Guide Minimally Invasive Spine Surgery : A Surgical Manual

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As noted previously, minimally invasive spine surgery often is mistakenly called laser spine surgery by consumers. However, in most cases the actual procedure a consumer is researching is a minimally invasive surgery that does not involve a laser at all. Minimally invasive spine surgery is appropriate in about 30 percent of cases of back pain or neck pain.

Because muscles are not disturbed during minimally invasive spine surgery, pain is often reduced and recovery times tend to be shorter. Minimally invasive spine surgery is an option for many traditional spine surgeries, including discectomy, spinal decompression, and transforaminal lumbar interbody fusion. Though laser spine surgery is a term commonly researched by patients, true laser spine surgery is used very rarely and never for degenerative spine disease, which involves spinal discs and accounts for the vast majority of back pain.

Read more about the difference between minimally invasive and laser spine surgery here. Learn more about minimally invasive spine surgery from the American Association of Neurological Surgeons. While neurosurgeons are often thought of for brain surgery or nerve surgery, many neurosurgeons are spine surgery specialists who have undergone extra training, including fellowships, in spine surgery. Like orthopedic spine surgeons, neurological spine surgeons often only perform spine surgery.

In addition to treating structural spine issues, neurosurgical spine surgeons have special expertise and training to evaluate and address issues involving the spinal cord and the central and peripheral nerves. There are several things you can do to prepare for surgery to help facilitate better outcomes and an easier recovery. Read more about preparing for spine surgery here.

Minimally Invasive Spinal Surgery

On the day of your surgery , you will be asked to not eat or drink anything after midnight the day before. Your surgeon and his or her office staff will provide you with a list of additional things to do on the day of surgery, such as showering with antibacterial soap, as well as items to bring with you to the hospital. The length of your surgical recovery can vary depending on the type of surgery you have, your overall health, and whether you are eligible for the Enhanced Recovery After Surgery ERAS program. Your spine surgery care team will discuss what you can expect during the days and weeks after spine surgery, including:.

Read more about recovery from spine surgery here. Patients who are experiencing neck pain or back pain may be given a recommendation to take medications as an initial treatment before surgery. Patients may also be prescribed pain medications after surgery. Many types of post-surgical medications are available to help control pain, including non-steroidal anti-inflammatory drugs NSAIDs , such as ibuprofen, and local anesthetics.

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Your spine surgery care team will choose the pain control medications that are best for you after surgery, both in the hospital and when you return home to recover. The team will also let you know if alternative pain control therapies are effective or recommended. Downloadable guide: Spine Surgery Downloadable guide: Lumbar Spinal Fusion Surgery.


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Neurosurgery One's four spine experts can help you find the treatment that will work best for your condition. To make an appointment, complete the form to the right and one of our schedulers will call you. Website by Clementine Healthcare Marketing. Home Contact Us. To learn more about spine surgery, continue reading below or jump directly to the section that interests you: When to consider spine surgery Am I a candidate for spine surgery?

Conservative treatments for back pain and neck pain recommended by your spine specialist may include: physical therapy acupuncture or massage oral anti-inflammatory medications steroid injections or other nonsurgical pain management procedures patient lifestyle changes, such as weight loss, smoking cessation, and control of medical conditions such as diabetes and hypertension One thing Denver spine surgery patients should consider is that Colorado has one of the highest rates of spine surgery in the United States, according to the Dartmouth Atlas of Health Care.

Am I a Candidate for Spine Surgery?

Patient Resources

It is important to note that physical therapy is not appropriate for all spine conditions. Have you tried medications? Have you tried steroid injections or other nonsurgical pain management procedures? Has a structural cause of your pain been identified? Does your pain greatly diminish your quality of life or activity level?

A Review of Minimally Invasive Surgical Techniques for the Management of Thoracic Disc Herniations

Appropriate Conditions for Spine Surgery While many Colorado residents will visit a doctor for back pain or neck pain at some point in their life, they will more than likely be treated successfully by their primary care doctor or a pain specialist with non-surgical treatments such as physical therapy or medications. Conditions that may benefit from spine surgery include: Spinal stenosis — this narrowing of the spinal canal may be treated with surgery due to greater improvements in pain reduction and function when compared to more conservative treatments.

