Back pain surgery: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Back pain}} | {{Back pain}} | ||
{{CMG}} {{AE}} {{ZMalik}} | |||
==Overview== | ==Overview== | ||
[[Surgery]] is rarely needed for [[back]] [[pain]]. [[Surgery]] may be required in [[patients]] with lumbar disc herniation, [[degenerative disc disease]], [[spinal stenosis]], [[spondylolisthesis]], [[scoliosis]], [[compression fracture]]. [[Surgical]] procedure include, [[diskectomy]], [[laminectomy]], [[joint fusion]], [[artificial disks]], [[interlaminar implant]], [[vertebroplasty]], [[kyphoplasty]], and [[nucleoplasty]]. | |||
==Surgery== | ==Surgery== | ||
Surgery may sometimes be appropriate for patients | [[Surgery]] may sometimes be appropriate for [[patients]]. Types of [[back]] [[surgeries]] include: | ||
* | *[[Spinal fusion]]: Indicated in [[patients]] with non-specific [[chronic]] [[pain]] due to [[degenerative disc disease]] resitant to [[medical therapy]].<ref name="Willems2013">{{cite journal|last1=Willems|first1=Paul|title=Decision Making in Surgical Treatment of Chronic Low Back Pain: The performance of prognostic tests to select patients for lumbar spinal fusion|journal=Acta Orthopaedica|volume=84|issue=sup349|year=2013|pages=1–37|issn=1745-3674|doi=10.3109/17453674.2012.753565}}</ref> | ||
* [[ | *[[Laminectomy]]: [[Patients]] with [[spinal stenosis]] may benefit from this procedure by enlarging the [[spinal canal]] or removing [[bone spurs]]. This relieves the [[pain]] caused due to [[nerve]] compression.<ref name="SilversLewis1993">{{cite journal|last1=Silvers|first1=H. Roy|last2=Lewis|first2=P. Jeffrey|last3=Asch|first3=Harold L.|title=Decompressive lumbar laminectomy for spinal stenosis|journal=Journal of Neurosurgery|volume=78|issue=5|year=1993|pages=695–701|issn=0022-3085|doi=10.3171/jns.1993.78.5.0695}}</ref> | ||
* [[ | *[[Foraminotomy]]: This [[nerve]] decompression procedure enlarges the area on the sides of a vertebrae where [[spinal]] [[nerve]] exits the [[spinal canal]]. | ||
* [[ | *[[Diskectomy]]: The herniated portion of [[intervertebral disc]] that causes [[nerve]] [[pain]] and irritation is removed.<ref name="OwensCarreon2018">{{cite journal|last1=Owens|first1=R. Kirk|last2=Carreon|first2=Leah Y.|last3=Bisson|first3=Erica F.|last4=Bydon|first4=Mohamad|last5=Potts|first5=Eric A.|last6=Glassman|first6=Steven D.|title=Back pain improves significantly following discectomy for lumbar disc herniation|journal=The Spine Journal|volume=18|issue=9|year=2018|pages=1632–1636|issn=15299430|doi=10.1016/j.spinee.2018.02.014}}</ref> | ||
*[[Disk replacement]]: Damaged [[intervertebral disc]] is replaced by an artificial disc.<ref name="JacobsVan der Gaag2012">{{cite journal|last1=Jacobs|first1=Wilco|last2=Van der Gaag|first2=Niels A|last3=Tuschel|first3=Alexander|last4=de Kleuver|first4=Marinus|last5=Peul|first5=Wilco|last6=Verbout|first6=AJ|last7=Oner|first7=F Cumhur|title=Total disc replacement for chronic back pain in the presence of disc degeneration|journal=Cochrane Database of Systematic Reviews|year=2012|issn=14651858|doi=10.1002/14651858.CD008326.pub2}}</ref> | |||
[[ | *[[Interlaminar implant]]: A U-shaped device is placed in between two vertebrae in order to keep the intervertebral space open to relieve [[nerve]] compression.<ref name="ErricoKamerlink2009">{{cite journal|last1=Errico|first1=Thomas J.|last2=Kamerlink|first2=Jonathan R.|last3=Quirno|first3=Martin|last4=Samani|first4=Jacques|last5=Chomiak|first5=Robert J.|title=Survivorship of coflex Interlaminar-Interspinous Implant|journal=International Journal of Spine Surgery|volume=3|issue=2|year=2009|pages=59–67|issn=2211-4599|doi=10.1016/SASJ-2008-0027-RR}}</ref> | ||
*[[Vertebroplasty]] and [[kyphoplasty]]: G;ue like [[bone]] cement is [[injected]] to strengthen and harden the vertebra in [[patients]] with [[osteoporosis]] compression [[fractures]].<ref name="BarrBarr2000">{{cite journal|last1=Barr|first1=John D.|last2=Barr|first2=Michelle S.|last3=Lemley|first3=Thomas J.|last4=McCann|first4=Richard M.|title=Percutaneous Vertebroplasty for Pain Relief and Spinal Stabilization|journal=Spine|volume=25|issue=8|year=2000|pages=923–928|issn=0362-2436|doi=10.1097/00007632-200004150-00005}}</ref> | |||
*[[Nucleoplasty]]: Also referred to as plasma disc decompression uses [[laser]] technique to reduce [[bone]] size to relieve [[nerve]] compression.<ref name="LeeLee2016">{{cite journal|last1=Lee|first1=Jung Hwan|last2=Lee|first2=Sang-Ho|title=Clinical Efficacy of Percutaneous Endoscopic Lumbar Annuloplasty and Nucleoplasty for Treatment of Patients with Discogenic Low Back Pain|journal=Pain Medicine|year=2016|pages=pnv120|issn=1526-2375|doi=10.1093/pm/pnv120}}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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Latest revision as of 02:24, 8 June 2021
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American Roentgen Ray Society Images of Back pain surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Zehra Malik, M.B.B.S[2]
Overview
Surgery is rarely needed for back pain. Surgery may be required in patients with lumbar disc herniation, degenerative disc disease, spinal stenosis, spondylolisthesis, scoliosis, compression fracture. Surgical procedure include, diskectomy, laminectomy, joint fusion, artificial disks, interlaminar implant, vertebroplasty, kyphoplasty, and nucleoplasty.
