Spinecare Topics
Benefits and Risks of Back Surgery
When signs and symptoms persist and/or progress after back surgery this is referred to as a failed back syndrome (FBS). It is truly not a syndrome but a set of circumstances, which leads to persistent or progressive complaints. Because the spine is so extremely complex, the precise cause of the post surgical failure cannot always be determined. It is usually a result of many contributing factors. Spine surgery can potentially compromise small blood vessels and normal pain sensitive tissues. FBS typically presents a challenge to all specialists. The presentation can sometimes be so challenging that many specialists refuse to see or follow-up with an individual who has failed back presentation. Subsequently, these patients end up seeing numerous physicians leading to additional frustration and cost.
Many patients who suffer with failed back syndrome rely on heavy doses of narcotics in order to manage or control their pain. The side effects from chronic use of these medications may complicate the condition or create new symptoms unrelated to the original diagnosis. Most individuals who suffer from failed back syndrome are unable to return to work for prolonged periods of time and suffer from bouts of depression as well as relational stress. The presentation typically puts a great stress on their family relationships.
When back surgery goes well, it can transform a person’s life. It may allow them to return to work, enjoy recreational pursuits and improve social and family interaction. Reduction of nerve compromise can lead to improved sleep habits and return to function. The reduction of chronic back and/or extremity pain can lead to a positive change in personality and coping skills.
Some of the Risks of the Surgery:
When done on the right patient at the right time, the outcome of back surgery can be good. For some patients who experience progressive muscle weakness or disturbances of bowel and bladder function, surgical decompression becomes an absolute necessity to prevent permanent paralysis and impairment. The number of individuals requiring emergency spine surgery makes up a relatively small percentage of the total number of back surgeries performed each year. The dangers and potential side effects of back surgery are considerable. As with any surgery, there are potential complications associated with anesthesia. Many spine specialists try to avoid performing back surgery in individuals over 70 years of age due to the increased risk associated with age-related cardiovascular decline.
Variable Important for Good Surgical Outcome
- Accurate diagnosis.
- Patient’s overall physical condition and health.
- Experience of the surgeon performing the procedure.
- The severity of the problem.
- Choice of the surgical method.
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