The primary purpose of neck or back surgery is to correct an anatomical lesion in individuals who fail to show enhancement with conservative, that is, non – surgical treatment. Surgery isn’t an option for those patients whose anatomical lesion accounting for their pain cannot be identified. Surgery is useful only if there is a need to change the patients’ anatomy. Like for example, to remove disc herniation. There is no particular reason to consider an exploratory surgery to look for a source of pain. An unsuccessful conservative treatment is itself a sign for surgery. A noticeable anatomic lesion is also necessary.
Evolution in Spine Surgery
Present – day spine surgery has made major developments in both spinal implants and technique over the past couple of decades, but even until today the most remarkable progress in spine surgery has been better pre – operative imaging techniques, which have been greatly improved the ability of the surgeons to spot accurately and correct an anatomic lesion as a source of pain.
Definitely, MRI scan (Magnetic Resonance Imaging) has transformed back surgery. It is the most frequent and the best test to recognize an anatomical lesion responsible for the patient’s problem. The most vital factor in the resolution of the success in spine surgery is proper pre – operative diagnosis. Without an appropriate pre – operative diagnosis, even the most technically successful operations have a little chance for a successful result.
Though spine surgery is done by either neurosurgeons or orthopedic surgeons, it is more and more becoming a field unto itself. Many surgeons are doing extra specialized training in the field after their residency training. Given the precision needed for these more demanding surgical techniques, many neurosurgeons or orthopedic surgeons with fellowship training are choosing to concentrate more of their practice on spine surgery. Some trust that the increased level of special training and concentration on the spine have donated to enhancements in surgical techniques, which in turn have led to overall better success rates and minimized morbidity with many types of spine surgeries. For example, the reduced post – operative discomfort.
Objective of Spine Surgery
Spine surgery is generally an elective undertaking, which means that it is observed as a possible approach to increase a patient’s ability to function and reduce pain. Anyhow, just because spine surgery is elective doesn’t mean that it is not covered by insurance. Elective surgery may be medically necessary. ‘Elective’ means that the surgery of spine is seldom an absolute necessity. Only in exceptional instances, like for patients who have a progressive neurological loss of function or sudden start of bladder or bowel incontinence, is spinal surgery is actually mandatory on an emergency basis.
Spine surgery can basically achieve three tasks:
- Decompress the spinal cord or a nerve root.
- Stabilize a painful or an unstable segment with spinal fusion surgery.
- Reduce a distortion (for e.g. scoliosis surgery in the thoracic spine).
Spine surgery isn’t done for exploration. The source of a patient’s pain isn’t readily apparent with exploring and opening the spine. The pre – operative evaluation and imaging results are what identifies the problem and guide the diagram of the procedure.
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