Operation for hernia of the lumbar spine effects

Herniated lumbar spine surgery is prescribed rarely enough, though, and many times more frequently than thoracic or cervical. After all, the greatest amount of intervertebral – it lumbar. The load on the lower part of the spine is very large, relative to the upper divisions. Special reinforcement of the load occurs in the sitting position, and if the person spends so much of its life, pathology of the spine – only a matter of time. The threat of such a violation – intervertebral hernia lumbar spine.

The hernia may give the desired effect, but the doctors strongly retard the time of appointment operations, trying to solve the issue with conservative methods. The risks of the operation are very great, the doctors understand it.

Indications for surgery

Surgical hernia – a very important step. You need to make sure that it is justified and necessary. There are different indications for surgery. Among the signs of needing surgical intervention can make a conditional division. Some indications are given to understand that soon will have to have surgery, and wait has no meaning. Others show the need for surgery as soon as possible, abandon the operation in this case is to provide a disability, or even death.

Cases in which will soon need surgery for hernia of the lumbar spine, but can be a little wait:

• The inefficiency of the classical types of treatment – medication, physiotherapy, traditional medicine;
• Pronounced pain syndrome, persistent for several months that a person is able to endure without the aid of antidepressants, and narcotic analgesics.

Cases in which urgent operation may be required when any moment may come the strong deterioration:

• The impressive size of herniated discs (10 mm);
• Disorders of the organs of the pelvis, problems with urination and erection (in men);
• Decreased sensation in the legs, lethargy, weakness, unsteadiness of gait;
• Rupture of the fibrous ring and leakage of the nucleus pulposus into the spinal canal. This situation is very dangerous and without surgery leads to paralysis.

Before any operation, be sure to carry out the survey using magnetic resonance or computer tomography, and also need to pass several other tests. After surgery is performed disinfection of the site with the aim to protect the patient from all sorts of infectious lesions of the spine.

Types of operations

To find out which surgery to remove a herniated disc lumbar a patient, the doctor will conduct a number of additional surveys. It is necessary to accurately know the dimensions of the protrusions of the disk, the presence of rupture of the fibrous ring, especially the compression of nerve endings and blood vessels. It is also important to understand what the limitations of intervertebral hernia and for removal of a particular method.

Based on the evidence of accurate surveys, personal examinations and surveys of the patient, the financial position, the doctor will determine the required type of operation.

• See also: how is the procedure performed on the cervical

Laminectomy

The effectiveness of such operations is very high, patients rarely prevail against recurrence. However, laminectomy today is rarely used. The fact is that the consequences can be quite dire. In the operation for hernia of the lumbosacral spine is the global destruction of the structure of the intervertebral disc and possibly part of the vertebra.

A hernia through a laminectomy is effective, but after surgery a person may experience discomfort when sitting or walking and there is a risk to remain disabled.

In order to avoid many troubles the patient can insert the implant, partially replacing lost spinal segmentreturns some mobility to the spine. But the structure is still a little broken. Also integrity of vertebral structures may lead to minor misalignment, gradually leads to scoliosis. All the risks of doing this surgery are not in demand, doctors rarely use it. But some clinics still use the laminectomy.

Microdiscectomy

Any disc herniation of the lumbar can be eliminated by means of microdiscectomy. This method involves actions within the intervertebral disc, affecting the spine.

The neurosurgeon makes a small incision through which manipulations are made by using very fine instruments. Auxiliary membership are also microscopes that help achieve maximum precision and to reduce the risk of damage to bone, muscle, and nerve endings. Another advantage is the lack of scars after surgery and a short rehabilitation period. The patient very quickly feel improvement and reduction of pain syndrome.

Endoscopy

Surgery for hernia is done using a special instrument, the endoscope. The incision in the procedure is a small size (to 5 mm). All functions are displayed on the computer screen that allows you to achieve precision and not damage the structure of the spine. The patient can return to your normal life mode after two months after successful surgery.

• Suggest to read: endoscopic removal of hernias of a backbone.

Laser removal

Intervertebral hernia, which has not yet occurred rupture of the fibrous ring can be treated with laser surgery. With the help of special equipment is the impact on the damaged disk. The high temperatures generated by the laser vaporizes some of the fluid inside the disc and reduces the bulging. The rehabilitation process lasts just a few weeks. This is a wonderful surgery, but it can be used only in those cases where there is no sequestration.

• See also: treatment of herniated discs with a laser.

The laser hair restoration

With the help of laser surgery can not only remove, but also restore cartilage. Modern neurosurgeons have proved it. Laser irradiation allows to literally "dry up" a destroyed intervertebral segment, reducing the bulging and reducing pressure on nerve endings, blood vessels. The volume of the nucleus pulposus becomes smaller, this reduces the pressure on the inner wall of the annulus.

