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Phone: +44(0)844 589 2610       Email: enquiries@theharleystreethospital.co.uk


Spinal Surgery

Spinal surgery is performed in many conditions. There are some indications and contraindications of back surgery. You must get to know before undergoing spinal surgery that what will be the outcome. For this, you need to understand the types of Spinal surgeries.

Types of Spinal surgeries

Here the types of back surgeries are described.

Discectomy. In this procedure herniated portion of a disc is removed to get rid of the pain, inflammation, and irritation caused by a nerve. In this operation, a small window is created in the part of the back portion of the spine get access to the ruptured or slipped disc.

Laminectomy. In this procedure, bone overlying the spinal canal is removed. It enhances the space of the spinal canal and pain caused by spinal stenosis is relieved.

Fusion. In this procedure, two or more vertebral bones are permanently connected in your vertebral column. It creates  stability to the spinal fracture and pain is removed. It also decreases the relative painful movement between the vertebrae that occurs due to an injured or degenerated disc.

Artificial disc replacement. It is an alternative treatment to spinal fusion for the reduction of painful movements between the vertebrae.

Interlaminar implant. It is a minimally invasive procedure. A U shaped or soft cushion device is implanted between two adjacent vertebrae in the lower back. Thus surface between them remains open, and pressure from the spinal nerves is relieved.

Foraminotomy. It is done for pain relief which is associated with a pinched or compressed nerve in the vertebral column. The bone at the side of the vertebrae is cut by the surgeon for the widening of the space where spinal nerves exit. Thus pressure from nerves is reduced, and symptoms disappear.

Benefits of spinal surgery

Often the following benefits are achieved
You become able to move around better.
You are now more physically fit
You feel an elevation in your mood.
You do not need to take painkillers
You are able to join your work routine again
You perform more efficiency in your work.

Are there some risks?

Like any surgery, spinal surgery also has its own risks and complications that include

Reaction to any drug or anesthesia
Bleeding or hemorrhage
Infection, sepsis, bacteremia
Blood clots which become embolic and enter your legs or lungs
Heart attack

Herniated disc

Damage to the nerve which causes weakness or numbness, sexual dysfunction, paralysis and loss of bowel or bladder control.

Factors you must know before the surgery

Before undergoing spinal surgery, you must know the following things

Ask your doctor, Is surgery the definite treatment for my back? This is required so because the majority of the patients do not need surgery for their pain. So surgery must not be the first line of treatment. Nonsurgical interventions include lifestyle modifications, physical therapy, and exercise. If your physician suggests you surgery, always consult another doctor for the second opinion.

You must get to know, how experienced and qualified is your surgeon. If you have decided on the surgical intervention for your back, the outcome of the surgery is influenced by the experience of the surgeon. Must know that your surgeon is a fellowship trained person and have completed his or her specialist spinal training. Some neurosurgeons dabble in spinal surgery but are not experienced enough to deal with the complexities.

Would your lifestyle affect the success ratio of your back surgery? It is proven from research that obese and overweight persons have the poor outcome of the surgery.

How can you get a successful back surgery?

Successful back surgery begins with your understanding of own expectations and goals. It is important to communicate with your surgeon and discuss with him or her what is your idea of “success.” Tell them what do you expect about the post-surgical outcome. Be sure that your surgeon knows that what are your post-surgery goals. Tell them everything about your pain. Your surgeon will then make you clear that what is the possibility to meet these goals after surgery. Your surgeons will address your questions depending upon your specific goals and conditions.

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