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Decompressive Surgery


Spinal canal stenosis is an abnormal narrowing and narrowing of the spine that can occur in any area of the spinal cord. The most common forms are cervical spinal canal stenosis in the neck area and lumbar spinal canal stenosis in the lower back.

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They are located between the vertebrae, the intervertebral discs, and the spinal fast joints. With age, the spongy state of the discs decreases, which can lead to a decrease in height and protrusion or protrusion of the hard disc into the spinal canal. The bones and ligaments of the spinal fast joints become thicker and larger due to arthritis or arthritis, causing pressure to enter the canal and spinal canal. These changes cause the lumbar spinal canal to narrow, which is called spinal stenosis.
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Due to the fact that the spinal cord and the horsetail roots are located in the spinal canal, any factor that reduces the space of the canal or the intervertebral foramen (where the roots of the spinal nerves exit) due to the pressure on the spinal cord or Nerve roots will lead to pain. The greater the canal stenosis, the more pain the patient will experience.

 

Non-surgical treatments:

Both non-surgical and surgical methods are used to treat spinal stenosis. Although these treatments do not increase the space required for the nerve, many patients feel more comfortable with these treatments. Non-surgical treatments may include anti-inflammatory and anti-inflammatory drugs to reduce swelling or inflammation around the nerve or sedatives to control pain.

Physiotherapy may be offered for the purpose of improving strength, endurance, and flexibility so that the patient can continue a normal lifestyle. Physiotherapy involves doing exercises to increase the flexibility of the spine and increase the strength of the abdominal muscles and the muscles around the spine.

 

Surgical treatments:

Surgery is for a small percentage of people who do not respond to non-surgical treatments. Surgery is also recommended for people with progressive leg weakness, or intestinal and bladder problems. Non-surgical treatments do not open the spinal canal, but they are effective in other ways. Surgical treatments are performed to open the spinal cord and permanently reduce the compression of the spinal cord. Because spinal canal stenosis causes narrowing and narrowing of the duct and bony canal, the goal is to open the bony duct to improve and increase the space available for the nerves, which is called decompression surgery.

How to perform decompression surgery:

With modern techniques of spinal surgery, microdiscectomy and laminectomy are usually performed with a minimal amount of complications (for example, postoperative discomfort) and a high degree of success in reducing and relieving lower back pain or leg pain. Sometimes, in addition to decompression, spinal fusion surgery is needed to achieve adequate decompression of the nerve roots. This is especially true if the nerve roots leaving the spinal cord (in the foramen hole) are compressed.

Spinal canal stenosis surgery is considered when:

* Severe symptoms Limit normal daily activities and become more severe than can be controlled.

* Non-surgical treatment does not relieve pain and worsen the symptoms of spinal canal compression (such as numbness or weakness).

* The patient has less ability to control the bladder or bowel than usual.

* When you notice sudden changes in the ability to walk evenly.