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, can my lumbar spine be operated on? Doctor
, will I be paralyzed? Doctor
, how long will it take to recover completely after the operation?
Have you also had these questions? In the circle of middle-aged and elderly people, it can be said that "talking about waist discoloration". Everyone suffers from waist and leg pain more or less, and some serious ones have to seek surgical treatment.
But when it comes to surgery, many people are repellent or even fearful. why? In fact, fear comes from the unknown.
Below is a summary of the lumbar spine surgery problems that you most want to know. If you understand this, you may not be so scared.
What is lumbar spine surgery?
lumbar spine surgery is an operation on the spine that forms the lower back.
If there is intervertebral disc degeneration, herniation, bulging or rupture, lumbar hyperosteogeny, lumbar strain, spondylolisthesis , spinal stenosis... these problems, and more serious problems, may require lumbar spine surgery.
What are the risks and complications of lumbar spine surgery?
Any surgery is risky, and spinal surgery also has certain risks.
Many factors affect the risk of surgical complications, such as: physical health, age, doctor's surgical experience, personal medical history (such as diabetes, osteoporosis), smoking status.
The following are several common risks.
1. Anesthesia risk
Anesthesia is required for surgery. Everyone knows that after general anesthesia, there will be no pain during surgery.
The risk of anesthesia is actually very small. If you have not had any adverse reactions to anesthesia before, there is generally no risk of anesthesia, so don't worry too much.
But it is still necessary to tell you that the risks of anesthesia include heart attack, stroke, brain damage and death.
2. Vascular injury, excessive blood loss
Spinal surgeons, from the incision to the closure of the surgical wound, are very cautious in every step of the operation to minimize blood loss. However, there may also be mistakes that may damage blood vessels and cause bleeding. There is also a remedy at this time. Before
surgery, the hospital will collect blood samples from the patient. Therefore, if the patient needs blood during the operation, they will find the right blood to supply the patient.
3. Infection
There is a risk of infection in any surgery, but the risk of infection after lumbar spine surgery is still very small, because before surgery, patients generally receive intravenous antibiotics to reduce the risk of infection.
If an infection occurs, it may be superficial (only at the skin incision), or it may spread more deeply to the spinal cord and surrounding areas.
usually have the following symptoms: wounds are red and swollen, fever accompanied by chills, the wounds ooze transparent liquid or yellow pus and have an unpleasant smell.
Superficial wound infections can usually be treated with antibiotics, but deeper wound infections may require surgery to drain the infection and require oral or injection antibiotic treatment.
4. Nerve damage
Taking lumbar disc herniation surgery as an example, in order to relieve the nerve compression factor during the operation, there is a chance that the nerve root will be damaged.
nerveAfter the root is compressed for a long time at , it may be that is not the original normal anatomical structure , which makes it difficult to identify during the operation and cause accidental injury ; or when the compressive material in front of the nerve root is removed during the operation, the nerve root will be slightly stretched and damaged by , resulting in temporary or permanent dysfunction of nerve roots.
So, how high is the incidence of nerve damage?
A foreign statistical data on the risk of minimally invasive lumbar spine surgery shows that about 1%-3% of patients will experience direct nerve root injury, new neurological symptoms or worsening neurological symptoms. [1]
This is partly related to the complexity of the operation and the doctor's experience. At present, most of the top three hospitals are safe due to the large amount of operations and rich experience. So don't worry too much. Does
hurt after surgery? After
surgery, the pain is sure! You have to think about it, after all, you have moved such a big knife on your body. It is normal for
to feel pain after doing anything immediately after the operation, but this pain is definitely not as painful as it was when the back pain occurred before, and as the surgical wound heals, the pain will become lighter and lighter until it disappears.
How long can I move normally after the operation and go to work?
may have to be hospitalized after lumbar spine surgery. This is normal. As for how long you live, it depends on the condition of the surgery, usually 2-3 days.
After lying in bed for 2-3 days, the doctor may encourage you to get out of bed and walk around. At the beginning, you can’t walk for too long. You must go back to rest after walking for about 10 minutes.
If you want to be able to move freely and normally on your own , it may take about 1 month , depending on the actual situation.
As for going to work, if sits often at work, you can go to work in one month, but avoid sitting for long periods of time. It takes 2-3 months for heavy manual workers to go to work.
After you have recovered to a certain extent after the operation, doctor may suggest you to do some rehabilitation exercises . If you don’t know the specific exercises you do, you can download [WELL Health] at . There are commentary videos of various rehabilitation exercises. An action has detailed key points, precautions, and detailed breakdown diagrams. You can complete these exercises after obtaining the consent of the doctor at to promote recovery.
In short, patients should not be too hasty after surgery. After all, it takes a little more time to recover better. The specific recovery time and recovery methods require doctors to make decisions based on the patient's specific condition.
[1] Shriver, MF, Xie, JJ, Tye, EY, Rosenbaum, BP, Kshettry, VR, Benzel, EC and Mroz, TEJNf, 2015. Lumbar microdiscectomy complication rates: a systematic review and meta-analysis. 39(4 ): E6.
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