When leg pain and/or weakness persists or worsens after multiple non-surgical sciatica therapies have been attempted, surgery for sciatica is typically considered. Surgery may be regarded as a first choice in a few circumstances. Let’s Know About Sciatica Surgery.
Surgical intervention is used as a first resort in the following situations:
- Cauda equina syndrome— A medical emergency in which the cauda equina’s nerve roots are crushed, causing loss of motor and sensory function in the lower body.
• Tumors, fluid collections (cysts or abscesses), or serious lumbar spine fractures.
Bilateral sciatica— Multiple level disc herniation, severe single level herniation, or central spinal stenosis can all produce sciatica in both legs. Let’s Know About Sciatica Surgery.
Infection in the pelvic area that is resistant to treatment.
In addition, if leg discomfort and/or weakness persist for more than 6 to 8 weeks after nonsurgical therapy and/or if pain interferes with daily activities, surgery may be considered. Let’sKnow About Sciatica Surgery.
The objective of surgery is to eliminate the aetiology of sciatica while also controlling leg symptoms like pain and weakness. Sciatica-related back pain, on the other hand, may not improve following surgery. Let’sKnow About Sciatica Surgery.
Microdiscectomy for Sciatica
Microdiscectomy is a frequent surgical procedure for treating sciatica caused by a herniated lumbar disc. A little portion of the disc material under the nerve root and/or the bone over the nerve root are removed during this operation. A microdiscectomy, while technically an open operation, employs minimally invasive procedures and can be performed with a tiny incision and little tissue damage.
According to studies, microdiscectomy surgery can relieve sciatica pain in up to 86 percent of patients. Let’sKnow About Sciatica Surgery.
Lumbar Decompression Surgeries
To treat various types of nerve root compression or irritation, a variety of surgical techniques are available, including:
- Laminectomy. Part or all of the lamina is removed in this treatment to make greater room for the spinal nerves. Sciatica discomfort caused by lumbar spinal stenosis is the most prevalent reason for this procedure. After lumbar laminectomy surgery, 75 percent to 90 percent of patients may have pain reduction.
- Foraminotomy. The neuroforamen is widened by eliminating bone overgrowth, allowing the nerve root to escape the spinal column through this aperture with greater space.
- Facetectomy. Degenerated facet joints produce pinched nerves, which can be relieved with this surgical technique. To reduce nerve pressure, the facet joints are usually clipped, undercut, or eliminated. After a facetectomy operation, it is expected that 85 percent of patients would achieve pain reduction.
These operations can be combined and done at the same time if necessary. A laminectomy technique, for example, may be combined with a foraminotomy to create a laminoforaminotomy. Additional operations, such as osteophyte (abnormal bone development) and/or hypertrophic (overgrown) ligament excision, may be performed in conjunction with the foregoing.
There are a variety of dangers associated with any operation, including nerve or spinal cord injury, haemorrhage, infection, clot formation, and persistent symptoms after surgery.
In comparison to nonsurgical therapies, research shows that surgery for sciatica may give a superior reduction in pain and improvement in functional result for up to a year. However, in the long run (4 to 10 years), both techniques typically provide identical results.
Unless there is a medical emergency, such as cauda equina syndrome, the decision to have surgery for sciatica pain is normally a patient’s option. The level of pain and dysfunction, the length of time that the pain endures, the patient’s general health, and the patient’s personal preference all influence the patient’s choice to have surgery.
Dr Vipin the managing director of KLM Group. He is a well-known gold-medalist Orthopedic Surgeon, strongly reputed for his trusted and focused attitude our rich knowledge and experience, be assured of quality healthcare and world-class medical services in Orthopaedic, Spine care, Ophthalmology, X-ray & Diagnostics services along with physiotherapy services.
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