Lumbar Surgery In Plano, TX
Lower back pain can affect nearly every aspect of your life, from your mobility to your overall happiness. Brain & Spine Center of Texas can help you return to normalcy with lumbar spine surgery.
What is the lumbar spine?
The lumbar spine is the lower back—more specifically, the five vertebrae known as L1 through L5. They extend from the chest down to the bottom of the spine.
What is lumbar spine surgery?
Lumbar spine surgery ranges from epidural steroid injections (ESIs) to temporarily relieve pain, to the permanent fusion of vertebrae.
Why is lumbar spine surgery performed?
You may need back surgery for a variety of reasons. These can include fractures of the vertebrae, tumors, spinal stenosis, pinched nerves, herniated discs, sciatica, and osteoarthritis. Our neurosurgeon, Dr. Rebecca Stachniak, will determine whether you are a good candidate for a procedure, as well as which is best for your condition.
Types of lumbar spine surgery performed at Brain & Spine Center of Texas
ESIs are not technically surgeries, but injections of pain-relieving medication comprised of cortisone and a local anesthetic. These ESIs can offer alleviation of discomfort due to a herniated disc, spinal stenosis, a cyst, or compression fractures.
A lumbar laminectomy assists in easing the pressure of a pinched nerve. This lumbar surgery works by removing a portion of the lamina, which is the bony cover of the spinal canal. The procedure also often treats spinal stenosis and disc degeneration.
Discectomies and microdiscectomies
Discectomies and microdiscectomies involve removing all or part of a damaged disc. These spine surgeries are either open surgeries or minimally invasive procedures, depending on the patient and the condition of the disc. In any case, discectomies can restore comfort to the patient and prevent sciatica and chronic pain from returning.
Lumbar fusion, whether posterior or anterior, joins two or more vertebrae together surgically. Dr. Stachniak performs this procedure only when other methods have not proven successful for the patient. Scoliosis, disc degeneration, fractures, tumors, and pain that runs down the buttocks and thigh are all potential reasons for fusion surgery. The procedure uses a bone graft to fuse the vertebrae into one.
A hemilaminotomy means removal of the lamina, or thin layer of bone on the spine, from one side of the spinal canal. It’s a minimally invasive procedure that widens the spinal canal to alleviate pain and improve mobility. Traumatic injury, degeneration, bone spurs, pinched nerves, and other conditions may signal the need for this outpatient surgery.
Also minimally invasive, kyphoplasty eases pain usually caused by osteoporosis-induced fractures of the vertebrae or tumor metastasis. With this procedure, Dr. Stachniak inserts a small balloon into the fractured vertebra and then injects orthopedic cement to fill the cavity.
Hardware removal or revision
Hardware removal or revision generally is not necessary after a previous lumbar spine surgery where metal screws, rods, or other devices were used. However, sometimes they can cause issues of their own, requiring a second surgery. A thorough evaluation conducted with diagnostic tools can help the neurosurgeon decide if the risk of removal of the hardware is worth it.
Spinal tumor resection
Spinal tumor resection equates to the removal of tumors that form inside the spinal cord, in the membranes that cover the spinal cord, or between the bones and the membranes. The presence of tumors can interfere with the nerves and the brain, as well as obstruct the spinal cord’s blood supply. After the removal of the tumor, the specimen is examined to determine if it’s benign or malignant.
Risks of lumbar spine surgery
The underlying risks associated with all surgeries include adverse reactions to anesthesia, the formation of blood clots, and infection. Lumbar spine surgery also carries with it the chance of breathing problems, spinal cord injuries, sexual dysfunction, and implant migration.
How to prepare
Before your surgery at Brain & Spine Center of Texas, you should stop smoking and speak with your doctor about stopping any medications or supplements that could interact with your anesthesia or enhance your tendency to bleed. Also, make provisions for your return home so you can focus on recovery. This may require in-home assistance for everyday chores, such as cooking and doing laundry.
Recovering from lumbar spine surgery
Some lumbar spine surgery procedures require little to no downtime. Others are more invasive, therefore necessitating hospital stays, bed rest, and possibly physical therapy.
If you are suffering from lower back pain and think you may need lumbar surgery, call our neurosurgery center in Plano today to schedule a consultation.