When Should a Spinal Fusion Become Put into a Spinal Lumbar Discectomy Surgery treatment

A spinal discectomy surgery in the us is an extremely common procedure. The risks of the procedure are fairly low compared with the benefit. Granted, there is a risk of infection, bleeding, problems for the nerve being decompressed, etc. but overall with a discectomy spine surgery the chance profile is low and clients benefit dramatically.

Typically the surgery takes around 45 min. and patients go home either same day or following day. When would a doctor consider performing a fusion of that level and not simply a discectomy? Putting a fusion to the surgery escalates the potential risks and complications and really should not be studied lightly. But there are times when it is a good idea to add it to the procedure.

One of the most common indications for adding fusion can be if the patient has already established multiple discectomies at exactly the same level. Here is the way of thinking on that. If the patient includes a recurrence of a disk herniation at the same stage as having had a previous surgery, the person should have nonoperative treatment pretty much the same as before to avoid surgery.

This might include epidural injections from a pain management doctor, physical therapy or chiropractic treatment, and medicine control. But if this fails, a lumbar disk removal medical procedures is indicated after 5 to 9 8 weeks for pain control, especially if the patient is beginning to have muscle weakness like a foot drop.

When a person has a discectomy surgery, the area of the disk removed will not regenerate. So disc degeneration is the final result. After one discectomy surgery, this is often fairly tolerable by patients and may just result in mild to moderate back discomfort on an inconsistent basis.

Following a 2nd discectomy surgery, often times the patient ends up with severe degenerative disease. If the patient is having a third discectomy surgery, this can be a very good idea to include a spinal fusion surgery. This would remove the rest of the disk, and immobilize that segment so that the eventual severe back soreness is hopefully avoided.

If a sufferer is having a first-moment lumbar discectomy surgery and the individual has severe disk degeneration with a considerable amount of back pain, simply taking right out the small piece of disk that is pushing on a nerve root will still only help with leg pain. It isn’t a back pain operation. Therefore the patient has as much back pain as they do leg pain, plus a severe degenerative disc, it can make sense to consider having a spinal fusion at that degree.

This will hopefully address both the person’s back soreness and leg pain as well.

Dr. Schultz’s blog post As mentioned, adding a spinal fusion to a discectomy medical operation escalates the risks. There is hardware associated with screws and rods, and more dissection is necessary to perform the procedure. There are some minimally invasive ways of doing the surgery, however, anyhow you look at it it involves additional time in the operating room, even more loss of blood, and increased risks. Because of this it should not be a decision taken lightly.

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