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Does cervical spine or lumbar spine surgery have the best prognosis and ease of surgery?

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Spine Surgeon
Practicing since : 1998
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Question
Does cervical spine or lumbar spine surgery have the best prognosis and ease of surgery? Is artificial disc replacement or fusion  surgery best for treating cervical spondylosis with myelopathy?
Posted Sun, 11 Nov 2012 in Osteoporosis
 
 
Answered by Dr. S K Mishra 37 minutes later
Hi,

Thanks for the query.

Q1. Does cervical spine or lumbar spine surgery have the best prognosis and ease of surgery?
Ans: Definitely yes. In the expert hands of a competent surgeon, they do have good prognosis.

Q2. Is artificial disc replacement or fusion surgery best for treating cervical spondylosis with myelopathy?
Ans: Artificial disc replacement or fusion - both is good options; but they are not the main part of surgery. While treating cervical spondylosis with myelopathy, before artificial disc replacement or fusion, a thorough decompression of spinal cord is required by discectomy with or without corpectomy as required.

Hope this answers your query. Let me know if you have other queries.

Regards
Above answer was peer-reviewed by
 
Follow-up: Does cervical spine or lumbar spine surgery have the best prognosis and ease of surgery? 5 hours later
Regarding question one, is cervical OR lumbar spine surgery less complicated? Which is easiest to perform from a surgeon's perspective?

Regarding question two, please explain what "a thorough depression of the spinal cord is required by discectomy with or without CORPECTOMY" mean?
 
 
Answered by Dr. S K Mishra 59 minutes later
1. Both are easy in expert hands. Only difference is cervical disc is located around more vital structures, if complication occurs may be serious.

2. Corpectomy is removal of vertebral body (Corpus=body), which may be partial or total. Usually reserved and It may be required in selected cases when decompression of cord cannot be achieved only by removing disc material.

Hope this helps.

Regards,
Above answer was peer-reviewed by
 
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