About spinal cord surgery
The primary goal of neck or back surgery (spine surgery) is to correct an anatomical lesion in individuals who show no improvement with conservative, that is, non-surgical, treatment. Surgery is not an option for those patients whose anatomical lesion explaining their pain cannot be identified.
Surgery only makes sense if the patient’s anatomy needs to be changed. For example, to remove a hernia. There is no specific reason to consider keyhole surgery to look for a source of pain. Unsuccessful conservative treatment is itself a sign for surgery. A noticeable anatomical lesion is also necessary.
Evolution in Spinal Cord Surgery
Current spinal surgery has undergone significant advances in both spinal implants and technique in recent decades. But even to this day, the most notable advances in spinal surgery have been better pre-effective imaging techniques, which greatly enhance the surgeons’ ability to accurately recognize and correct an anatomical lesion as a source of pain. have improved.
MRI scan (Magnetic Resonance Imaging) has transformed back surgery. It is the most frequent and best test to identify an anatomical lesion responsible for the patient’s problem. The most important factor in resolving the success of spinal surgery is a proper pre-adequate diagnosis. Without an appropriate pre-correct diagnosis, even the most technically successful surgeries have little chance of a successful outcome.
Although this surgery is performed by neurosurgeons or orthopedic surgeons, it is increasingly becoming a field of its own. Many surgeons do additional specialized training in the field after their residency training. Given the precision required for these more demanding surgical techniques, many neurosurgeons or orthopedic surgeons with fellowship training choose to focus more of their practice on spinal surgery. Some trust that the increased level of specialized training and concentration on the spine has contributed to improvements in surgical techniques, which in turn has led to better success rates and minimal morbidity in many types of spine surgery. For example, the reduced postoperative discomfort.
Purpose of Spinal Cord Surgery
This surgery is an elective undertaking, meaning it is seen as a possible approach to increase a patient’s ability to function and reduce pain. Anyway, just because spine surgery is an elective, doesn’t mean insurance won’t cover it. Elective surgery may be medically necessary. ‘Elective’ means that spinal surgery is rarely an absolute necessity. Only in exceptional cases, such as in patients with progressive neurological loss or sudden onset bladder or bowel incontinence, is an emergency spinal surgery actually required.
Operation of Spine can accomplish three tasks:
1. Decompress the spinal cord or nerve root.
2. Stabilize a painful or unstable segment with spinal fusion surgery.
3. Reduce a deformity (for example, for scoliosis surgery in the thoracic spine).
Spine surgery is not done for exploration. The source of a patient’s pain is not immediately apparent when exploring and opening the spine. The preoperative evaluation and imaging results are what identifies the problem and guides the schedule of the procedure.