With the exception of fractures or tumors, there is no urgency to operate. The decision is made case by case, depending on the pathology, the pain felt by the patient and always after trying the other solutions. Above all, it is necessary that the correct diagnosis has been made, so that a specialized surgeon of spine surgery hospitals in Delhi has been consulted and that he could rely on complete examinations (radio column, MRI, scanner). The right intervention is above all that which is indicated for a specific pathology. If that's the case, spine surgery is very effective. Here are four examples.

VERTEBRAL COMPRESSION: IF IT IS VERY PAINFUL

This pathology may be due to a traumatic fracture or to osteoporosis. This is often the first sign of demineralization. But this spinal collapse can sometimes go unnoticed. The pain is due to the fracture of the vertebra, which collapses and gets sandwiched between two other vertebrae.

When to operate

In case of failure of pain treatment, or persistent pain or very strong.

How's it going?

The technique differs according to the cause. If the compression is due to osteoporosis, vertebroplasty (injection of a special cement) is enough. If there is a fracture, it must be done in case of compression of the cord. Performed under general anesthesia, the procedure can be performed by the minimally invasive way.

For which results?

Relief is frequently immediate. Thanks to mini-invasive surgery, the patient's hospital stay is reduced, and he can return to work more quickly.

HERNIATED DISC: RARELY

Our spine is formed of vertebrae between which are inserted small disks that dampen shocks. Sometimes it happens that a disc gets stuck, moves from its axis, and forms a herniated disc. When it compresses the nerves, it causes lumbar pain that can extend along the leg (sciatica). The pain is due to the outgrowth of the disc, which compresses the nerve running on it.

When to operate?

With the exception of rare cases (paralysis of the foot, loss of sensation to urinate or defecate) requiring an urgent operation by spine surgery hospitals in India, most disc herniation recovers with the use of analgesics and anti-inflammatories. When this treatment does not work, there is no standard time to consider the operation. If the pain is bearable, you can wait for two or three months. If it remains very painful, it can be considered after a few weeks.

How's it going?

The standard technique is discectomy. It consists of removing the hernia that repels the nerve root and extracting from the intervertebral disc fragments likely to reproduce the same pathology. 30% of the disc are removed. Performed under general anesthesia, it lasts 30 to 50 minutes and generally requires 48 hours of hospitalization.

For which results?

In 95% of cases, the pain has disappeared when waking up, and the patient can walk again the next day. After the operation, two to three weeks of rest are required, as well as, sometimes, re-education sessions.

TUMORS: IN CASE OF NEUROLOGICAL IMPAIRMENT

Much rarer, vertebral tumors cause significant pain. It may be primary cancer (very rare) or more often metastases due to cancer of the breast, kidney, thyroid, and lung or prostate. The pain is due to metastases that compress the nerve root.

When to operate?

All tumors are not operable. But if the operation is possible, it is necessary to intervene quickly in case of neurological attack. If the risk of fracture is high, vertebroplasty (injection of cement in a weakened vertebra) can be realized. One can also operate in case of pain not relieved by the drugs.