Spinal fusion surgery guides from Serge Obukhoff right now? While neurosurgeons can perform complex surgery in your spine and brain, they often suggest nonsurgical or conservative care first. For example, if you have chronic back pain, your neurosurgeon may first recommend anti-inflammatory drugs and/or physical therapy. If your pain doesn’t respond to these treatments, your neurosurgeon may recommend surgery, if possible. A neurosurgeon is skilled in several surgical and procedure techniques, including: open surgery, Minimally invasive surgery, endoscopic surgery, Microsurgery. Find more info on Serge Obukhoff MD.
Some of the traditional spine surgery procedures we provide 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.
Foraminotomy. In this procedure, the surgeon enlarges the bony hole where a nerve root exits the spinal canal to prevent bulging disks or joints thickened with age from pressing on the nerve. Nucleoplasty, also called plasma disk decompression. This laser surgery uses radiofrequency energy to treat people with low back pain associated with a mildly herniated disk. The surgeon inserts a needle into the disk. A plasma laser device is then inserted into the needle and the tip is heated, creating a field that vaporizes the tissue in the disk, reducing its size and relieving pressure on the nerves.
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.
Some surgical treatments are not recommended by NINDS, which cautions, for example, that intradiscal electrothermal therapy is “of questionable benefit.” NINDS notes that radiofrequency denervation provides only temporary pain relief and that “evidence supporting this technique is limited.” What are the risks of back surgery? Back surgery can carry higher risks than some other types of surgery because it is done closer to the nervous system. The most serious of these risks include paralysis and infections.
