Brace therapy may be the treatment a patient needs in order to heal correctly. The brace will help stabilize and immobilize the spine in the area where surgery was performed. Usually, braces are categorized as being soft, flexible, rigid, and semi-rigid. Flexible braces are pre-made in different sizes, so the doctor may make simple adjustments for the proper fit. For the other brace types, the doctor will measure the specific parts of the body to create a custom cast. The adjustability of a brace depends on the purpose of the brace.
Lumbar disc replacement is a surgery that replaces a damaged disc in the lower part of the spine with a prosthetic disc. This is a major highly invasive surgery that requires anesthesia and a hospital stay. While this surgery isn’t for everyone with back pain, it may be recommended for people who have no significant joint disease, are not excessively overweight, have not had previous spinal surgery, do not have scoliosis, and back pain mostly comes from one or two discs in the spine.
Spinal stenosis is when pressure is put on the nerves traveling through the spine due to narrowing of spaces in the spine. Symptoms may not occur or patients can experience pain, tingling, numbness, and muscle weakness. Spinal stenosis can be alleviated by non-surgical treatments. Surgery should be considered if non-surgical treatments did not relieve pain, pain has lasted for a long period of time, sensation has been lost in the arms or legs, bladder control is lost, and motor strength in the arms has decreased. The goal of this surgery is to create space for the spinal cord and the nerve roots. This helps decrease the pain from nerve inflammation. Spinal stenosis surgery should also help increase motor strength in the arms and legs.
The spine has discs located throughout it to help absorb shock and hold the vertebrae together. A herniated disc occurs when pressure from the spine creates a tear or weakness in one of the discs. The disc will then begin to leak into the spinal canal creating pain in the nerves around the affected area. Herniated discs can be caused by many things such as being overweight, lifting something the wrong way, and suddenly twisting your spine. Treatments other than surgery may include exercise, physical therapy, steroid injections, and rest. If these treatment options do not decrease the pain, surgery may be an option.
While many spinal surgeries are successful, some will have incomplete results, which may be due to incorrect diagnosis, developing scar tissue around the nerves, broken screws, and spinal instability. For patients who have unsuccessful surgeries, they may continue to experience pain long after the surgery and continue to seek non-surgical treatments. In this case, depending on each individual case, our physicians may be able to redo the spinal surgery.
Spinal fusion is a term used to describe surgery to join at least two vertebrae into one structure to inhibit back pain. The surgery limits the amount of movement to help prevent the nearby nerves, ligaments, and muscles to stretch and cause discomfort. A physician may recommend spinal fusion surgery for a patient who has back pain caused by degenerative disc disease, a fracture, scoliosis, spinal stenosis, spondylolisthesis, tumors, or spine infection.
Kyphoplasty is a minimally invasive spinal procedure to treat a vertebral compression fracture (VCF). A VCF is when the body collapses creating a “wedged” shape vertebrae. If a patient has multiple vertebral compression fractures the spine can become humped, called kyphosis. Vertebral compression fractures may be caused by osteoporosis, lifting heavy objects, sneezing, or coughing, which can cause back pain, difficulty sleeping, and reduced physical activity. Kyphoplasty is a procedure that inserts a hollow needle through the skin into the fractured vertebrae. A balloon is then inserted and inflated enlarging the vertebrae to its normal height. Cement is then used to fill the bone, thereby helping reduce the pain and prevent further fractures. This process is done for each vertebrae that is fractured. If the vertebral compression fracture goes untreated, it will heal in a collapsed position.Back To Top