Spinecare Topics
Benefits and Risks of Back Surgery
Some surgical procedures are extremely straightforward such as operating on a herniated disc at one level that is compressing on the spinal cord or nerve root. Other conditions are less straightforward or more complicated due to multilevel involvement or multiple factors occurring at one level of the spine. In these situations, the level of the surgeon’s experience becomes more important.
Exposure to Excessive Surgeries:
Surgeons are trained to perform surgery. Some surgeons are subsequently quick to recommend surgery. Numerous studies have demonstrated that more than 80-percent of individuals with herniated disc will respond favorably without surgery. Some outcome studies have demonstrated that individuals who receive surgery for a herniated disc are no better off 5-10 years later then those who were treated non-surgically. The more experienced the spine surgeon is the pickier he will be choosing which patients actually need surgery. They have learned through experience.
Some unnecessary back surgeries are performed because the patient believes that it will provide them with the best and quickest cure. The uninformed patient may demand a “quick fix� and not listen to therapeutic alternatives. They may pressure the spine specialist to proceed with surgery. There is a reduced likelihood of having unnecessary or excessive surgeries in a multidisciplinary spine center.
A spine surgeon may choose to perform a re-operation in an attempt to correct a failed back syndrome. Unnecessary second and third surgeries can lead to additional complications associated with even greater pain and limited physical capacity. Current research reveals that repeat back surgery rarely produces improvement and many patients continue to undergo additional back surgeries. It is always important for the patient to remember that their surgeon may not have personal experience with the broad spectrum of conservative and non-surgical treatments options that are available. He or she may subsequently have a bias towards surgical correction or care. It is important for the patient to also ask their surgeon how many times they have performed the surgical procedure they are recommending. They should ask how many times a year they perform the procedure. Practice helps the surgeon perfect the procedure and thus improve therapeutic outcome.
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