The aim of spinal surgery is to eliminate the patient’s pain and neurological symptoms. The interventions are basically aimed to ensure that the patient has a loadable, stable, balanced spine and that the nerve formulas passing through the spine are released from the pressure. In the case of cancerous diseases, the main goal is to remove the tumor and reduce its size. In inflammatory diseases, the goal is to clean the inflamed area and identify the pathogen.
To achieve the listed benefits, various types of surgeries are available.
The release of the nerves and the spinal cord can be achieved by different methods, in a direct or indirect way. The direct way means that by revealing the spine the specialist eliminates the stenosis. The indirect method means that the environment of the affected formula is treated to have the narrowing eventually eliminated.
For stabilization and deformation correction, rod-screw, plate-screw, connecting vertebrae implants, mobile or fixed spacers, are placed in the spine, or in some cases “bone cement” can be injected to strengthen the vertebrae.
In many cases, a minor intervention is enough, where implantation is not necessary, while in other cases they are essential.
The spine can be accessed and explored with minimally invasive methods, from small incisions and punctures, but in some cases the classic, open intervention is necessary.
The surgical plan is always based on the assessment of the complaints, symptoms, imaging test results, and last but not least the general condition and comorbidities of the patient.