Dr. Ashish Goyal is the leading neurosurgeon of India, specializing in cervical spineView Full Profile
Spine deformity surgery can be done using four different methods. Lumbar corpectomy is a process of removing the damaged discs to relieve the pressure on the spinal cord. The vertebra space is then opened to straighten the alignment and reduce the deformity. A bone graft is used to straighten the spinal cord.
Spinal Fusion is another commonly used surgical procedure to correct the spine condition using a disc. Bone that affects the nerves is removed and bone grafts added to the spine, and secured in place with rods and screws. The graft fuses with the bone with time, adding to the strength and stability of the spinal cord.
Spinal deformity surgery is also used to treat scoliosis, a condition which causes the spine to curve abnormally. It may happen at birth or set in later due to conditions like cerebral palsy or physical trauma. Spinal fusion surgery can provide relief in most cases.
Spine surgery was usually performed as an open surgery a few years ago. By this method the surgeon could clearly view and access the anatomy. In recent years, huge advancement in medical technologies has allowed doctors to carry out such surgeries involving the back and neck to be treated with a minimally invasive surgical technique. As no long incisions are necessary, there is little damage to the muscles around the spine region. The process is hence less painful and the recovery process is significantly faster.
Minimally invasive spine surgery or MISS is recommended only when medications and physical therapy has failed to deliver any relief to the spinal problems. It is also recommended when the specialist has been able to pinpoint the precise source of pain. Minimally invasive techniques can be used to treat a wider range of spine-related problems such as MIS Lumbar Diskectomy and MIS Lumbar Fusion. When handled by experienced surgeons, MISS can reduce post-operative complications and infection dramatically.
The conventional treatment procedures for spine conditions are aimed at correcting the abnormality. However, these treatment forms are effective in some patients only after the initial treatment fails and after exploring a more detailed surgical option. Endoscopic spine surgery which is medically called transforaminal decompressive surgery is rapidly changing the way how surgeons perform spine surgery.
Endoscopic spine surgery aims at providing pain relief and changing the painful degenerative processes phase. It can also help minimize the dependability of patients on hardware and implants that can burden them financially.
The whole purpose of this form of surgery is to provide decompression first and then add the necessary hardware in a staged process when necessary.
Cervical disc replacement is a advanced and developing surgical procedure that’s effective in treatment of cervical disk conditions. In this procedure, the damaged or degenerated cervical disc is removed and replaced with an artificial disc device.
Cervical discs act as shock absorbers of the body. They are the much-needed cushions and can be found between the vertebra of the neck or the cervical spine. When discs become damaged by degeneration or trauma, it can cause immense and constant neck pain and also cause neurologic issues such as numbness or weakness that can radiate from the neck into arms.
The cervical disk replacement procedure involves using a disc replacement usually composed of two metallic surfaces. One is attached to the upper and the other to the lower vertebra at the affected disc level. These metal implants can slide on each other directly or a piece of medical grade plastic can be used to separate them. The device allows smooth motion between the two vertebrae.