Our Summary

This research paper examines the effectiveness of a surgical procedure known as decompression in treating patients with severe spinal cord injuries. In the study, the researchers reviewed MRI images of 184 patients who had undergone surgery within 48 hours of their injury. They found that 66% of the patients showed successful decompression, which means the space around their swollen spinal cords had been cleared. The study further analyzed the impact of different surgical methods. They found that a procedure called laminectomy significantly improved the success rate of decompression, regardless of other methods used. In layman’s terms, this means that if you have a severe spinal cord injury, a specific type of surgery (laminectomy) can significantly increase the chances of reducing the swelling around your spinal cord, which could potentially improve recovery outcomes.

FAQs

  1. What is spinal decompression surgery and how does it help patients with severe spinal injuries?
  2. What is a laminectomy and how does it improve the success rate of spinal decompression?
  3. What were the findings of the research study about the effectiveness of decompression in treating patients with severe spinal cord injuries?

Doctor’s Tip

A doctor might tell a patient about spinal decompression that it can help alleviate pain and reduce pressure on the spine, allowing for improved mobility and function. They may also advise the patient to follow a comprehensive treatment plan that includes physical therapy and lifestyle modifications to optimize the benefits of spinal decompression. Additionally, the doctor may recommend regular follow-up appointments to monitor progress and make any necessary adjustments to the treatment plan.

Suitable For

Patients who are typically recommended spinal decompression include those with conditions such as herniated discs, spinal stenosis, degenerative disc disease, and sciatica. Additionally, individuals who have not found relief from conservative treatments such as physical therapy, medication, or injections may also be candidates for spinal decompression. Patients with chronic back pain or neck pain that radiates down the arms or legs may benefit from this procedure as well. It is important for individuals considering spinal decompression to consult with a healthcare provider to determine if they are suitable candidates for this treatment.

Timeline

Before spinal decompression:

  1. Patient experiences symptoms such as pain, numbness, tingling, weakness, and loss of function in the affected area of the spine.
  2. Patient undergoes diagnostic tests such as X-rays, MRI, and CT scans to determine the cause and extent of the spinal cord compression.
  3. Based on the results of the diagnostic tests, the healthcare provider recommends spinal decompression surgery as a treatment option.
  4. The patient meets with their surgeon to discuss the procedure, risks, benefits, and recovery expectations.

After spinal decompression:

  1. The patient undergoes spinal decompression surgery, which involves removing bone or tissue that is compressing the spinal cord.
  2. Following the surgery, the patient may experience some pain and discomfort at the surgical site.
  3. Physical therapy and rehabilitation are typically recommended to help the patient regain strength, mobility, and function in the affected area.
  4. Follow-up appointments with the surgeon are scheduled to monitor the patient’s progress and address any concerns or complications.
  5. Over time, the patient may experience improvements in their symptoms, such as reduced pain, increased mobility, and restored function in the affected area of the spine.

What to Ask Your Doctor

  1. What is spinal decompression and how does it work?
  2. Am I a suitable candidate for spinal decompression surgery?
  3. What are the potential risks and complications associated with spinal decompression?
  4. How long is the recovery period after spinal decompression surgery?
  5. What are the expected outcomes and success rates of spinal decompression for my specific condition?
  6. Are there any alternative treatment options to consider before undergoing spinal decompression surgery?
  7. Will I need physical therapy or rehabilitation after the surgery?
  8. How long do the effects of spinal decompression surgery typically last?
  9. What is the cost of spinal decompression surgery and will my insurance cover it?
  10. Are there any lifestyle changes or precautions I should take after undergoing spinal decompression surgery?

Reference

Authors: Aarabi B, Olexa J, Chryssikos T, Galvagno SM, Hersh DS, Wessell A, Sansur C, Schwartzbauer G, Crandall K, Shanmuganathan K, Simard JM, Mushlin H, Kole M, Le E, Pratt N, Cannarsa G, Lomangino CD, Scarboro M, Aresco C, Curry B. Journal: J Neurotrauma. 2019 Mar 19;36(6):862-876. doi: 10.1089/neu.2018.5834. Epub 2018 Oct 9. PMID: 30215287