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Spinal column reconstruction in Dhakuria

Spinal Column Reconstruction

Spinal column reconstruction in Dhakuria

Spinal Column Reconstruction surgery may be a great option for people with persistent back pain or anomalies in their spine. People with a substantial amount of spinal deformity or misalignment may require Spinal Column Reconstruction surgery. This complex surgery involves correcting any major spinal abnormalities, stabilising the newly shaped spine with rods and pins, and fusing the vertebrae together during a comprehensive treatment for the entire spine. In some cases, artificial implants may be needed to replace damaged vertebrae. Spinal Reconstruction is commonly used to treat conditions such as scoliosis, spondylolisthesis, and kyphosis. The use of minimally invasive procedures is common to shorten recovery times and minimise problems. Remedial treatment of abnormalities, pain relief, and increased mobility are the objectives. The extent of spinal damage, the patient's general health, and the particular condition of the patient all influence the approach and techniques used in Spinal Column Reconstruction. A successful reconstruction can improve the patient's quality of life considerably.

FAQ's

Spinal Column Reconstruction surgery is used to address various spinal conditions that compromise the stability and alignment of the spine:

  • Scoliosis, is a condition in which the spine has curvature on both sides

  • Spondylolisthesis, is defined as a condition where the vertebrae become displaced

  • Exaggerated curvature of the upper spine, or kyphosis

  • A herniated disc, is when a damaged disc protrudes into the spinal canal

  • Spinal stenosis is when the spinal canal becomes constricted, resulting in nerve pain

  • Damage to the discs caused by a traumatic event, known as a spinal injury

  • Age-related disc and vertebral wear, known as degenerative disc disease

  • Spinal tumours are growths that put pressure on the nerves within the spinal canal

  • Spinal fractures, ‌also known as vertebral cracks or compression fractures

  • The presence of tumours, deformities, or degeneration can cause a spine to lose stability and become weak

The main goals of Spinal Column Reconstruction are to correct abnormalities, alleviate pain, improve mobility, and restore spinal stability. The goal of the surgery is to improve structural integrity, reduce pressure on the spinal cord and nerves, and stop further damage to the spine by realigning and stabilising the vertebrae. In the end, these objectives seek to greatly enhance the patient's quality of life by facilitating increased physical function and decreasing chronic suffering.

To rule out spinal cord damage, the doctor will perform a physical examination, evaluating mobility and sensory function, as well as questioning the accident. If the patient has a neurological injury, altered awareness, weakness, or neck pain, emergency diagnostic testing is required.

  • X-rays: They can identify tumours, fractures, or abnormalities in the spine, as well as bone deterioration surrounding the spinal cord.

  • CT scan: A CT scan may distinguish between changes to the disc, bone, and other structures more clearly than an X-ray.

  • Magnetic resonance imaging (MRI): This imaging technique uses radio waves and magnetic fields to see the spinal cord and locate any masses compressing the cord or ruptured discs.

  • Discogram: Also referred to as discography, this imaging examination uses distinct discs in the spine to identify which one is causing the back discomfort. 

During Spinal Reconstructive surgery, the surgeon gains access to the spine through an incision in the back. They may realign and stabilise the vertebral column using metal rods, screws, or bone grafts. Decompression techniques may also be employed to alleviate pressure on the spinal cord and nerves. Less-invasive approaches can be utilised to promote faster healing and prevent muscle damage. The goals of this surgery include restoring spinal stability, reducing pain, correcting abnormalities, and improving overall function.

Neurosurgeons and spine surgeons are skilled in performing surgeries on the back and spine to reconstruct the spinal column and aim to give the best care. These include:

  • Cervical Disc Replacement: This procedure uses artificial components or bone grafts to replace injured discs, improving mobility, hastening healing, and lowering the chance of further pain.

  • Foraminotomy: Treats conditions such as herniated discs by enlarging the bones in the spinal column to release pressure on pinched nerves.

  • Laminectomy: Often used to treat spinal stenosis, this procedure involves removing all or part of the lamina to relieve spinal cord compression.

  • Microdiscectomy: Removing herniated disc fragments with minimal invasiveness to treat back pain.

  • Kyphoplasty: This treatment for compression fractures uses a balloon and specialised cement to stabilise and raise compressed vertebrae.

  • Spinal Fusion: The permanent fusion of vertebrae is used to treat herniated discs, scoliosis, and spinal instability.

Though back surgery risks are low, there's still a chance of health issues. Here are some common ones:

  • Deep Venous Thrombosis (DVT): Bleeding or vascular injury-related clotting following calf, thigh, or pelvis surgery

  • Dural Tear: A rupture of the covering that protects the spinal cord, which can cause spinal fluid to leak and cause headaches

  • Lung Issues: Post-anaesthesia, temporary dyspnea in lung function; lung workouts promote healing

  • Infection: Low but probable, antibiotics may be needed if it spreads to the spinal cord and vertebrae

  • Hardware malfunction: The surgical hardware is breaking or moving, requiring replacement surgery

  • Sustained Pain: Failed back surgery syndrome (FBSS) or increased pain may follow an unsuccessful surgical procedure

  • Sexual Dysfunction: The cause of sexual dysfunction is a nerve injury in the vicinity of the pelvis

  • Transitional Syndrome: An uneven distribution of weight following surgery that causes pain and stress on nearby vertebrae

  • Pseudarthrosis: When Spinal Fusion surgery fails, extra-corrective surgery may be needed

Your orthopaedic surgeon may advise you to follow a few guidelines following the procedure to promote a quicker recovery and prevent any complications. A few of them are:

  • After fusion surgery, refrain from bending, lifting, or twisting for three months.

  • Please restrict your activity for a specified period of time, as advised.

  • After surgery, keep the wounds dry and clean.

  • Undergoing rehabilitation and physical therapy

  • Observe the guidance your physician provides regarding the prescriptions you need to take.

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