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Georgia Spine
& Neurosurgery Center
2675 North Decatur Rd.
Suite 710

Decatur, Georgia 30033 (404) 299-3338 (p)
(404) 299-3315 (f)

 
Complex Spinal Surgery

This type of surgery is usually performed for any condition that might cause spinal instability, whether from the primary disease or from the surgical approach. Complex spinal surgery generally involves some type of spinal instrumentation and the fusion. In the future, the artificial disc may someday replace fusion in many cases, but would still be considered complex spinal surgery.

Some conditions that may occasionally require complex spinal surgery include the following:

1) Recurrent lumbar herniated (ruptured or slipped) disk.
This is a condition where the disk material between two vertebrae has ballooned out of its normal position again, causing compression or pressure on the nerve. This condition may cause pain and/or numbness/tingling in your low back and/or leg(s) as well as weakness of the legs.

2) Lumbar instability.
This is a condition where, for a variety of reasons, the spine is felt to be unstable. This may be congenital (you were born with it), or may be the result of previous surgery, an accident, a tumor, an infection, or another reason.

3) Lumbar spondylolithesis.
This is a condition in which one vertebra slips forward on a vertebra next to it. This condition may cause pain and/or numbness/tingling in your low back and/or leg(s) as well as weakness of the legs. This also has a variety of causes, and is usually treated with fusion.

4) Miscellaneous causes.
There are a variety of other conditions that may require a fusion, such as removal of spinal tumors, misalignment of the spine, segmental instability, and painful disc disease (where the pain generator is felt to be in the disc).

The indications for surgery include severe incapacitating lower extremity (buttocks, thigh, leg, or foot) pain, the presence of a neurological deficit (meaning either lower extremity weakness or unpleasant numbness or tingling), intractable low back pain, recurrent disc herniations, failed prior lumbar surgery, spondylolisthesis (slipped vertebra), and/or lumbar spinal instability.

Many of these complaints often benefit from conservative management and because of this, a thorough trial of conservative management is often indicated.

Surgical Video

Some products used in spine surgery have animation video available.  These videos are produced by the manufacturing company for patient and provider education.  As more video becomes available, we will add it to the site.  Please click on the procedure to see the related animation.

              Anterior Lumbar Interbody Fusion (ALIF)

              Posterior Lumbar Interbody Fusion (TLIF)

              Sextant Pedical Screw System

**It is necessary to have a media player (such as Window Media Player) on your computer to see the video.


For more information on specific spinal disorders, please go to http://www.spineuniverse.com/
or
http://www.allaboutbackandneckpain.com/

Use the search engines to type in the specific diagnosis you are looking to learn more about. You can also go to our patient resources Center, to see a more complete listing of useful web sites.

 



 
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