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Home > Archives for Spine > Spinal Stenosis

Why Fuse the Spine?

February 18, 2017 by Tony Setiobudi

By Dr Tony Setiobudi BMedSci, MBBS, MRCS, MMed (Ortho), FRCS (Ortho)

Why Fuse the Spine?  Spine stabilization

Spinal fusion surgery is indicated when the spine is expected to be unstable after the index operation. In general if there is a sign of instability before surgery, spinal fusion is indicated.

Spinal fusion for nerve compression

Spinal fusion surgery is often performed when the spine shows abnormal movement. Freeing up the nerve from compression (spinal stenosis) often requires removal of bones, ligaments and disc materials. This created further instability in the spine. If the spine is unstable prior to surgery, the spine will become more unstable after the surgery. Thus, spinal fusion is required

 

Spinal fusion for deformity (abnormal posture) correction

Scoliosis or kyphosis (hunched back) often requires surgery to correct the deformity. This requires spinal fusion surgery to maintain the correction and to provide immediate stability after major postural correction.

 

Spinal fusion for spinal tumor surgery

In spinal tumor, the normal bone is replaced by tumor tissue which causes weakness in the spine. Removal of spinal tumor creates void in the spinal segment which makes the spine very unstable. This void is often replaced by metal implant. Spinal fusion surgery is required to hold the metal implant in place and to provide immediate stability.

 

It is important to know the reason why spinal fusion surgery is required. If you have any questions about why you need spinal fusion surgery, you can approach your doctor for further clarification.

Why Fuse the Spine?

Dr Tony Setiobudi is an Orthopaedic & Spine Surgeon at Mount Elizabeth Hospital (Orchard), Singapore. He treats bone, joint, muscle and ligament problems in adults and children. He has a special interest in nerve compression and spine problems such as back & neck pain, scoliosis, kyphosis, spine tumor & infection, spinal cord injury, osteoporosis fracture, spinal stenosis and slipped disc.

 

Filed Under: Ankylosing Spondylitis, kyphosis, Scoliosis, Spinal Stenosis, Spine Surgery Tagged With: kyphosis, nerve compression, scoliosis, spinal deformity, Spinal fusion surgery, Spinal Stenosis, Spinal tumor

Operation to Free Up the Nerves in Spinal Stenosis

September 9, 2016 by Tony Setiobudi

Operation to Free Up the Nerves in Spinal Stenosis

Spinal stenosis is a condition of nerve compression due to wear and tear that usually occurs in the lower back. The patients have calf or thigh pain or cramping feeling after walking a certain distance. Sometimes it is severe enough that force them to stop and sit down. When sitting the pain goes away very quickly. Majority of spinal stenosis can be treated without surgery. When is surgery indicated in spinal stenosis?

The purpose of surgery is to free up the nerve from compression. This surgery is routinely done by spine surgeons. Sometimes, implants are used if the spine is not stable or potentially unstable after surgery. This operation called decompression and fusion surgery. Otherwise, the surgery can be done without putting in implants or also known as decompression laminectomy.

Generally, the symptoms improve very quickly after the operation. The walking distance increases significantly. The patients can walk longer and feel more comfortable. If you have any queries please do not hesitate to contact us. We will be happy to assist you.

Author: Dr Tony Setiobudi BMedSci, MBBS, MRCS, MMed (Ortho), FRCS (Ortho), Orthopaedic & Spine Surgeon, Mount Elizabeth Hospital (Orchard), Singapore

Filed Under: Spinal Stenosis Tagged With: laminectomy, Nerve decompression, Spinal Stenosis, spine surgery, TLIF

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