Our Summary

This study looks at the success of a surgical method called Homogeneous Spinal-Shortening Axial Decompression (HSAD) for patients with a rare and difficult-to-treat condition called Tethered Cord Syndrome.

The researchers followed patients who had this surgery for at least three years to assess its effectiveness. The results were promising: patients reported less pain and better overall physical health after the surgery. They also had better bladder control, as measured by a questionnaire and other testing methods.

The study concluded that this surgical method could be a good alternative treatment for individuals with Tethered Cord Syndrome.

FAQs

  1. What is Homogeneous Spinal-Shortening Axial Decompression (HSAD)?
  2. What improvements were reported by patients who underwent HSAD surgery for Tethered Cord Syndrome?
  3. How does the study support HSAD as a potential treatment for Tethered Cord Syndrome?

Doctor’s Tip

For patients considering spinal decompression, it’s important to discuss all available treatment options with your doctor to determine the best course of action for your specific condition. Additionally, it’s crucial to follow post-operative care instructions provided by your healthcare team to ensure a successful recovery and long-term benefits of the surgery.

Suitable For

Patients who are typically recommended spinal decompression include those with conditions such as herniated discs, degenerative disc disease, spinal stenosis, sciatica, and other forms of chronic back pain. Additionally, patients who have not found relief from conservative treatments such as physical therapy, medication, and injections may also be candidates for spinal decompression. It is important for patients to consult with their healthcare provider to determine if spinal decompression is the right treatment option for their specific condition.

Timeline

Before the surgery, patients likely experience symptoms of Tethered Cord Syndrome such as back pain, leg pain, weakness, and bladder dysfunction. They may have tried conservative treatments such as physical therapy or medication with limited success.

After undergoing the HSAD surgery, patients experienced a reduction in pain, improved physical health, and better bladder control. This improvement was maintained for at least three years post-surgery. Overall, the study suggests that HSAD surgery is a successful treatment option for individuals with Tethered Cord Syndrome.

What to Ask Your Doctor

Some questions a patient should ask their doctor about spinal decompression include:

  1. What is the success rate of spinal decompression surgery for my specific condition?
  2. What are the potential risks and complications associated with spinal decompression surgery?
  3. What is the recovery process like after spinal decompression surgery?
  4. Are there alternative treatments to spinal decompression that I should consider?
  5. How long will the effects of spinal decompression surgery last?
  6. Will I need physical therapy or rehabilitation after spinal decompression surgery?
  7. How soon after surgery can I expect to see improvements in my symptoms?
  8. Are there any restrictions or limitations on activities following spinal decompression surgery?
  9. What is the long-term outlook for my condition after spinal decompression surgery?
  10. Are there any lifestyle changes or modifications I should make to support the success of spinal decompression surgery?

Reference

Authors: Wang H, Sun J, Wang Y, Sun K, Xu X, Zhang B, Shi J. Journal: World Neurosurg. 2019 Jul;127:e517-e522. doi: 10.1016/j.wneu.2019.03.192. Epub 2019 Mar 27. PMID: 30928585