Herniated disc surgery guides from Dr. Serge Obukhoff 2022? If you have a medical condition or injury that affects your nervous system, you may see a neurologist for evaluation and diagnosis. If your neurologist thinks your condition requires or may benefit from surgery, you’ll meet with a neurosurgeon for further medical advice and surgical treatment. What does a neurosurgeon do? A neurosurgeon assesses, diagnoses and treats conditions that affect your body’s nervous system, which includes your brain, spinal cord and spinal column, and all of your nerves that extend from your spinal cord. Discover more details on Dr. Serge Obukhoff.
LLIF is a fusion during which the surgeon makes a small incision on the person’s side, under their ribs to approach the spine from a lateral direction. This allows the surgeon to perform a spinal fusion without disrupting the muscles of the spine. The LLIF procedure may be accompanied by another procedure that is fairly common, percutaneous instrumentation of the spine. In this procedure, the surgeon places rods and screws between the muscle fibers, often using computer navigation or intraoperative X-ray as opposed to removing the muscles from the spine as is done with traditional spinal fusion surgery. When possible, we seek to utilize a minimally invasive approach, if it is an appropriate option.
When should I consider back surgery? According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), part of the National Institutes of Health (NIH), the following conditions may be candidates for surgical treatment: Herniated or ruptured disks, in which one or more of the disks that cushion the bones of the spine are damaged, Spinal stenosis, a narrowing of the spinal column that puts pressure on the spinal cord and nerves, Spondylolisthesis, in which one or more bones in the spine slip out of place, vertebral fractures caused by injury to the bones in the spine or by osteoporosis, Degenerative disk disease, or damage to spinal disks as a person gets older. In rare cases, back pain is caused by a tumor, an infection, or a nerve root problem called cauda equina syndrome. In these cases, NIAMS advises surgery right away to ease the pain and prevent more problems.
Whether minimally invasive or traditional, the goals are the same for the long-term; we want to accomplish overall improvement in symptoms or a halt in degeneration. Ultimately, we want our procedures to result in less blood loss, shorter hospital stays, lower infection rates and faster recovery in the weeks following surgery. Minimally invasive surgery typically results in an easier recovery process for patients, however, not every patient or surgical condition is appropriate for minimally invasive surgery. It is important that you partner with your spine surgeon to identify the best treatment option for your condition.
Anesthesiologists who specialize in pain management can work with you before and after surgery to develop a plan tailored to your condition, personal history, and preferences. They will consult with you after surgery to determine what is working and what is not, and they will adjust your pain management treatment based on the level of pain you are experiencing. Anesthesiologists work with your surgical team to evaluate, monitor, and supervise your care before, during, and after surgery—delivering anesthesia, leading the Anesthesia Care Team, and ensuring your optimal safety.