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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Surgery Options When Suffering From Disc Prolapse

what are the surgical indications for spinal surgery for patients with disc prolapse? (L4-5 & L5-S1) is leg weakness, chronic pain with posture changes & occasional inability to control urination indications for surgery? & what type of is surgery preferred (laser/open with fixation)?
Fri, 27 Jan 2023
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Anesthesiologist 's  Response
Hello,

A few indications of spinal surgery are:
1) Altered bladder function (inability to control urination)
2) Altered bowel function
3) Progressive neurological deficits such as motor or muscle weakness and sensory changes like loss of touch in the lower extremities
4) Surgery should also be considered in patients with radicular pain that persists after an adequate course of conservative management

You seem to be having the indications for surgery. You can consult a spinal surgeon and both of you can decide if lazer or open fixation would be better. It depends upon the following factors:
1) The level of lumbar spine involved
2) Number of discs involved
3) Individual preferences
4) Convenience or expertise of doctor.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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Suggest Surgery Options When Suffering From Disc Prolapse

Hello, A few indications of spinal surgery are: 1) Altered bladder function (inability to control urination) 2) Altered bowel function 3) Progressive neurological deficits such as motor or muscle weakness and sensory changes like loss of touch in the lower extremities 4) Surgery should also be considered in patients with radicular pain that persists after an adequate course of conservative management You seem to be having the indications for surgery. You can consult a spinal surgeon and both of you can decide if lazer or open fixation would be better. It depends upon the following factors: 1) The level of lumbar spine involved 2) Number of discs involved 3) Individual preferences 4) Convenience or expertise of doctor. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist