When Should a Spinal Fusion Be Added to a Spinal Lumbar Discectomy Medical procedures

A spinal discectomy surgery in America is a very common procedure. how to avoid failed spinal fusion The dangers of the procedure are fairly low weighed against the benefit. Granted, there is a risk of infection, bleeding, problems for the nerve staying decompressed, etc. but overall with a discectomy backbone surgery the risk profile is low and clients benefit dramatically.

Typically the surgery calls for around 45 min. and patients go back home either same day or next day. When would a doctor consider doing a fusion of that level and not just a discectomy? Putting a fusion to the procedure increases the potential risks and complications and should not be taken lightly. But periodically it is a good idea to add it to the task.

One of the most prevalent indications for adding fusion is definitely if the patient has already established multiple discectomies at the same level. Here is the thought process on that. If the individual has a recurrence of a disk herniation at the same stage as having had a prior surgery, the person should have nonoperative treatment just about the same as before to try and avoid surgery.

This might include epidural injections from the pain management doctor, physical therapy or chiropractic treatment, and medication control. But if this fails, a lumbar disk removal procedure is indicated after 5 to 9 8 weeks for pain control, particularly if the patient is starting to have muscle weakness such as a foot drop.

When a person includes a discectomy surgery, the part of the disk removed does not regenerate. So disc degeneration may be the final result. After one discectomy surgery, this is often fairly tolerable by patients and may just lead to mild to moderate back soreness on an inconsistent basis.

After 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 might remove the rest of the disc, and immobilize that segment in order that the eventual severe back pain is hopefully avoided.

If a patient is having a first-period lumbar discectomy surgery and the patient 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. So the patient has just as much back pain as they do leg pain, plus a severe degenerative disc, it does make sense to consider having a spinal fusion at that degree.

This will hopefully address both the person’s back discomfort and leg pain at the same time.

As mentioned, including a spinal fusion to a discectomy procedure increases the risks. There is hardware associated with screws and rods, and much more dissection is necessary to perform the procedure. There are a few minimally invasive ways of doing the surgery, however, anyway you look at it it involves more time in the operating room, additional loss of blood, and increased risks. That is why it should not be a decision taken lightly.