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If you’ve struggled with back pain for any length of time, you may be wondering if spine surgery is your only treatment option. Sometimes, surgery is the only treatment. However, there’s good news.The vast majority of back problems can be remedied with non-surgical treatments often referred to as non-surgical or conservative therapies.
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Ifyou’vestruggledwithbackpainforanylengthoftime,youmaybewonderingifspinesurgeryisyouronlytreatmentoption.Sometimes,surgeryistheonlytreatment.However,there’sgoodnews.Ifyou’vestruggledwithbackpainforanylengthoftime,youmaybewonderingifspinesurgeryisyouronlytreatmentoption.Sometimes,surgeryistheonlytreatment.However,there’sgoodnews. Thevastmajorityofbackproblemscanberemediedwithnon-surgicaltreatments—oftenreferredtoasnon-surgicalorconservativetherapies.
CONSERVATIVETREATMENT Aswithallnon-emergencyspinalsurgeries,atrialofnon-operativetreatment,suchasphysicaltherapy,painmedication—preferablyananti-inflammatory, or bracing should be observed before surgery is considered. * Spinesurgerymayberecommendedifnon-surgicaltreatmentsuchasmedicationsandphysicaltherapyfailstorelievesymptoms. * Surgeryisonlyconsideredincaseswheretheexactsourceofpaincanbedetermined—suchasaherniateddisc,scoliosis,orspinalstenosis.
MINIMALLYINVASIVESURGERY Minimallyinvasivespinesurgery(MISS),doesnotinvolvelonginci-sions,openmanipulationofthemusclesandtissuesurroundingthespineisavoided,therefore,leadingtoshorteroperativetime.Ingeneral,reducingintraoperative(duringsurgery)manipulationofsofttissuesresultsinlesspostoperativepainandafasterrecovery.
SURGICAL APPROACHES Here aresurgicalapproachesandtheirexplaination below: * ANTERIORAPPROACH:Asthenameimplies,thesurgeonaccessesthespinefromthefrontofyourbody,throughtheabdomen. * POSTERIORAPPROACH:Anincisionismadeinyourback. * LATERALAPPROACH:Thepathwaytoyourspineismadethroughyourside.
COMMON SURGICAL PROCEDURES ThereareanumberofconditionsthatmayleadtoSpine surgery.Commonproceduresinclude: DISCECTOMYORMICRODISCECTOMY LAMINECTOMY LAMINOTOMY FORAMINOTOMY DISCREPLACEMENT:
SPINALFUSION:Asurgicaltechniqueusedtojointwovertebrae.Afusioncanbe accomplished by different approaches : ALIF : AnteriorLumbarInterbodyFusionPosteriorLumbar PLIF : PosteriorLumbarInterbodyFusion TLIF : TransforaminalLumbarInterbodyFusion LIF : LateralInterbodyFusion
SPINAL INSTRUMENTATION Computer-assistedimageguidanceallowssurgeonstoviewtheoperativesitein far finer clarity than traditional visualization techniques. Preoperativecomputedtomography (CT) and intraoperative fluoroscopy (real-time x-ray) are generally used,astheseenablesurgeonstooperatewithahighlevelofprecisionandsafety.