgical treatments haven’t helped.

Lumbar decompression surgery is often used to treat:-

  • Spinal Stenosis- shrinking of a section of the spinal column, that puts pressure on the nerves inside.
  • A Slipped disc and Sciatica- in which a damaged spinal disc presses down on an underlying nerve.
  • Spinal injuries- severe injuries like fracture or swelling of tissue
  • Metastatic spinal cord compression- where cancer in one part of the body spreads into the spine causing pressure on the spinal cord or nerves.

The Procedure

Lumbar decompression surgery generally involves one or more of the following procedures:-

  • Laminectomy- A section of bone is removed from the spinal bones to alleviate pressure on the affected nerve.
  • Disectomy- a section of the damaged disc may be removed to relieve pressure on a nerve.
  • Spinal Fusion-Two or more vertebrae are joined together with a section of bone to stabilize and strengthen the spine.

There are several different treatments available to relieve pressure on the spine. Such as:

  • It gives stability and support to the spine section after surgery and maintains bone grafts intact throughout the healing period.
  • The spinal segments are connected by metal rods and pedicle screws give anchor points on it.
  • When the bone graft develops and fuses to the adjacent bones, the rods and screws are removed.

PLIF, ALIF and TLIF Procedures

  • Posterior Lumbar Interbody Fusion
  • Anterior Lumbar Interbody Fusion
  • Transforaminal Lumbar Interbody Fusion

The above mentioned are three common fusion surgeries in which two or more vertebrae are joined or fused together.

Microdiscectomy

A microdiscectomy method uses minimally invasive techniques to offer relief from pain caused by a lumbar herniated disc.

MISS (Minimally invasive spine surgery)

MISS is an alternative to traditional open surgical procedures performed to treat different spinal disorders, such as degenerative disc disease, herniated disc and spinal stenosis. It offers many possible benefits, like small incisions, less cutting through soft tissues, outpatient options, minimal post-operative pain, and speedy recovery.

Foraminotomy

A foraminotomy is a sort of spine surgery done to decompress (eliminate pressure) on a spinal nerve root. The practice refer to the spine's foramen; the nerve passageways by which the nerve roots exit the spinal column.

Vertebroplasty

Vertebroplasty is an outpatient practice for stabilizing compression fractures in the spine. Bone cement is injected into vertebrae that have cracked or broken, mostly due to osteoporosis. The cement hardens, stabilizing the fractures and supporting the spine.

Kyphoplasty

It is a minimally invasive surgery performed to treat a spinal compression fracture. Spinal compression fractures take place primarily in spinal vertebrae that have been weakened by osteoporosis.


Cervical Spine Surgery

Cervical spine surgery is generally done on an elective basis to treat :

  • Nerve/spinal cord impingement (decompression surgery)
  • Spinal instability (fusion surgery)

These conditions may generate pressure on the spinal cord or on the nerves coming from the spine. It aids easing neck pain, numbness, tingling and bring back nerve function. It also prevents abnormal motion in neck.

Cervical Spine Surgery Approaches

Neck is one of the most flexible parts of our body and injuries may cause fracture, dislocation of the cervical vertebra or damage in the spinal cord. A surgery can be done to stabilize the spine. The most common types of cervical spine surgery are:-

  • Anterior cervical discectomy and fusion (ACDF) surgery
  • Posterior Cervical laminectomy and Lateral mass screw Fusion
  • Surgeries for C1C2—Odontoid Screw and Transoral odontoidectomy

ACDF: The surgery is done to remove herniated or degenerative disk in the spine.

Procedure

  • This surgery is done through the front of the neck under general anesthesia. Firstly, the affected vertebrae, disks, or nerves are identified. Then your surgeon removes the damaged spurs or disks. The process is known as discectomy.
  • After removing the disk, the space between the bony vertebrae is empty. This space is then filled using bone grafts from somewhere else. Bone grafts come from following sources:
    • Autograft –bone comes from you.
    • Allogaft-bone comes from a donor.
    • Bone graft substitute- comes from manmade ceramic, plastic and bioresorbable compounds.
  • Titanium screws and plate is then attached to the two vertebrae around the spot where the disk was removed.
  • Organs are positioned back in their normal place and incision is stitched subcuticularly.

After the surgery, your doctor will monitor your health condition and may discharge you after a stay of 3-6 days.

Posterior Approaches:

The procedure is done through the back of the neck to eliminate lamina bone in order to ease pressure on the spinal cord and lessen neck pain.

Any Injury or age-related degeneration of the neck bones can generate pressure on the spinal cord or nerve root leading to neck pain, weakness and numbness of the hands, arms and legs.

Procedure:-

  • A cut is made in the middle of the back of the neck.
  • The muscles are softly moved allowing the spine to be visible.
  • Titanium Lateral mass screws are then inserted and joined with rods
After Surgery Care
  • Take the prescribed medicines on time.
  • Avoid lifting heavy objects.
  • Avoid moving your neck much
  • Avoid prolonged sitting in same position.
  • Go for regular physical therapy sessions

Spine Surgery Hospital in Gurgaon

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