Carle Spine Institute610 North Lincoln Ave. Urbana, Illinois 61801 | Medical Advice Nurse 217-383-6555
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While studies show that more than half of back surgeries are unnecessary, there are times when surgery is the answer.
Common Back Surgeries:
An injury, or damage from a lifting incident, may cause
the jelly center to break through the wall of the disc. When the disc
herniates, the jelly center can press on nearby nerves. This causes back
or leg pain when the herniation is in the low back, and arm pain if the
disc is in the neck area.
The decision to fuse or not to fuse can be a complex one. It will probably be based on the surgeon's assessment of two factors: the amount of instability that a discectomy will cause and how much disc space is necessary to restore. If the surgeon opts not to do a fusion, a different follow-up surgery may be recommended.
"Neuroablation" is another word used to describe the surgical procedure to purposely inhibit the nerve's ability to transmit a pain signal. During the procedure, the spine surgeon can destroy the problematic nerve by cutting it or by using extreme heat or cold. This intentional "short circuit" can be temporary or permanent, depending upon the procedure.
Trying to mask this signal with drugs can have damaging long-term implications. Drugs can have dangerous side effects to internal organs. By using rhizotomy, the pain signal is turned off at the source.
Scoliosis is not the result of an injury and usually appears without cause. It can be inherited, and it usually affects more women than men. In the case of most spinal curves, the spine is not only bent but twisted like a bent corkscrew.
Some cases of scoliosis are not serious. Over time, if a curve worsens, surgery may be required to correct the curve. In extreme cases, if the curve is not corrected, the spinal deformity can place pressure on internal organs, which can shorten a person's life expectancy.
During scoliosis surgery, the surgeon may use special instruments that hook onto various vertebra segments. These surgical rods are the adjusted to "de-rotate" the twisted and bent corkscrew.
Decades ago, Harrington Rods were used to surgically straighten the spine. However, this technique did not untwist or correct the spine. Current state-of-the-art instrumentation achieves much better spine correction than older rods did.
Generally speaking, the younger the patient, the more flexible the spine and the better the result from scoliosis surgery. As the patient becomes older, say over 40 years old, the spine is less flexible, and there may be a greater risk involved in attempting to correct the curve. Because the spinal cord is involved, only spine surgeons who specialize in scoliosis should perform scoliosis surgery.
Dorsal Column Stimulation
During this procedure, the patient is awake, and the surgeon delicately places tiny electrodes under the skin in the back. At that point, a tiny electrical current is transmitted through the wires to the desired location in the back. This sensation feels like a tiny tickle, as the electrical current interrupts the pain signal that may be sent to the brain from the damaged nerve. The patient helps instruct the surgeon as to which electrical setting and placement of wires produces the most pain relief. It is important to note that this technique is only used in the most extreme cases of back and leg pain.
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Carle Foundation Hospital and Carle Physician Group contract with insurance providers separately and may or may not choose to participate in all of the same insurance plans. Patients are urged to check with their carriers as to whether services are covered for either or both organizations. Copyright 2010 The Carle Foundation