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YOU are here : Home > Spinecare Topics > Options for Spine Treatments > Benefits and Risks of Back Surgery
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Options for Spine Treatments
Benefits and Risks of Back Surgery
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Benefits and Risks of Back Surgery
The treatment of excessive scar tissue usually includes an anti-inflammatory approach and rehabilitation. A re-operation to free scar tissue may result in additional scar tissue formation unless special precautions are taken. The use of special materials such as Adcon or Adcon-L or another barrier gel may help prevent the reoccurrence or proliferation of scar. Fat transplantation around the spinal nerve may help prevent significant adhesions from forming.
During spinal movement, the individual nerve root slides within its surrounding membranes (dural sleeve). Scar tissue which adheres a spinal nerve to these membranes or that limits movement of the membranes (dura) will inhibit sliding motion and compromise the elasticity of the nerve root complex. This is often associated with pain. In this situation, the nerve root and the special membranes or dural sleeve are subject to abnormal tension that can induce the cyclic development of microtrauma, bleeding, inflammation, and further scar tissue formation. Chronically inflamed nerve roots become sensitized to compression that can result in magnified pain syndromes.
Arachnoiditis
Arachnoiditis refers to an inflammatory process of the arachnoid lining which is a membrane that surrounds the spinal cord and nerve roots. It may be associated with discomfort, severe incapacitating pain and in some cases significant neurological disability. The pain can feel like an electric shock traveling up and down the spine, provoked with any movement. Chronic inflammation of the arachnoid membrane can lead to scar formation and adhesive arachnoiditis. Progressive arachnoiditis may be associated with nerve root adhesions. This process represents adhesive arachnoiditis. Thick adhesive arachnoiditis may interfere with spinal fluid mediated nutrient delivery to the nerve root.
Varying degrees of arachnoiditis are fairly common in failed back syndrome (FBS). Surgery is more likely to contribute to localized arachnoiditis whereas chemical insult is more apt to cause generalized or diffuse involvement.
Nerve Injury
Spinal surgery can cause trauma to one or more spinal nerves. A spinal nerve may be injured by direct physical trauma, such as laceration, blunt injury or stretching during retraction. A spinal nerve can also be injured secondary to limited blood supply during surgery or as the result of compression due to bleeding around the nerve. Damage to a spinal nerve can cause a loss of sensation and muscle weakness. The clinical presentation depends on which spinal nerves are affected. Nerves in the lower extremity are often damaged during low back surgery because of compression on the nerve when it is pulled or retracted out of the way in order to reach the intervertebral disc underneath the nerve root.
During spinal movement, the individual nerve root slides within its surrounding membranes (dural sleeve). Scar tissue which adheres a spinal nerve to these membranes or that limits movement of the membranes (dura) will inhibit sliding motion and compromise the elasticity of the nerve root complex. This is often associated with pain. In this situation, the nerve root and the special membranes or dural sleeve are subject to abnormal tension that can induce the cyclic development of microtrauma, bleeding, inflammation, and further scar tissue formation. Chronically inflamed nerve roots become sensitized to compression that can result in magnified pain syndromes.
Arachnoiditis
Arachnoiditis refers to an inflammatory process of the arachnoid lining which is a membrane that surrounds the spinal cord and nerve roots. It may be associated with discomfort, severe incapacitating pain and in some cases significant neurological disability. The pain can feel like an electric shock traveling up and down the spine, provoked with any movement. Chronic inflammation of the arachnoid membrane can lead to scar formation and adhesive arachnoiditis. Progressive arachnoiditis may be associated with nerve root adhesions. This process represents adhesive arachnoiditis. Thick adhesive arachnoiditis may interfere with spinal fluid mediated nutrient delivery to the nerve root.
Varying degrees of arachnoiditis are fairly common in failed back syndrome (FBS). Surgery is more likely to contribute to localized arachnoiditis whereas chemical insult is more apt to cause generalized or diffuse involvement.
Nerve Injury
Spinal surgery can cause trauma to one or more spinal nerves. A spinal nerve may be injured by direct physical trauma, such as laceration, blunt injury or stretching during retraction. A spinal nerve can also be injured secondary to limited blood supply during surgery or as the result of compression due to bleeding around the nerve. Damage to a spinal nerve can cause a loss of sensation and muscle weakness. The clinical presentation depends on which spinal nerves are affected. Nerves in the lower extremity are often damaged during low back surgery because of compression on the nerve when it is pulled or retracted out of the way in order to reach the intervertebral disc underneath the nerve root.
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