Our Summary

The researchers studied the results of a specific surgical procedure for treating certain types of spinal fractures. The procedure involved inserting screws into the spine after a small part of it was removed to relieve pressure.

They looked at 27 patients who had this type of surgery between 2009 and 2015. They only included patients with a specific type of closed spinal fracture and neurological symptoms.

They took X-rays before and after the surgery, and again at the last follow-up visit, and measured certain angles and indices related to the spine. They also evaluated the patients’ neurological condition using a standard grading system.

The results showed that the surgery significantly improved the measurements they took on the X-rays, indicating it was successful in correcting the spinal deformity caused by the fracture. The patients’ neurological condition also improved.

No patient got worse after the surgery.

The researchers concluded that this surgical procedure is an effective way to treat this type of spinal fracture and its neurological symptoms. It also has the advantage of being less invasive than other types of surgery.

FAQs

  1. What type of spinal fracture does the surgical procedure treat?
  2. How did the researchers determine the effectiveness of the surgical procedure?
  3. Did any patients experience a worsening of their condition after the surgery?

Doctor’s Tip

A doctor might tell a patient considering spinal decompression that it can be an effective way to relieve pressure on the spine and improve spinal deformities caused by certain types of fractures. They may also mention that this procedure has been shown to improve neurological symptoms and is less invasive compared to other surgical options. It’s important for patients to discuss the potential risks and benefits with their doctor before deciding on a treatment plan.

Suitable For

Patients who are typically recommended spinal decompression include those with conditions such as herniated discs, degenerative disc disease, spinal stenosis, facet joint syndrome, sciatica, and other types of lower back pain. These patients may have symptoms such as back pain, neck pain, radiating pain, numbness, tingling, or weakness in the arms or legs. They may have tried other conservative treatments such as physical therapy, medication, or injections without success. Patients with severe spinal deformities or fractures may also benefit from spinal decompression surgery.

Timeline

Before the spinal decompression surgery:

  • Patient experiences symptoms such as back pain, numbness, tingling, weakness, or other neurological issues related to spinal compression
  • Patient undergoes diagnostic tests such as X-rays, MRIs, or CT scans to determine the extent of the spinal compression
  • Surgeon evaluates the test results and recommends spinal decompression surgery as a treatment option

After the spinal decompression surgery:

  • Patient undergoes the surgical procedure to relieve pressure on the spinal nerves and restore proper alignment of the spine
  • Patient is monitored post-surgery for any complications and to ensure proper healing
  • Patient undergoes physical therapy or rehabilitation to strengthen the muscles surrounding the spine and improve mobility
  • Patient experiences relief from symptoms such as pain, numbness, tingling, or weakness as the pressure on the spinal nerves is alleviated
  • Patient follows up with the surgeon for periodic check-ups to monitor the success of the surgery and address any ongoing issues

What to Ask Your Doctor

  1. What specific type of spinal fracture do I have that would require spinal decompression surgery?
  2. How will spinal decompression surgery improve my spinal deformity and relieve pressure on my nerves?
  3. What are the potential risks and complications associated with spinal decompression surgery?
  4. What is the expected recovery time and rehabilitation process after spinal decompression surgery?
  5. How long do the effects of spinal decompression surgery typically last?
  6. Are there any alternative treatments or non-surgical options for my spinal condition that I should consider?
  7. How many times have you performed spinal decompression surgery and what is your success rate with this procedure?
  8. Will I need any additional treatments or follow-up care after spinal decompression surgery?
  9. Are there any lifestyle changes or modifications I should make to prevent further spinal issues after surgery?
  10. Can you provide me with any patient testimonials or success stories from individuals who have undergone spinal decompression surgery for a similar condition?

Reference

Authors: Park SH, Kim SD, Moon BJ, Lee SS, Lee JK. Journal: J Clin Neurosci. 2018 Jul;53:48-54. doi: 10.1016/j.jocn.2018.04.039. Epub 2018 Apr 21. PMID: 29685417