Spinal Stenosis Surgery Abroad
Overview
What Is Spinal Stenosis ?
Spinal stenosis is a condition in which there is narrowing of the spinal cord causing nerve pinching which leads to persistent pain in the buttocks, limping, lack of feeling in the lower extremities, and decreased physical activity. As the age increases, these conditions can develop due to the drying out and shrinking of the disc spaces between the bones (80% of the disc is made up of water)...
Anatomy of Spinal Stenosis
The spine consists of a series of bone blocks (vertebral bodies) which are separated from one another by discs of soft tissue. Within the structure of the spine sits a tunnel called the spinal canal. This tunnel contains the neurological structures including the spinal cord and nerve roots. Although there is some free space between the neurological structures and the edges of the spinal canal, this space can be reduced by many different conditions including injury to the spine...
Causes of Spinal Stenosis
The cause of Spinal Stenosis is often linked to aging, osteoarthritis, rheumatoid arthritis, or inherited conditions. Changes that occur in the spine as people age are the most common cause of this condition.
However, the cause of spinal Stenosis can also be linked to tumors of the spine, injuries, Paget's disease, too much fluoride in the body, and calcium deposits on the ligaments that run along the spine...
Symptoms of Spinal Stenosis
People can have significant stenosis that they are unaware of until tests are done. It is most common in women over the age of 50—men are less prone to this condition...
Diagnosis of Spinal Stenosis
Finding the cause of your neck problem begins with a complete history and physical examination. After the history and physical exam, your doctor will have a good idea of the cause of your pain. To make sure of the exact cause of your neck pain, your doctor can use several diagnostic tests. These tests are used to find the cause of your pain, not make your pain better...
Treatment of Spinal Stenosis
Non Surgical Treatment of Spinal Stenosis
Preventing Falls. Falling is a risk for patients with spinal stenosis. They should avoid alcohol and sedatives. Leg strengthening exercises (walking, cycling) may be helpful, with brief resting if pain occurs. The use of common pain relievers, such as NSAIDs, physical therapy, and steroid or other spinal injections may be helpful for some patients...
Surgical Treatment of Spinal Stenosis
Surgery. If pain is persistent, patients may require surgery, most often a procedure called decompressive laminectomy. Some patients may require spinal fusion as well. Studies suggest that surgery reduces back pain in many patients, at least for a few years. By four years after surgery, however, 30% of patients have severe pain again and 10% have had another operation...
Decompressive Laminectomy
Decompressive laminectomy is the most common surgery performed in order to correct lumbar spinal stenosis. The goal of this operation is to create more room for the nerve root that has been encroached upon by the facet joints of the vertebra. Because the LSS symptoms are created by the compression of the nerve root, uncompressing the root relieves the symptoms...
Spinal fusion
Spinal fusion to fuse two vertebrae together to provide stronger support for the spine almost always follows a decompression laminectomy. A surgical procedure to weld together vertebrae, bones of the spine...
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