Vertebral meaning1/14/2024 ![]() ![]() The surgeon inserts a needle into the disk. This laser surgery uses radiofrequency energy to treat people with low back pain associated with a mildly herniated disk. ![]() Nucleoplasty, also called plasma disk decompression.In this procedure, the surgeon enlarges the bony hole where a nerve root exits the spinal canal to prevent bulging disks or joints thickened with age from pressing on the nerve. Laminectomy and discectomy are frequently performed together. This procedure is used to remove a disk when it has herniated and presses on a nerve root or the spinal cord. The surgeon removes the bony walls of the vertebrae and any bone spurs, aiming to open up the spinal column to remove pressure on the nerves. This is performed when spinal stenosis causes a narrowing of the spinal canal that results in pain, numbness, or weakness. Spinal laminectomy/ spinal decompression.Both procedures include the injection of a glue-like bone cement that hardens and strengthens the bone. These procedures are used to repair compression fractures of the vertebrae caused by osteoporosis. But NINDS also cautions that “there is little evidence to show which procedures work best for their particular indications.” NIH’s National Institute of Neurological Disorders and Stroke (NINDS) lists the following as some of the surgical options for low back pain. In these cases, NIAMS advises surgery right away to ease the pain and prevent more problems. In rare cases, back pain is caused by a tumor, an infection, or a nerve root problem called cauda equina syndrome. Degenerative disk disease, or damage to spinal disks as a person gets older.Vertebral fractures caused by injury to the bones in the spine or by osteoporosis. ![]() Spondylolisthesis, in which one or more bones in the spine slip out of place.Spinal stenosis, a narrowing of the spinal column that puts pressure on the spinal cord and nerves.Herniated or ruptured disks, in which one or more of the disks that cushion the bones of the spine are damaged.When should I consider back surgery?Īccording to the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), part of the National Institutes of Health (NIH), the following conditions may be candidates for surgical treatment: A pain management specialist can help you decide whether surgery is an appropriate choice after making sure you have exhausted all other options. Nonetheless, there are times when back surgery is a viable or necessary option to treat serious musculoskeletal injuries or nerve compression. This lack of success is so common that there is a medical term for it: failed back surgery syndrome. In fact, surgery often does not relieve the pain research suggests that 20 to 40 percent of back surgeries are not successful. Most pain in the lower back can be treated without surgery. ![]()
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