Information on Spine Surgery (Neck & Back Surgery)

About Spinal Cord Surgery

The primary purpose of neck or back surgery (spine surgery) is to correct an anatomical lesion in individuals who fail to show enhancement with conservative, that is, non – surgical treatment. Surgery isn’t an option for those patients whose anatomical lesion accounting for their pain cannot be identified.

Surgery is useful only if there is a need to change the patients’ anatomy. For example, to remove disc herniation. There is no particular reason to consider an exploratory surgery to look for a source of pain. An unsuccessful conservative treatment is itself a sign for surgery. A noticeable anatomic lesion is also necessary.

Evolution in Spinal Cords Surgery

Present – day spinal surgery has made significant developments in both spinal implants and technique over the past couple of decades. But even until today the most remarkable progress in spine operation has been better pre – effective imaging techniques, which have been significantly improved the ability of the surgeons to spot accurately and correct an anatomic lesion as a source of pain.

MRI scan (Magnetic Resonance Imaging) has transformed back surgery. It is the most frequent and the best test to recognise an anatomical lesion responsible for the patient’s problem. The most vital factor in the resolution of the success in spine operation is proper pre – adequate diagnosis. Without an appropriate pre – correct diagnosis, even the most technically successful operations have little chance for a successful result.

Though this surgery is done by either neurosurgeons or orthopaedic surgeons, it is more and more becoming a field unto itself. Many surgeons are doing extra specialised training in the field after their residency training. Given the precision needed for these more demanding surgical techniques, many neurosurgeons or orthopaedic surgeons with fellowship training are choosing to concentrate more of their practice on spine surgery. Some trust that the increased level of specialised training and concentration on the spine have donated to enhancements in surgical techniques, which in turn have led to overall better success rates and minimised morbidity with many types of spine surgeries. For example, the reduced post – operative discomfort.

Objective of Spinal Cords Surgery

This surgery is an elective undertaking, which means that it is observed as a possible approach to increase a patient’s ability to function and reduce pain. Anyhow, just because spine surgery is elective doesn’t mean that insurance does not cover it. Elective surgery may be medically necessary. ‘Elective’ means that the surgery of spine is seldom an absolute necessity. Only in exceptional instances, like for patients who have a progressive neurological loss of function or sudden start of bladder or bowel incontinence, is spinal surgery actually mandatory on an emergency basis.

Operation of Spine can achieve three tasks:

1. Decompress the spinal cord or the nerve root.

2. Stabilise a painful or an unstable segment with spinal fusion surgery.

3. Reduce a distortion (for e.g. scoliosis surgery in the thoracic spine).

Spine surgery isn’t done for exploration. The source of a patient’s pain isn’t readily apparent with exploring and opening the spine. The preoperative evaluation and imaging results are what identifies the problem and guide the diagram of the procedure.