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What is Spine Surgery?

Spine surgery is a surgical procedure that is performed to relieve a person from pain because of spinal problems. It helps in stabilizing spinal joints and vertebral bones caused due to herniated discs, spinal abnormalities, bone spurs, spine injuries, or spinal tumors. Spine surgery is also known as Endoscopic Spine Surgery (ESS), Minimally Invasive Spine Surgery (MISS), and Arthroscopic Spine Surgery. These advanced techniques do not really affect the nearby muscles and tissues of the spine. Therefore, the pain and recovery duration is lesser compared to traditional spine surgery. 

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USFDA-Approved Procedure

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Best Doctors For Spine Surgery

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    Best Clinics For Spine Surgery

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      Best Orthopedic Center for Spine Disorders Treatment and Surgery

      Best Orthopedic Center for Spine Disorders Treatment and Surgery

      Pristyn Care provides advanced and cost-effective spinal treatment to fix any spine-related deformity. Our clinics and partnered hospitals are well equipped with advanced medical technologies to make spine treatment the safest and most effective. Our orthopedic surgeons are extensively experienced in performing advanced and minimally invasive spine surgery (MISS) in order to restore the normal function of the spine. You can also book your appointment with one of our best orthopedic doctors to get effective spine surgery. 

       

      How is a diagnosis conducted before spine surgery?

      How is a diagnosis conducted before spine surgery?

      The doctor conducts a physical examination to assess the spinal issues. S/he may ask you a few questions to understand the condition better. Commonly asked questions may include:

      • Do you have any pain in your back or neck?
      • Did you suffer any injury on your back or had to undergo any surgery on your neck or back?
      • Do you feel weakness and balance loss in your legs?

      Once the physical examination is done, some diagnostic tests are also recommended to get a clear image of the spinal abnormality. The following are diagnostic tests that are commonly recommended-

      • X-ray: X-rays can help study the structural anatomy of the hard tissues of the spine to diagnose spine dislocation, kyphosis, scoliosis, bone spurs, disc space narrowing, vertebral body fracture, spinal collapse, or erosion.;
      • Magnetic resonance (MR) imaging: MRIs help diagnose aberrations of the soft tissue components of the spine, such as the spinal cord and nerves.;
      • Computed tomography (CT) scan: CT scans provide a detailed view of both hard and soft tissues of the spine to diagnose abnormalities of the vertebrae, spinal cord, spinal nerves, and other soft and hard tissues.

      How to prepare for spine surgery?

      How to prepare for spine surgery?

      Preparation before a spine surgery includes both physical and psychological aspects. Depending upon the condition of the injury, the doctor is likely to guide the patient with everything necessary. However, here are a few points that may come in handy for anyone planning spine surgery.

      • Gather all necessary information about spine surgery – The key to preparation for any surgery is being well informed about it. Talk to the doctor, and the medical staff, and acquire all important information about the procedure, medicines, the cost, and anything else that comes to your mind. The more well-informed a person is about the surgery, the better he/ she is likely to do postoperatively.
      • Don’t stop moving – We understand it is tough to live with constant back pain. Even then, it is recommended to be physically active as much as possible. Going stagnant may add to complications during the surgery. Stay physically active, and try to achieve a healthy weight. This can speed up the recovery process and enhance blood circulation too.
      • Don’t take any anti-inflammatory drugs  – You should stop taking drugs like ibuprofen, naproxen, and aspirin before the surgery. Blood thinners can increase the risk of complications during the surgery. If you are taking any over-the-counter pills, it is essential that you inform your doctor.
      • Keep realistic expectations – Don’t expect the surgery to fix everything. The surgery is not a guaranteed cure for the condition. Although it improves the injury symptoms to a great extent, a lot also depends on the person’s dietary and lifestyle habits too.

      What can you expect during endoscopic spine surgery?

      What can you expect during endoscopic spine surgery?

      Endoscopic spine surgery is a medically-advanced, minimally invasive spine surgery designed to provide the patient with a quicker recovery time and less recurring pain compared to any traditional spine surgery methods.

      Almost all kinds of endoscopic spine surgeries are performed using general anesthesia. This is considered to decrease any medical risks in patients who are older or who have any co-existing medical disorders. During endoscopic spine surgery, the doctor makes a small incision of approximately ¼ inch, guides a spinal needle, and inserts a guided wire through it. A metal dilator and a cannula are guided to the spinal disc. The doctor removes the wire and the dilator once the surgical portal is established. Through the endoscope, the doctor places micro-instruments to decompress the affected spinal nerves. The doctor then targets and resects the bone spurs and the herniated disc with precision. 

      After the surgery, the doctor injects a steroid medicine at the spinal area to relieve the patient of post-operative pain and discomfort. The cannula and the scope are then removed. Following this, the patient is moved to the recovery ward and monitored for a day.

      When is spine surgery required?

      When is spine surgery required?

      It is difficult to pinpoint the exact reason behind spine surgery, however, the most common causes are back and cervical pain. The pain can result from a variety of degenerative bone and muscle conditions. The following are a few reasons for which an orthopedic surgeon may recommend spine surgery-

      • Degenerative disk disease, like spinal arthritis, spinal stenosis
      • Herniated disc with associated complications like sciatica
      • Spinal instability
      • Bone spurs and tumors
      • Scoliosis 

      Benefits of Minimally Invasive Spine Surgery (MISS)

      Benefits of Minimally Invasive Spine Surgery (MISS)

      Advanced and minimally invasive surgery is a faster and safer surgical approach as opposed to conventional spine surgery. The method reduces the extent of trauma that might be caused to the muscles and soft tissues. The common benefits of minimally invasive spine surgery are:

      • Less blood loss during the surgery
      • Better and finer cosmetic results because of reduced skin infections
      • Reduced risk of muscle damage since no cutting of muscle is involved in the procedure
      • Reduced risk of infection
      • Reduced postoperative pain
      • Ensures a faster recovery and shorter rehabilitation period
      • Lower reliance on medicines after the surgery

      What to do during recovery after spine surgery?

