
Spine surgery

Spine surgery is a broad category of procedures aimed at addressing issues related to the spine, such as chronic back pain, spinal deformities, degenerative conditions, trauma, or nerve compression. It can range from minimally invasive techniques to complex open surgeries. The goal of spine surgery is typically to relieve pain, restore function, and improve the patient’s quality of life
Common Conditions Treated with Spine Surgery
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Herniated Disc: Occurs when the cushion-like discs between vertebrae become damaged and press on nearby nerves, causing pain, numbness, or weakness.
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Degenerative Disc Disease: A condition where the spinal discs wear down over time, leading to pain and reduced mobility.
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Spinal Stenosis: Narrowing of the spinal canal, which can compress the spinal cord and nerves, leading to pain, numbness, and weakness, especially in the legs.
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Spondylolisthesis: A condition where one vertebra slips forward over the one below it, which can compress nerves and cause pain.
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Scoliosis: A curvature of the spine that can cause pain, deformity, or breathing difficulties.
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Spinal Fractures: Often due to trauma or osteoporosis, fractures can lead to instability in the spine.
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Sciatica: Caused by compression of the sciatic nerve, often due to a herniated disc or spinal stenosis, leading to leg pain.
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Spinal Tumors: Both benign and malignant tumors that affect the spine and may require surgical intervention.
​Types of Spine Surgery
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Discectomy:
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Involves removing part of a herniated or damaged disc that is pressing on a nerve root or the spinal cord.
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This is often performed using minimally invasive techniques.
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Laminectomy:
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A procedure to remove part of the vertebra (the lamina) to relieve pressure on the spinal cord or nerves, often due to spinal stenosis.
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Can be done as part of a more extensive decompression surgery.
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Spinal Fusion:
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This surgery permanently connects two or more vertebrae to eliminate motion between them, often to treat instability, deformity, or chronic pain.
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Bone grafts and metal rods, screws, or plates are used to fuse the vertebrae together.
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Common in treating degenerative disc disease, spondylolisthesis, or scoliosis.
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Vertebroplasty/Kyphoplasty:
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Minimally invasive procedures used to treat spinal compression fractures, often due to osteoporosis.
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Involves injecting bone cement into the collapsed vertebra to stabilize the spine and relieve pain.
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Foraminotomy:
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A procedure to enlarge the opening where nerve roots exit the spinal column, relieving pressure from a compressed nerve, often caused by spinal stenosis or disc degeneration.
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Artificial Disc Replacement:
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Instead of fusing two vertebrae, an artificial disc is inserted to maintain motion in the spine.
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This is an alternative to spinal fusion for degenerative disc disease or herniated discs.
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Spinal Decompression Surgery:
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This includes various techniques (such as discectomy, laminectomy, or foraminotomy) to relieve pressure on the spinal cord or nerves.
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Scoliosis Surgery:
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Involves using spinal fusion or other techniques to correct abnormal curvature of the spine, often performed in adolescents or adults with severe scoliosis.
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Minimally Invasive Spine Surgery (MISS)
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Minimally Invasive Techniques: These involve smaller incisions, less muscle damage, and shorter recovery times compared to traditional open surgery.
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Examples of minimally invasive procedures include microdiscectomy, laser spine surgery, and minimally invasive spinal fusion.
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Recovery from Spine Surgery
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Recovery time varies depending on the type of surgery, the extent of the condition, and the patient’s overall health.
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Minimally invasive surgeries generally have quicker recovery times, with many patients returning to normal activities within a few weeks.
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More extensive surgeries, such as spinal fusions, may require several months of recovery and physical therapy.
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Post-operative rehabilitation and physical therapy are crucial for regaining strength, flexibility, and mobility.
Risks and Complications
As with any surgery, spine surgery carries risks, including:
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Infection.
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Blood clots.
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Nerve damage.
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Persistent pain or recurrence of symptoms.
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Failed Back Surgery Syndrome (FBSS): A condition where patients continue to experience pain after spine surgery.
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Anaesthesia complications.
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Indications for Spine Surgery
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Non-surgical treatments, such as physical therapy, medications, injections, and lifestyle changes, are usually the first line of treatment for most spine problems.
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Spine surgery is typically recommended only when conservative treatments fail to relieve symptoms, and when the condition significantly affects the patient’s quality of life or poses a risk of permanent damage (e.g., nerve compression, spinal instability).