Spine surgery recommendations from Serge Obukhoff 2022

Laminectomy services by Dr. Serge Obukhoff? Neurosurgery is the surgical specialization that treats diseases and disorders of the brain and spinal cord. Back pain can sometimes produce neurological symptoms such as numbness, muscle weakness, and loss of bowel and bladder control due to dysfunction at the nerve root. These symptoms are indicators that neurosurgery is required to treat the underlying cause of back pain as opposed to conservative treatments. Procedures to treat back pain under the realm of neurosurgery include discectomy, laminectomy, and spinal fusion surgery. In neurosurgery, there is a higher risk of further nerve damage and infection which may result in paralysis. Discover even more information at https://www.zocdoc.com/doctor/serge-obukhoff-md.

Traditional spinal fusions are used to treat instability of the spine, scoliosis, severe degeneration of the discs, or a combination of these issues. A fusion involves using bone from the patient’s body to fuse one vertebrae to another. Spinal instrumentation (pedicle screws) are placed into the vertebrae to stabilize the motion segment and assist with the fusion process. Some of the most common minimally invasive spine procedures we perform are the Lateral Lumbar Interbody Fusion (LLIF) and Minimally Invasive Transforaminal Lumbar Interbody Fusion (MIS TLIF) and percutaneous instrumentation.

Foraminotomy. In this procedure, the surgeon enlarges the bony hole where a nerve root exits the spinal canal to prevent bulging disks or joints thickened with age from pressing on the nerve. Nucleoplasty, also called plasma disk decompression. This laser surgery uses radiofrequency energy to treat people with low back pain associated with a mildly herniated disk. The surgeon inserts a needle into the disk. A plasma laser device is then inserted into the needle and the tip is heated, creating a field that vaporizes the tissue in the disk, reducing its size and relieving pressure on the nerves.

Surgery is a controlled trauma. Therefore, we aim to maximize the benefit for the patient while minimizing the trauma of surgery as much as possible. We implement leading surgical techniques and technology as appropriate, and our patients benefit from our surgeons’ academic research to further both minimally invasive and complex spine surgery procedures. We treat the entire spectrum of spinal disorders, ranging from sciatica and cervical radiculopathy to complex brain and spine cancers. Patients also come to us for issues related to scoliosis (curvature of the spine), degenerative disc disease (arthritis of the spine), and patients who have spinal stability problems which are associated with back or neck pain with or without arm or leg pain.

Even with a successful surgery, the recovery time can be long. Depending on the type of surgery and your condition before the surgery, healing may take months. And you may lose some flexibility permanently. What are the considerations for anesthesia during surgery? Back surgery will almost always be performed under general anesthesia. In addition to the usual risks associated with anesthesia, there are risks associated with the patient lying face down on the surgical table.