Types of Spine Surgery and How to Know When You Might Need Surgery
There are many questions to consider before pursuing spine surgery. Is surgery necessary to treat the issue or would a non-surgical method be more appropriate? If surgery is required, is it better to have traditional spine surgery or minimally invasive spine surgery? What is minimally invasive spine surgery and how does it differ from traditional spine surgery?
How do you know when you need spine surgery?
When someone comes to us with extremity symptoms, we almost always suggest they first get an evaluation with their primary care physician. If a person is experiencing low back pain or neck pain, we will usually watch them over time and encourage them to maintain good, stable physical activity to see if the issue resolves. If the issue is not resolving with physical activity, over the counter treatments, or pain management and anti-inflammatory medication, the next step would be to see a doctor for an evaluation.
Many patients with spine problems can be treated non-surgically. Physical therapy, home exercises, medication and often times spinal injections are recommended prior to considering surgery. If the problem still isn’t resolved, then surgery becomes a good option.
For instance, if a patient has significant neurogenic pain in the extremities and non-surgical management has not provided relief, surgical intervention is the best decision. For those with symptoms related to spinal cord or nerve root compression, such as significant weakness in an arm or leg or limb, we may recommend surgical intervention if non-surgical management was unsuccessful.
What are the major differences between traditional spine surgery and minimally invasive spine surgery?
Traditional open spine surgery involves the complete exposure of the anatomy. In minimally invasive spine surgery we surgically expose less of the anatomy which means, in many cases, an earlier recovery in the first few weeks after surgery. In minimally invasive spine surgery, we often use additional surgical aids, such as intraoperative spinal navigation. This provides the surgeon greater visibility into surgical areas with limited exposure.
Whether minimally invasive or traditional, the goals are the same for the long-term; we want to accomplish overall improvement in symptoms or a halt in degeneration. Ultimately, we want our procedures to result in less blood loss, shorter hospital stays, lower infection rates and faster recovery in the weeks following surgery. Minimally invasive surgery typically results in an easier recovery process for patients, however, not every patient or surgical condition is appropriate for minimally invasive surgery. It is important that you partner with your spine surgeon to identify the best treatment option for your condition.
Surgery is a controlled trauma. Therefore, we aim to maximize the benefit for the patient while minimizing the trauma of surgery as much as possible. We implement leading surgical techniques and technology as appropriate, and our patients benefit from our surgeons’ academic research to further both minimally invasive and complex spine surgery procedures.
Types of ailments
Treating the entire spectrum of spinal disorders, ranging from sciatica and cervical radiculopathy to complex brain and spine cancers. Patient come to India for issues related to scoliosis (curvature of the spine), degenerative disc disease (arthritis of the spine), and patients who have spinal stability problems which are associated with back or neck pain with or without arm or leg pain.
In addition, people who have neck and back injuries, spinal deformities, congenital spine disorders, herniated discs, spinal stenosis and sciatica.
What types of spine surgery?
India offers an array of traditional and minimally invasive surgical treatment options for the spine.
Some of the traditional spine surgery procedures include laminectomy, microdiscectomy and traditional lumbar fusion. Laminectomy is a procedure that is used to treat spinal stenosis or pressure on the nerves of the low back. The surgery involves an incision on the back of the spine that allows the surgeon to remove bone spurs and thickened ligaments that are pressing on the nerves of the low back.
Microdiscectomy is used to treat nerve pain (sciatica) due to a herniated disc impinging a nerve in the spine. This surgery involves making a small incision in the low back. The surgeon can then identify and remove the herniated disc that is pressing on the nerve.
Traditional spinal fusions are used to treat instability of the spine, scoliosis, severe degeneration of the discs, or a combination of these issues. A fusion involves using bone from the patient’s body to fuse one vertebrae to another. Spinal instrumentation (pedicle screws) are placed into the vertebrae to stabilize the motion segment and assist with the fusion process.
Some of the most common minimally invasive spine procedures performed are the Lateral Lumbar Interbody Fusion (LLIF) and Minimally Invasive Transforaminal Lumbar Interbody Fusion (MIS TLIF) and percutaneous instrumentation.
LLIF is a fusion during which the surgeon makes a small incision on the person’s side, under their ribs to approach the spine from a lateral direction. This allows the surgeon to perform a spinal fusion without disrupting the muscles of the spine.
The LLIF procedure may be accompanied by another procedure that is fairly common, percutaneous instrumentation of the spine. In this procedure, the surgeon places rods and screws between the muscle fibers, often using computer navigation or intraoperative X-ray as opposed to removing the muscles from the spine as is done with traditional spinal fusion surgery. When possible, we seek to utilize a minimally invasive approach, if it is an appropriate option.
Why should you choose Spine Surgery in India?
We strive to help patients by giving expert surgical opinions, and when surgery is not needed, we help them navigate other appropriate options.
Patients who come to India benefit from a multidisciplinary team approach and gain access to the full breadth of care from our doctors and surgeons who are world leaders in quality improvement and risk mitigation (reducing risks for patients).
Our spine team has the ability to handle every spine issue from the very simple to the extremely complex, seamlessly, all within the same health system.