Is surgery for Neck or Back pain necessary ?

Is surgery for neck or back pain necessary? The answer is: sometimes. It is reasonable to consider spine surgery if the pain has not diminished after several months of non-surgical treatment, if your pain does not respond to narcotic medications, or if you are unable to complete basic daily activities. But fear not - there's a wide array of surgery options. Some are minimally invasive procedures (e.g. microdiscectomy for a herniated disc) allow for a quick recovery, while other types of surgery (e.g. a posterolateral fusion for degenerative) are more extensive and have a much longer recovery time.

The primary purpose of back surgery or neck surgery is to correct an anatomical lesion in individuals who fail to show improvement with conservative (nonsurgical) treatment. Surgery is not an option for patients when an anatomical lesion accounting for their pain cannot be identified.

Surgery is only useful to change a patient’s anatomy (e.g. remove a disc herniation). There is almost never any reason to consider exploratory surgery to “look” for a cause of pain.

Failing conservative treatment is not in and of itself an indication for surgery. An identifiable anatomic lesion is also necessary.

Advancements in Spine Surgery

Modern spine surgery has made major advancements in both technique and

spinal instrumentation/implants over the past couple of decades, but by far the most significant advancement in spine surgery has been better preoperative imaging techniques, which have greatly improved the ability of surgeons to identify accurately and correctly an anatomic lesion as a cause of pain.

There is a rapid increase in technology that allows the MIS physician to treat patients with minimally invasive spine surgery procedures. Some of these techniques are now well established, while others remain new and continue to evolve. The best MIS (Minimally Invasive Spine Surgery) technique will depend on the specific character of the problem. While the list of MIS (Minimally Invasive Spine Surgery) techniques continues to expand, the most commonly employed today include:

•          Minimally Invasive Tubular Microdiscetomy
•          Minimally Invasive Lumbar Laminectomy
•          Cervical laminoforaminotomy
•          Endoscopic Discectomy
•          Minimally Invasive Transforaminal Interbody Lumbar Fusion                  (TILF) 
•          Minimally Invasive Transforaminal Interbody Lumbar Fusion                  (TILF)
•          Minimally Invasive eXtreme Lateral Interbody Fusion (XLIF)
•          Minimally Invasive eXtreme Lateral Interbody Fusion (XLIF)
•          Microsurgical Discectomy
•          Posterior Lumbar Interbody Fusion (PLIF)
•          Kyphoplasty
•          Nucleoplasty or Percutaneous Discectomy

Comparing Minimal type of Invasive Spine surgery to Invasive Spine Surgery:

Minimal Invasive Spine surgery comes with more benefice than invasive spine surgery.

1.    Less scar tissue is created thereby not leaving the patient to recover with huge and ugly scar marks.
2.    Pain associated with this procedure is effectively less severe as small incisions are made. Also less soft tissues are damaged.
3.    Less blood is lost and therefore the patients don’t have to be at a medication for long periods of time
4.    Procedure is more accurate and leaves the patient with better results.
5.    The cost for such a surgery is quite lesser as compared to an Invasive Spinal surgery.

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