Surgery
Surgery may sometimes be appropriate for patients. Types of back surgeries include:
- Spinal fusion: Indicated in patients with non-specific chronic pain due to degenerative disc disease resitant to medical therapy.[1]
- Laminectomy: Patients with spinal stenosis may benefit from this procedure by enlarging the spinal canal or removing bone spurs. This relieves the pain caused due to nerve compression.[2]
- Foraminotomy: This nerve decompression procedure enlarges the area on the sides of a vertebrae where spinal nerve exits the spinal canal.
- Diskectomy: The herniated portion of intervertebral disc that causes nerve pain and irritation is removed.[3]
- Disk replacement: Damaged intervertebral disc is replaced by an artificial disc.[4]
- Interlaminar implant: A U-shaped device is placed in between two vertebrae in order to keep the intervertebral space open to relieve nerve compression.[5]
- Vertebroplasty and kyphoplasty: G;ue like bone cement is injected to strengthen and harden the vertebra in patients with osteoporosis compression fractures.[6]
- Nucleoplasty: Also referred to as plasma disc decompression uses laser technique to reduce bone size to relieve nerve compression.[7]
References
- ↑ Willems, Paul (2013). "Decision Making in Surgical Treatment of Chronic Low Back Pain: The performance of prognostic tests to select patients for lumbar spinal fusion". Acta Orthopaedica. 84 (sup349): 1–37. doi:10.3109/17453674.2012.753565. ISSN 1745-3674.
- ↑ Silvers, H. Roy; Lewis, P. Jeffrey; Asch, Harold L. (1993). "Decompressive lumbar laminectomy for spinal stenosis". Journal of Neurosurgery. 78 (5): 695–701. doi:10.3171/jns.1993.78.5.0695. ISSN 0022-3085.
- ↑ Owens, R. Kirk; Carreon, Leah Y.; Bisson, Erica F.; Bydon, Mohamad; Potts, Eric A.; Glassman, Steven D. (2018). "Back pain improves significantly following discectomy for lumbar disc herniation". The Spine Journal. 18 (9): 1632–1636. doi:10.1016/j.spinee.2018.02.014. ISSN 1529-9430.
- ↑ Jacobs, Wilco; Van der Gaag, Niels A; Tuschel, Alexander; de Kleuver, Marinus; Peul, Wilco; Verbout, AJ; Oner, F Cumhur (2012). "Total disc replacement for chronic back pain in the presence of disc degeneration". Cochrane Database of Systematic Reviews. doi:10.1002/14651858.CD008326.pub2. ISSN 1465-1858.
- ↑ Errico, Thomas J.; Kamerlink, Jonathan R.; Quirno, Martin; Samani, Jacques; Chomiak, Robert J. (2009). "Survivorship of coflex Interlaminar-Interspinous Implant". International Journal of Spine Surgery. 3 (2): 59–67. doi:10.1016/SASJ-2008-0027-RR. ISSN 2211-4599.
- ↑ Barr, John D.; Barr, Michelle S.; Lemley, Thomas J.; McCann, Richard M. (2000). "Percutaneous Vertebroplasty for Pain Relief and Spinal Stabilization". Spine. 25 (8): 923–928. doi:10.1097/00007632-200004150-00005. ISSN 0362-2436.
- ↑ Lee, Jung Hwan; Lee, Sang-Ho (2016). "Clinical Efficacy of Percutaneous Endoscopic Lumbar Annuloplasty and Nucleoplasty for Treatment of Patients with Discogenic Low Back Pain". Pain Medicine: pnv120. doi:10.1093/pm/pnv120. ISSN 1526-2375.