- Anatomy of The Spine
- Back Pain in Children
- Caring for your Spine
- Emerging Spinecare Trends
- Evaluation of Spinal Disorders
- Exercise and The Spine
- Intervention - Spinal Disorders
- Intervertebral Disc
- Non Surgical Options
- Nutrition and Spinecare
- Options for Spine Treatments
- Pregnancy and Back Pain
- Prevalence of Spine Disorders
- Sleep and the Spine
- Spinecare Introduction
- Spinehealth and Disease
- Surgical Interventions
- Treatment with Medications
- Understanding Back Pain
Spinecare Topics
Surgical Interventions
Surgical Interventions
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Surgical Interventions
Procedure: The procedure is generally carried out under local
anesthesia. This helps reduce the risk for associated neurological
injuries. The patient can provide feedback during intervention. The
attending clinician must choose the optimum entry point for the
instruments to be used. Patients are generally placed in a lateral
position with a towel rolled up under the hip. Prior to placement of
probe into the disc, a local anesthetic is used followed by placement
of a steroidal compound into the disc. This approach helps increase
the fluid content of the disc, thus making the procedure simpler.
Under fluoroscopic image guidance a probe is placed and is moved
incrementally towards the disc. The goal is to place it into the
center of the disc. Once the probe is placed into the disc, it is used
to aspirate some of the fluid or gel-like material from the center of
disc. This portion of the procedure can take up to 20 minutes. The
instrument can be moved back and forth and the angle changed to help
acquire greater amount of disc material.
Goals of the Procedure: The primary goal of the procedure is to reduce disc volume and subsequently reduce pressure upon adjacent pain sensitive structures in the spine. It can be used to help reduce pressure against nerve roots that lie next to the disc. The procedure increases the risk for acquiring rostrocaudal subluxation, which can lead to changes in spinal segment mobility.
Spinal Fusion
A spinal fusion is a surgical procedure performed for the purpose of permanently connecting two or more adjacent vertebrae to improve stability, correct a spinal deformity or to reduce pain. A fusion may be performed using bone and/or instrumentation. When bone is used to fuse an area of the spine, small pieces of bone are inserted into the disc space after the disc is surgically removed. The bone may be harvested from the patient’s body, usually from the large pelvic bone. It may be acquired from a bone bank. Some spinal fusions are performed using instrumentation such as wires, screws, metal cages or plates. Instrumentation is more likely to be used in cases where there has been severe trauma and bony disruption or where there is significant mechanical instability (hypermobility) of a spinal segment. Instrumentation may be required to help correct a spinal deformity such as severe scoliosis. There is a potential downside to surgical spine fusion. Fusion of one or more spinal segments will transfer physical stress/strain to adjacent spinal segment. This can result in detrimental changes involving unfused spinal levels.
Surgical Laminectomy
A surgical laminectomy is performed to provide more space for spinal nerve roots and/or the spinal cord. It is often performed to help relieve extremity pain by removing bone spurs and/or disc fragments that protrude or reside within the spinal canal. The primary purpose of this surgical procedure is to make more room around neurological structures to relieve back and extremity symptoms.
Percutaneous Disc Decompression
Percutaneous disc decompression is a minimally invasive procedure that is used to treat low back and leg pain that occurs secondary to disc degeneration and herniation. The procedure can be performed in an outpatient setting. The procedure involves placing a needle into the involved intervertebral disc and heating a portion of the disc using a thin wire-like probe. The goal of the treatment is to decrease the volume of a bulging disc/herniated disc and thereby reduce the irritation to the adjacent nerve or nerves.
Goals of the Procedure: The primary goal of the procedure is to reduce disc volume and subsequently reduce pressure upon adjacent pain sensitive structures in the spine. It can be used to help reduce pressure against nerve roots that lie next to the disc. The procedure increases the risk for acquiring rostrocaudal subluxation, which can lead to changes in spinal segment mobility.
Spinal Fusion
A spinal fusion is a surgical procedure performed for the purpose of permanently connecting two or more adjacent vertebrae to improve stability, correct a spinal deformity or to reduce pain. A fusion may be performed using bone and/or instrumentation. When bone is used to fuse an area of the spine, small pieces of bone are inserted into the disc space after the disc is surgically removed. The bone may be harvested from the patient’s body, usually from the large pelvic bone. It may be acquired from a bone bank. Some spinal fusions are performed using instrumentation such as wires, screws, metal cages or plates. Instrumentation is more likely to be used in cases where there has been severe trauma and bony disruption or where there is significant mechanical instability (hypermobility) of a spinal segment. Instrumentation may be required to help correct a spinal deformity such as severe scoliosis. There is a potential downside to surgical spine fusion. Fusion of one or more spinal segments will transfer physical stress/strain to adjacent spinal segment. This can result in detrimental changes involving unfused spinal levels.
Surgical Laminectomy
A surgical laminectomy is performed to provide more space for spinal nerve roots and/or the spinal cord. It is often performed to help relieve extremity pain by removing bone spurs and/or disc fragments that protrude or reside within the spinal canal. The primary purpose of this surgical procedure is to make more room around neurological structures to relieve back and extremity symptoms.
Percutaneous Disc Decompression
Percutaneous disc decompression is a minimally invasive procedure that is used to treat low back and leg pain that occurs secondary to disc degeneration and herniation. The procedure can be performed in an outpatient setting. The procedure involves placing a needle into the involved intervertebral disc and heating a portion of the disc using a thin wire-like probe. The goal of the treatment is to decrease the volume of a bulging disc/herniated disc and thereby reduce the irritation to the adjacent nerve or nerves.
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