Specialists in Neurosurgery and Spine Surgery.
Our professional services include medical and surgical treatment for different diseases of the spine, such as spinal disc herniations, spondylolisthesis, malformations, deformities, tumors, among others. We provide care to children and adolescents, as well as adults.
With the new techniques and technology applied in spine surgery, the risk of permanent neurological deficit is very low. Each case has its particular conditions that make some risks increase and others decrease, this should be carefully discussed with the patient.
The entire disc should not be removed because it would be removing elements that provide stability to the spine, leaving a partially empty intervertebral space without further support. It is recommended to remove the herniated fragment.
The first thing is to verify that the lumbar instrumentation surgery has really been successful, the spinal fusion should already be detected by the physician 9 to 12 months after the surgical procedure.
If there is no fusion between the vertebrae it should be considered that the surgery failed, this is called a pseudarthrosis, it is independent of the appearance of the screws and is a cause of pain in operated patients.
If the instrumentation surgery was successful, demonstrating adequate fusion, then the segments above and below the spinal fusion mass should be assessed, as they may become diseased and painful over time.
Cada caso se debe valorar detenidamente, hay algunos pacientes en que una laminectomía completa es suficiente y lo indicado. No obstante, la laminectomía completa
es un procedimiento que cada vez se realiza menos pues le quita alguna estabilidad a la columna lumbar y podría acelerar el proceso degenerativo de las articulaciones de la
.
Each case must be carefully evaluated; there are some patients in whom a complete laminectomy is sufficient and indicated. However, complete laminectomy is a procedure that is less and less performed because it removes some stability to the lumbar spine and could accelerate the degenerative process of the joints of the spine, which results in the patient with recurrence of pain, stiffness, muscle spasms.
Statistically it is known that what could improve a lot is the pain in the legs, the pain in the waist or low back pain could improve enough for the patient to have a very good quality of life, but there could always be some residual low back pain.
There are different lines of treatment for patients with spinal canal stenosis. Although conservative measures are recommended from the beginning, surgical treatment can be very beneficial in case the disease progresses or is very severe. The emergence of new minimally invasive surgical techniques means that these procedures are very well tolerated, with a very rapid recovery, and the improvement may be superior to that obtained with conservative management.
For the vast majority of spine surgery procedures, about 6 to 8 weeks is sufficient to return to a quiet, effortless life. For athletes or young people who practice high-impact sports, 6 months are recommended before returning to strenuous activities.