If the hernia is small in size, yet yield to such treatment, it is better to do laser correction.

Hydroplastic

This operation involves an introduction to the intervertebral segment of a special solution, and then pumping it with the damaged parts of the disc. This reduces the volume of the nucleus pulposus and protrusion is greatly reduced. Decreases pressure on nerve endings, pain is. 2 days after the surgery you can go home. The consequences of such an operation is usually only positive.

Nucleoplasty by cold plasma

Such an operation for a herniated disc lasts up to half an hour. There is an influence solely on the corrupted disk. With the help of a special needle is introduced cold plasma substance, destroy the deformed elements. Reduced the protrusion, the effect of low temperatures quickly relieves pain. The patient after surgery feels much better.

The rehabilitation period

After any operation it is necessary to undergo rehabilitation, and surgical intervention in the structure of the spine and require a very careful approach. You can't violate doctor's orders, it could lead to relapse or other violations, perhaps even more serious. There is a division of the rehabilitation period at the initial and late. The time frame depends on the type of operation, but it is better to hold the recommended maximum.

Suggest to read: belt, hernia of the lumbar spine.

The initial period requires such rules:

• You can not take a sitting position;
• In no one case do not lift objects heavier than a kettle with tea;
• Any initiative additional treatment may result in relapse;
• You must wear a support corset for several hours a day, not longer;
• Proper balanced diet rich in vitamins you need now more than ever;
• The rejection of bad habits.

Late stage gives some leeway, but unnecessarybehavior can negate all the previous treatment.

• Maybe you searched for: ointments herniated lumbar

A number of rules for the second time period ( 2 months. – 6months. after surgery):

• You can sit a maximum of 3 to 4 hours, then made a half-hour breaks for sleeping position;
• Any drop or vibration can cause irreparable harm, this should be avoided;
• Gravity (7-8 kg) to raise,
• Several hours a day to wear a back brace.

Observing all the rules, you will restore lost health back to a level to be able to return to everyday life without pain.

• Perhaps this information is relevant to you: yoga, hernia of the lumbosacral

The effectiveness of the operation

The most commonly used surgery like microdiscectomy. How effective is this method? Feedback from patients and the frequency of use of such surgical intervention microdiscectomy is really almost always yields the desired result.

More than 90% of people cured of intervertebral hernia and returned to a normal lifestyle. Undoubtedly, there are negative reviews, but very few. Anything can happen, for example a person didn't observe properly the rules of rehabilitation or are not very competent neurosurgeon, or the regeneration ability of the body is very weak.

There are many factors why the operation does not produce the desired effect, but in General this method is deservedly the most popular. As for the other methods, the results are also quite positive. The main drawback of many other operations – the impossibility of the larger size of hernia, or rupture of the fibrous ring.

Complications

Any operation on the spine – a huge risk. There are many complications if something goes wrong. Such cases are quite rare, but they need to know.

Here is a list of the possible complications of incorrect operation or poor equipment for it:

• Severe headaches accompanying the patient for a long time. This disease happens because of damage to the spinal canal. The pain will sooner or later go away;
• Rashes on the skin in case of Allergy to any component used during surgery;
• Infectious lesions of the spine with poor disinfection of instruments;
• Numbness or paralysis of the legs. Occurs when the lesion of certain spinal nerves;
• Recurrence of disc herniation.

It will be interesting: the consequences of the removal of a herniated disc.

If the patient again symptomatic hernia, it all begins with conservative treatment. And in the case of full failure – another surgery.

Prices and clinics

The cost of surgery for hernia of the lumbar spine can be quite impressive, but despite this it is better to choose the most expensive of the available options. Do not skimp on your health, especially the health of the spine.

Negative consequences often happen when conducting the fiscal operations that use cheap equipment.

Prices for surgical removal of intervertebral hernias in Russia range from 10 to 300 thousand rubles. For wealthy people have the option of going abroad, e.g. in Germany or Israel. Of course the price will be higher, but the risk is much less. The maximum cost of this procedure – 25 thousand dollars.

Among the clinics in Russia are Moscow institutions as the American medical center and the axis, and among the clinics in St. Petersburg – health Workshop. There is a great clinic in Germany Effnerstrae.

Surgery has helped to solve a lot of problems with intervertebral hernia in the lumbar. People long used conservative methods, feeling a temporary effect, but in most cases, gave the desired result. The greatest number of positive reviews is about the microdiscectomy. This type of operation is not in vain is popular among people with a herniated disc.