Kyphoplasty is a medical procedure used to treat a condition known as Vertebral Compression Fractures (VCF). VCF a condition in which a fracture in the body of the vertebrae causes it to collapse. The spinal column is then pushed out at that point resulting in severe pain in the back. The remedy is to restore the height and angle of the fractured vertebrae. VCF is a common complication of osteoporosis. It may also be the result of a tumor or certain forms of cancer which cause softening of the bone. What does Kyphopasty entail? The patient lies face down on the operating table. The surgeon makes two 3 cm incisions, in the back. Guided by two X-Ray machines, a tube is inserted into the spinal column to the location of the fractured vertebrae. A device called a balloon tamp is pushed down the tube and inflated. This causes the collapsed vertebrae to be lifted and a space created between it and the adjoining vertebrae. Bonecement is inserted into the cavity. It dries in about 15 minutes. The balloon and tube are removed, the incisions in the back stitched up with the result being the restoration of the height and shape of the vertebral body.
Spinal cord stimulation(SCS) is a procedure that uses an electrical current to treat chronic pain. A small pulse generator, implanted in the back, sends electrical pulses to the spinal cord. These pulses interfere with the nerve impulses that make you feel pain.
Implanting the stimulator is typically done using a local anesthetic and a sedative. Your doctor usually will first insert a trial stimulator through the skin (percutaneously) to give the treatment a trial run. (A percutaneous stimulator tends to move from its original location, so it is considered temporary.) If the trial is successful, your doctor can implant a more permanent stimulator. The stimulator itself is implanted under the skin of the belly (abdomen), and the small coated wires (leads) are inserted under the skin to the point where they are inserted into the spinal canal. This placement in the abdomen is a more stable, effective location. After this outpatient procedure is complete, you and your doctor determine the best pulse strength. You are then told how to use the stimulator at home. A typical schedule for spinal cord stimulation is to use it for 1 or 2 hours, 3 or 4 times a day. When in use, the spinal cord stimulator creates a tingling feeling, rather than the pain you have felt in the past.
Discectomy this procedure removes a disc herniation (bulging disc) to relieve pressure on an adjoining nerve. Surgeons are able to precisely locate, see and remove herniated discs in the spine through tunnels created by tubes that split back muscle, much like a sewing needle splits the weave of fabric, along natural divisions. No muscle fiber is cut, only separated. This unique muscle-splitting approach allows surgeons to access the spine with a posterior approach without cutting or removing muscle from the spine.
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Spine Fusion Using TLIF Technique Spinal fusion (such as a TLIF) is a surgical technique to stabilize the spinal vertebra and the disc or shock absorber between the vertebra. Lumbar fusion surgery is designed to create solid bone between the adjoining vertebra, eliminating any movement between the bones. The goal of the surgery is to reduce pain and nerve irritation.
Spinal fusion may be recommended for conditions such as spondylolisthesis, degenerative disc disease or recurrent disc herniations. Surgeons perform lumbar fusion using several techniques. This article describes the transforaminal lumbar interbody fusion (TLIF) fusion technique.
Spine Fusion Using ALIF Technique Spinal fusion (such as an ALIF) is a procedure performed by approaching the spine through the abdomen. It involves the insertion of a bone graft into the disc space to help the vertebrae to fuse together. While the ALIF is still a widely available spine fusion technique, this type of procedure is often combined with a posterior approach (anterior/posterior fusions) because of the need to provide more rigid fixation than an anterior approach alone provides. In cases where there is not a lot of instability, an ALIF alone can be sufficient. Generally, this is true in cases of one level degenerative disc disease where there is a lot of disc space collapse.