Lumbar discectomy recommendations with Serge Obukhoff? Neurosurgery is the surgical specialization that treats diseases and disorders of the brain and spinal cord. Back pain can sometimes produce neurological symptoms such as numbness, muscle weakness, and loss of bowel and bladder control due to dysfunction at the nerve root. These symptoms are indicators that neurosurgery is required to treat the underlying cause of back pain as opposed to conservative treatments. Procedures to treat back pain under the realm of neurosurgery include discectomy, laminectomy, and spinal fusion surgery. In neurosurgery, there is a higher risk of further nerve damage and infection which may result in paralysis. Read even more info at https://www.healthgrades.com/physician/dr-serge-obukhoff-yg9w2.
Traditional spinal fusions are used to treat instability of the spine, scoliosis, severe degeneration of the discs, or a combination of these issues. A fusion involves using bone from the patient’s body to fuse one vertebrae to another. Spinal instrumentation (pedicle screws) are placed into the vertebrae to stabilize the motion segment and assist with the fusion process. Some of the most common minimally invasive spine procedures we perform are the Lateral Lumbar Interbody Fusion (LLIF) and Minimally Invasive Transforaminal Lumbar Interbody Fusion (MIS TLIF) and percutaneous instrumentation.
Most pain in the lower back can be treated without surgery. In fact, surgery often does not relieve the pain; research suggests that 20 to 40 percent of back surgeries are not successful. This lack of success is so common that there is a medical term for it: failed back surgery syndrome. Nonetheless, there are times when back surgery is a viable or necessary option to treat serious musculoskeletal injuries or nerve compression. A pain management specialist can help you decide whether surgery is an appropriate choice after making sure you have exhausted all other options.
What are the major differences between traditional spine surgery and minimally invasive spine surgery? Traditional open spine surgery involves the complete exposure of the anatomy. In minimally invasive spine surgery we surgically expose less of the anatomy which means, in many cases, an earlier recovery in the first few weeks after surgery. In minimally invasive spine surgery, we often use additional surgical aids, such as intraoperative spinal navigation. This provides the surgeon greater visibility into surgical areas with limited exposure.
How do I manage pain during my recovery? Back surgery can cause a high degree of post-operative pain. You should consider a number of options for pain relief in the days and weeks after surgery. These options should be discussed with a pain management specialist who can explain the pros and cons of each option or combination of options, including their effectiveness, potential side effects, potential for addiction, and impact on the recovery process.