The two most common lumbar spine surgery procedures are decompression and spinal fusion.
During this procedure a small portion of the bone over the nerve root and/or disc material from under the nerve root is removed. This relieves pinching of the nerve and facilitates more room for the nerve to heal.
During this procedure a bone, metal or plastic graft is used to fuse the two vertebrae so that there is no longer any motion between them. This will reduce some of the pressure on the nerves, aiding in reducing pain and potential nerve injury. This surgery can be performed using different specific techniques depending on the patient’s complaints and the cause of the symptoms.
Cervical spine surgery can treat either nerve/spinal cord impingement or spinal instability. Cervical spine surgery relieves pain, numbness, tingling and weakness. It also restores nerve function by stopping or preventing abnormal movement of the spine. During this surgery a bone graft is use either in front or behind the spine to fused the vertebrae back together.
A compression fracture consist of a disintegrate vertebra, due to trauma or a weakened vertebra. This is often seen in patients with osteoporosis or osteogenesis imperfecta. Surgical procedures available to treat spinal fractures are:
Vertebroplasty is a minimally invasive spinal procedure that relieves the pain of vertebral compression fractures by using imaging guidance to inject the fracture vertebrate with cement. This procedure may be ideally for patients that have vertebral compression due to a tumor, older patients that cannot undergo open spinal surgery or to treat younger people that have osteoporosis due to a metabolic disorder. Our highly skilled neuroradiologist at Aventura Hospital and Medical Hospital will work with you to recommend the best treatment option based on your individual situation.
Kyphoplasty is a minimally invasive spinal procedure that relieves the pain of vertebral compression fractures by inserting a balloon to inject the fractured vertebrate with cement. It can be used on patients who suffer from severe collapse of the broken vertebrate or wedging. It can also help restore the spine to a more normal alignment and prevent severe hunchback deformity to the spine. Aventura Hospital and Medical Center constitutes of experts neuroradiologists that can decide if this is a viable treatment for you and will effectively perform the procedure.
Spinal fusion surgery is used to treat spinal compression fractures. This procedure eliminates motion and relieves pain between two vertebrae. Metal screws are place in the vertebrae through a small tube of bone to stop the vertebrae from moving. Spinal fusion is most recommended for patients who suffer from extremely pains.
Spinal stenosis surgery relieves pain from lumbar spinal stenosis in the short and long term. The surgery can be achieved by laminectomy, spinal fusion, endoscopic spinal surgery, and foraminotomy. The purpose of theses surgeries is to reduce the amount of pressure by relieving stress in the spinal canal. One of the “keyhole” surgeries includes endoscopic surgery which is done by using a tiny incision, making this procedure a minimally invasive surgery.
Degenerative joint disease is a form of arthritis called osteoarthritis. This disease is a progressive noninfectious disorder of the joints caused by “wear and tear” on a joint. The surgical options includes arthroscopic surgery to trim damage cartilage, osteotomy which consist of changing the alignment of a bone to relieve stress, or arthrodesis which is a surgical fusion of bones.
Other surgical options may include total hip replacement, shoulder replacement, ankle replacement, elbow replacement and total knee replacement or partial knee replacement, may be effective for patients with severe osteoarthritis.
Degenerative disc disease is a term used to describe the changes in the spinal discs as you get older. It occurs often in the discs in the lower back and the neck, but it can also occur throughout the spine. This condition put pressure on the spinal cord and nerves, which leads to pain and can also affect the nerve function. Physical therapy and exercises are often recommended, but if that doesn’t help surgery might be an option. The surgery consist of removing the damaged disc then either the bone is permanently fused or an artificial disc may be used to replace the disc removed.
The primary purpose of back surgery or neck surgery is to correct an anatomical lesion in individuals who fail to show improvement with conservative (nonsurgical) treatment. Surgery is not an option for patients when an anatomical lesion accounting for their pain cannot be identified. Our highly qualified team of nurses, physical therapists work with you and your surgeon.
A cervical disc herniation can be removed through an anterior approach (through the front of the neck) to relieve spinal cord or nerve root pressure and alleviate corresponding pain, weakness, numbness and tingling. This procedure is called an anterior cervical discectomy.
A lumbar spine fusion is a type of back surgery designed to treat low back pain from degenerative disc disease. It is called a “spine fusion” because the surgery involves placing small morsels of bone either in the front of the spine (in the disc space) and/or along the back of the spine (in the posterolateral gutter) so that the bone grows together and fuses that section of the spine.
The fusion is designed to eliminate motion in that fused segment of the spine, thereby decreasing or eliminating the back pain created by the motion.