If your discs have degenerated with time and ruptured, you may require herniated disc surgery. Depending on the location of your herniated disc , you may require a different surgical procedure.
According to one study, the success rate for a herniated lumbar disc surgery was Several spinal fusion surgeries can help limit back pain that stems from specific points. A fusion surgery involves joining two vertebrae with a bone graft, so they become one solid bone. This procedure can give your spine more stability and address pain you may feel when moving.
Sciatica occurs when you feel sudden pain in your hip and lower back that radiates to the back of the leg and thigh. You may experience sciatica as a result of normal wear and tear that accompanies aging. However, sciatica surgery may be appropriate if you feel disabling leg pain even after non-surgical intervention. The answer is that most back surgeries rely on a variety of factors for success.
These include patient health, the type of spine surgery a patient has and the way post-operative factors play out. Your health may influence the rate and success at which you recover.
According to one study, the following conditions could negatively affect back surgery success :. If there are any errors or complications during the operation, the surgery may have a greater risk of failure as well. Back surgeries may not be as successful if a patient has one of the following conditions soon after surgery:.
Surgery may also have decreased effectiveness if a patient experiences transition syndrome as they recover. Before you consider back surgery, doctors typically recommend you try conservative, non-surgical options. Most physicians suggest a three-month time window for these options, as many back issues will resolve themselves after that time.
The National Institute of Arthritis and Musculoskeletal and Skin Diseases recommends surgery in the following situations :. Whether you fall into one of the above categories or not, there are several crucial questions to consider before pursuing surgery:.
No matter your situation, treatment options range from general to specific. Talk to your doctor to determine what may be appropriate for your back pain. Before having back surgery, non-surgical treatments like the following can help mitigate or completely relieve your pain.
If you still feel severe pain after three months of non-surgical intervention, you may want to consider surgery. We have committed to taking a conservative approach for treating back and spinal issues , and we can guide you through a safe and effective treatment progression. Our physical therapists will work with you to establish a physical therapy or injection plan before you consider surgery.
They do this by removing the bone covering the spinal column as well as overgrown ligaments that are pushing on spinal nerves. They also might remove bone spurs, disc fragments, or other arthritic tissue. The goal is to take pressure off of the nerves and relieve pain. At Penn Medicine, a laminectomy may be performed at the same time as spinal fusion, as determined by the surgeon.
The goal of spinal fusion surgery is to stabilize parts of the spine. This treatment can lead to a better quality of life for certain patients who experience chronic back pain. It might take several months before your bones fully fuse.
A rehabilitation specialist or another medical professional will teach you correct ways to move, walk, sit, and stand, so that the bone remains aligned correctly. Over time, you should notice reduced pain in your back. Back problems typically respond to nonsurgical treatments — such as anti-inflammatory medications, heat and physical therapy.
The rubbery disks that lie between the vertebrae in your spine consist of a soft center nucleus surrounded by a tougher exterior annulus. A herniated disk occurs when a portion of the nucleus pushes through a crack in the annulus. Symptoms may occur if the herniation compresses a nerve. Spinal stenosis occurs when the space within the spinal canal or around the nerve roots becomes narrowed.
Back surgery might be an option if conservative treatments haven't worked and your pain is persistent and disabling. Back surgery often more predictably relieves associated pain or numbness that goes down one or both arms or legs.
These symptoms often are caused by compressed nerves in your spine. Nerves may become compressed for a variety of reasons, including:. It can be very difficult to pinpoint the exact cause of your back pain, even if your X-rays show that you have disk problems or bone spurs. X-rays taken for other reasons often reveal bulging or herniated disks that cause no symptoms and need no treatment. Before you agree to back surgery, consider getting a second opinion from a qualified spine specialist.
Spine surgeons may hold different opinions about when to operate, what type of surgery to perform and whether — for some spine conditions — surgery is warranted at all. Back and leg pain can be a complex issue that may require a team of health professionals to diagnose and treat.
There is a problem with information submitted for this request. Sign up for free, and stay up-to-date on research advancements, health tips and current health topics, like COVID, plus expert advice on managing your health. Error Email field is required. Is the next spinal segment bound to degenerate faster as a result of the fusion?
Or is it a combination of these two? Whatever caused my patient to need surgery at one level of the spine is likely the same thing that happened at the next level. This is always the approach I take. Rojeh Melikian, M. Rojeh Melikian is a Harvard and Emory University-trained orthopaedic spine surgeon. He received extensive training in complex spinal surgery, scoliosis, as well as primary and metastatic spine tumors.
Upon graduation, Dr. Melikian was awarded the prestigious Harvard Orthopaedic Surgery Thesis Day Award for best clinical presentation for his work on spinal infections.
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