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Spine Stabilisation is a surgical procedure to improve the spine's ability to support weight and move while treating deformity and instability. By realigning the spine and eliminating shattered bone fragments, it addresses sudden injuries, and the severity of the condition dictates the level of stabilisation needed. Spine stabilisation involves several key procedures, depending on the underlying condition and the area of the spine being treated. These surgical techniques ensure proper alignment and reduce movement between vertebrae. These may involve the use of metal implants, such as rods, screws, and plates, in combination with bone grafts or bone substitutes to promote fusion between vertebrae.
Procedures for Spinal Stabilisation include Spinal Fusion, where vertebrae are permanently joined to prevent movement and relieve pressure on the spinal cord or nerves. Other techniques, such as Laminectomy and Discectomy, may be performed to remove damaged tissue or herniated discs before fusion. Vertebroplasty and Kyphoplasty involve injecting bone cement into fractured vertebrae to stabilise them. Additionally, Dynamic Stabilisation devices allow for some movement while providing support. Compared to open surgery, minimally invasive procedures promise fewer complications and a quicker recovery as they involve smaller incisions. Recovery from Spinal Stabilisation typically involves a period of rehabilitation, including physical therapy, bracing, and medication to manage pain and support the healing process. The chosen procedure depends on the patient's physical state, general health, and individual spinal issues. A successful stabilisation leads to restored function, decreased persistent pain, and enhanced quality of life.
Surgical Spine Stabilisation is employed to address the subsequent ailments:
Trauma from a vehicle accident or athletic injury
Trauma from a fall from a height that can cause fractures, spinal compression, and other ailments
Degenerative diseases such as herniated discs and scoliosis
Spinal fractures resulting from bone loss due to osteoporosis
Spondylolisthesis
Tumours of the spine
Spinal instability can manifest with different symptoms in various individuals. For instance:
Intense pain in the back while lifting objects, bending the spine, and standing up straight
A feeling of suddenly becoming stuck while in motion, similar to standing up from a seated position
Muscular spasms
Pain typically affects one side of the body and might travel down into the legs and buttocks
Arms and lower extremities feel numb
Prolonged standing or sitting could aggravate the pain
Laughter, coughing, and sneezing can cause pain as well
Stabilisation Spine Surgery involves the use of plates, rods, or screws to decrease or eliminate painful movement of the vertebrae. The two main types of this surgery are Disc Replacement and Spinal Fusion.
Spinal Fusion: Spinal Fusion prevents the straining of ligaments and nerves by eliminating uncomfortable movement between the vertebrae. It relieves pain related to ageing, injuries, and arthritis. For nerve pressure, Decompression (Laminectomy) may be used. Fusion usually minimally affects flexibility, which primarily affects tiny spine segments.
Common procedures involved in Spinal Stabilisation Surgery include Spinal Fusion, Laminectomy (removal of part of the vertebrae), Discectomy (removal of herniated disc material), Vertebroplasty (injecting cement into fractured vertebrae), and Kyphoplasty (similar to vertebroplasty but with balloon inflation).
This technique can effectively treat low back pain and sciatica by preserving the mobility and function of the affected vertebrae without the need for fusion or permanent fixation. It is recommended for cases of moderately advanced degenerative spine disease and can be used in combination with a Discectomy to replace a removed disc. Additionally, it can be used with fixation or arthrodesis to prevent future deterioration of adjacent spinal segments.
The treatment could take two to four hours or longer, depending on how serious your disease is. To stabilise the spine and stop additional disc degeneration, your surgeon will fuse two vertebrae during this period using metal screws or rods. The goal of this fusion is to create a more stable and healthy spine by reducing pain, increasing overall function, and improving spinal stability. General anaesthesia is typically used during the procedure. The overall duration of the procedure can vary depending on the patient's characteristics and the specific areas being treated.
It is essential to effectively manage pain and avoid any strenuous or risky twisting or bending while going through a lengthy recovery period. Your pain should start to decrease as soon as you start physical therapy, and you can talk to your doctor about tapering off any painkillers. Within as little as a year following surgery, the majority of patients experience a significant improvement in their quality of life and pain levels, and these statistics continue to rise over time.
Although it is difficult to make the entire procedure painless, Spine Surgery is now far less painful than it was in the past due to developments in technology and technique. The worst of the pain usually occurs in the first few days, after which it normally gets better. Patients should experience improvements in comparison to their pre-surgery state after a week or two.
Every surgery carries some risks, and Spinal Stabilisation surgery is not an exception. Common risks include infection, bleeding, nerve damage, blood clots, hardware failure, and failure to achieve fusion. It's important to discuss the potential risks with your surgeon before the procedure to make an informed decision.
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