Bulging disc — bulging discs are sometimes called disc protrusions. They may cause pain if they press on an adjacent nerve root or the spinal cord. Cervical or lumbar disc herniation — disc herniation is most often caused by degenerative disc disease, but can also be caused by twisting or turning while lifting, or by injury or a traumatic event such as a fall.

Surgical treatment of a herniated disc may result in less pain and greater long-term improvement than conservative care for this condition, which is sometimes called a slipped disc, ruptured disc or a pinched nerve. Degenerative disc disease DDD — one of the most common causes of lower back pain, DDD is usually treated conservatively. Disc replacement surgery may be required in rare cases.

Spondylolisthesis - a condition where the bone in the lower part of the spine slips out of its proper position onto the bone below it. Surgery to fuse the slipped bones back into place in many cases may provide relief if a patient is symptomatic and treatments such as physical therapy, traction, or anti-inflammatory medications don't work. Myelopathy - a condition in the neck or mid back in which the spinal cord is irritated or injured. Synovial cyst — a fluid-filled sac in the spine that has developed as a result of degenerative disc disease DDD and may compress nerves like a herniated disc.

Facet arthropathy — a type of arthritis that affects the joints in the lower back. It can occur if joints in the spinal area become compressed or if there is inflammation in the fluid-filled disc that helps to protect bones located in the spine. Loss of motor or bladder control - conditions such as cauda equina syndrome, a rare condition that affects the nerves in the lumbar area, benefit from surgery. Surgery for these conditions reduces the likelihood of long-term issues. Spine Surgery to Decompress Nerves or Stabilize the Spine Spine surgery falls into two main categories: Decompression spine surgery relieves leg or arm pain being caused by pressure on or pinching of spinal nerves, while stabilization spine surgery provides strength and stability to the spine by eliminating motion, and often improves back or neck pain.

Some spine surgery procedures, such as anterior cervical discectomy and fusion , combine decompression and stabilization techniques. Spine Surgery Techniques Spine surgery is performed in several ways. Open surgery: The majority of spine surgery procedures are still performed traditionally as open surgery, with an incision that allows the surgeon to work directly on the spine. Minimally invasive spine surgery : About 30 percent of spine surgery procedures can be performed with minimally invasive techniques, including endoscopic spine surgery. Minimally invasive spine surgery also may be referred to as less invasive spine surgery or endoscopic spine surgery.

Sometimes, minimally invasive surgery is incorrectly labeled laser spine surgery or laparoscopic spine surgery. When performing minimally invasive spine surgery, the spine surgeon makes a small incision typically less than one-inch. He then uses special tools such as retractors, endoscopes, and microscopes that he controls to see into the incision and perform the actual procedure. Minimally invasive spine surgery typically results in less damage to the muscles around the spine, which can help reduce pain after surgery and lead to a quicker recovery.

Robotic-assisted spine surgery: Expertly trained spine surgeons may use robot-assisted technology during minimally invasive spine surgery to enhance implant placement and accuracy. However, spine surgery performed with lasers is rare and used only in very specific cases. Most centers advertising laser spine surgery are actually offering minimally invasive spine surgery.

Minimally Invasive Spine Surgery Vs.

Laser Spine Surgery As noted previously, minimally invasive spine surgery often is mistakenly called laser spine surgery by consumers. Springer Shop Amazon. In the past few years spine surgery has undergone revolutionary changes leading towards minimally invasive techniques. This book is a survey of microsurgical as well as endoscopic surgical techniques for the treatment of a variety of spinal disorders.

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Spine surgery | laser spine surgery | minimally invasive spine surgery

However all chapters are focused on a very didactic presentation of surgical steps. Thus, the reader will get familiar with a variety of new techniques some of which are already integrated into clinical routine others still being part of ongoing clinical trials and development. Inhalt Part A Microsurgical Techniques. The Technique of Transoral Odontoidectomy. The Anterior Approach. Microsurgical Posterior Approaches to the Cervical Spine. The Microsurgical Interlaminar Paramedian Approach The Lateral Extraforaminal Approach.