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Spine Surgery

Spine Surgery

The treatment of spinal conditions require a comprehensive approach, in which surgical as well as non-surgical and pain management specialists work in unison. When pain in the back or neck point towards spine problems, primary care always makes an attempt to avoid the need for spine surgery and turn to conservative treatments, which in many cases turn out to be sufficient.

Conservative care includes:

  • The first line of medical treatment is activity limitation, avoiding strenuous exercise, bending and lifting.
  • Anti-inflammatory drugs, pain medication, muscle relaxant, epidural cortisone injections for pain relief
  • Physical therapy with spine based rehabilitation programs

When Spine Surgery Becomes Imperative

Some conditions however remain unresponsive to conservative treatment and spine surgery becomes inevitable. What are the most common conditions that call for surgical intervention?

  • Osteoporotic compression fractures – in the thoracic and lumbar areas the vertebral body collapses due to the lost bone strength. Vertebroplasty and kyphoplasty are the most commonly performed spine surgery procedures to address this condition.
  • Sciatica –severe pain in the lower body caused by irritated nerve roots that get under excessive pressure in the lower back.
  • Spine tumor – it can occur in the spinal cord and nerves or in the bone structure of the spine
  • Disk herniations – when the spinal disks (soft surface that cushion the space between the bones) get worn out, they can rupture, allowing the disk material to bulge outward. They are severely painful and may interfere with nerve functions.
  • Spinal stenosis – it is the degenerative narrowing of the space where the nerves lie, causing severe pain and motion limitation.
  • Scoliosis – the abnormal curving of the spine. When it threatens heart and lung functions, spine surgery becomes imperative
  • Disk replacement – artificial disk are now available for implantation both in lumbar and cervical areas
  • Degenerative spondylolisthesis – a degenerative weakening and thinning of the facet capsules of the spine joints
  • Traumatic spine injuries

Spine surgery procedures are predominantly performed by neurosurgeons and orthopedic surgeons who have trained extensively in spinal conditions and their surgical solutions.

Doctors specialized in spine surgery are usually further focused on one of the three mayor areas:

  • Lumbar spine surgery
  • Thoracic spine surgery
  • Cervical spine surgery

Lumbar spine surgery most frequently addresses:

  • Low back pain
  • Lumbar disc herniations
  • Lumbar fusion
  • Lumbar Scheuermann’s disease
  • Degenerative spondylolisthesis
  • Lumbar spine trauma
  • Spinal stenosis

Cervical spine surgery most commonly tackles with:

  • Neck pain
  • Anterior cervical fusion
  • Rheumatoid arthritis
  • Cervical disk herniations
  • Cervical disk replacement
  • Whiplash injuries

Diseases operated in thoracic spine surgery are:

  • Scoliosis
  • Scheuermann’s disease

Minimally Invasive Spine Surgery Procedures

When referring to minimally invasive spine surgery, we usually mean a wide range of state-of-the-art and even experimental techniques such as:

  • video-assisted endoscopic spine surgery
  • laser spine surgery
  • operating microscopes
  • computer-assisted navigation technology

Both endoscopic spine surgery and laser spine surgery are designed to promote faster healing, and to spare the patient from large dissections that may disrupt the blood supply of the operated area. Further advantages involve:

  • Less force is needed for muscle retraction than in traditional open surgery, therefore less damage is done to muscles.
  • Less blood loss and pain
  • Patients can resume daily activities faster

Nowadays most spine surgery procedures, such as lumbar fusion and scoliosis can be treated with minimally invasive spine surgery, but every case should be subject to individual medical consideration. Patients should know that these procedures require strong technological background from the medical facility and special training from part of the surgeon.

What Conditions Are Normally Treated with Minimally Invasive Spine Surgery?

  • Lumbar spinal stenosis
  • Vertebral compression fractures
  • Disc herniations
  • Scoliosis
  • Spinal infections
5 / 5 stars
Dotty Muller
Spine Surgery
I've been suffering for the last three years of sciatica. The pain in my lower back and body was unbearable, I tried every treatment possible, going to therapists, spending lots of money, you know...everything but surgery. Three months ago I decided to end this pain and filled in my details on this website, I was very skeptical of them retrurning back, anyway I got a call from Irene who presented herself as a medical consultant and after a long talk and several enquiries I took off to Canada , it was about five months ago and I had a spine surgery done. I thought to myself, what have I got to lose with all this pain going on. Thanks Irene, for your support.
on 04/19/2013
5 / 5 stars
Simon Benjamin Endy
Spine Surgery
I'm a British expat living in Nicosia, I've been suffering from spinal stenosis and have come to a stage where I had to undergo surgery. After talking to Asia from onlinemedical tourism and sending her my medical x-rays and medical record she offered me a couple of options of which I chose Israel to do the operation. I was surprised to know that they have the best surgeons for this sort of surgery, Anyway I'm after it, and I want to thank Dr. Shulman for being not just an excellent surgeon but a human being as well, he came to visit me everyday and truly cared about me

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