      What to do during recovery after spine surgery?

      Once you are home from the surgical center, it is time to focus on your recovery. Allowing the spine to heal properly, taking ample rest, and eating healthy foods are the keys. The best advice, however, is to follow the after-care tips by the spine surgeon for a speedy and safe recovery.

      • Take good care of the spine. Begin with short walks and gradually increase the distance and time. Moderate exercise enhances muscle toning and builds strength. Avoid twisting, lifting, and bending. If you have had a spinal fusion, avoid lifting weights. 
      • Eat a well-balanced diet rich in fruits and vegetables. Since you will be less active physically, do not load the body on high calories and fatty foods. Healthy eating is crucial for smooth recovery.
      • Follow the advice of the doctor for bathing and incision care. Typically, doctors recommend keeping the surgery site clean and dry for 3-4 days. Avoid getting into the bathtub or the swimming pool until the doctor deems fit.
      • Take medicines for pain management after the surgery as directed by the doctor and make sure there are no gaps. Do not take any medicine without informing your doctor.
      • Wear a post-operative brace if the surgeon prescribes one. The brace provides support to the neck and back and limits movements of the spinal levels. 
      • Ask your surgeon what is the best position to sleep in without hurting the back, and try to follow it. Ideally, the following tips help relieve the stress from the back and the adjacent body parts.

      – Place a pillow under the knees or the back to keep the hips slightly bent.

      – Don’t get up suddenly from the bed. Use the ‘log roll method.’

      – While getting up, push your arms and legs rather than exerting pressure on the waist or back.

      Ask your doctor if you may require physical therapy after the surgical treatment. Physiotherapy helps gain and build bone and muscle strength, and increase physical endurance. Ask your doctor if you need to include any form of exercise in the recovery regime.

      The post-operative routine you adopt as part of your recovery from spine surgery can help prevent future or additional spine/health-related problems. So, it is important to maintain an active life, practice exercising, eat well, and get plenty of rest to stay on that recovery road for a long time!

      FAQs about Spine Surgery

      When can I resume daily activities after spine surgery?

      If you undergo minimally invasive spine surgery, you can resume your normal activities within 6-8 weeks, including bending, lifting, and twisting movements. However, some spine surgeries like spine fusion procedures may take longer recovery time depending on the location and severity of the condition.

      How long does spine surgery take?

      The duration of a spine surgery depends on the complexity. But for most cases of minimally invasive spine surgery, the duration is approximately 1-2 hours.

      How long do I have to stay in the hospital after spine surgery?

      You may have to stay in the hospital for a day or two based on the type of technique you have undergone to correct spinal injury or deformities. The surgery is performed through a minimally invasive approach which takes less time compared to conventional surgery.

      Are there any risks involved in spine surgery?

      Like any other surgery, there are certain risks associated with endoscopic spine surgery or MISS, such as:

      • Infections at the surgical site
      • Allergic reactions to given anesthesia
      • Blood clotting
      • Pain and discomfort
      • Paralysis
      • Stroke
      For how long shall I need physiotherapy after spine surgery?

      Rehabilitation and physiotherapy for recovery after spine surgery begin right after you are discharged from the hospital. Your rehabilitation period may last 4-6 weeks or even longer, depending on the severity of the condition and the nature of the surgery performed.

      Are there any long-term complications involved in spine surgery?

      Are there any long-term complications involved in spine surgery?

      Minimally invasive spine surgeries are typically safe. However, as spine surgeries are major, there are some complications associated with them. Spinal fusion surgery and laminectomy are among the most commonly performed MISS surgeries.

      However, some complications that often associated with these surgeries are:

      • Non-union of the spinal bones that were fused together;
      • Implants breaking due to excessive forces on the spine;
      • Spinal instability and pain due to implant screws loosening;
      • Injury and degeneration to the facet joints ;
      • Spinal muscle injury

      Types of Spine Surgery

      Spinal laminectomy/ spinal decompression

      It is generally performed for spinal stenosis patients. The surgeon removes bony spurs or walls compressing the spinal column to relieve the nerve pressure.

      Vertebroplasty/Kyphoplasty

      Vertebroplasty and kyphoplasty are performed to fix compression fractures due to osteoporosis. The surgeon injects a glue-like bone cement that hardens and strengthens the vertebrae.

      Discectomy (or Microdiscectomy)

      It is a slipped disc surgery that is performed to remove a herniated disc compressing the nerve root and spinal cord. It is often performed in conjunction with laminectomy.

      Foraminotomy

      This is performed to widen the spinal column where the nerve root exits the spinal canal in case it has narrowed due to aging.

      Nucleoplasty

      Nucleoplasty, also called plasma disk decompression is a minimally invasive laser surgery in which the surgeon uses a plasma laser device to reduce the disk size and treat mild disk hernia.

      Spinal fusion

      The surgeon removes the spinal disc and fuses the adjacent vertebrae together using bone grafts or metal implants to allow the fusion of vertebrae together via the bone grafts, for example, ACDF surgery (Anterior cervical discectomy and fusion), TLIF surgery (Transforaminal Lumbar Interbody Fusion).

      Artificial disk replacement

      For people with severely damaged vertebral discs, the surgeon removes the disc and replaces it with a synthetic implant to help restore vertebral height and movement.

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