Frequently Asked Questions – Spine and Spinal Cord

Frequently Asked Questions - Spine and Spinal Cord

  • The tailbone is broken and is fused in the form of a curve, can this pain be relieved with a surgical procedure?
  • After a fall, an inward tilt in the tailbone was noticed.
  • There’s pain in the tailbone.

If there is pain in the tailbone, the necessary radiological examinations are followed by resting therapy with a round cushion and painkillers, algological interventions through a needle, and finally surgery if these are not successful. In the surgery, problematic area in the bone that’s causing pain is removed.

  • They gave me a corset, but my pain did not decrease…
  • I was recommended to use a steel corset for the denting of the spinal bone, will there be a big problem in the future?
  • My mother fell on her back at the age of 83; the doctors did not operate due to her age, they put on a corset and sent us home, and it hurts.

We can do closed or bloodless surgery if there is spine fracture due to a fall or bone loss. If we can see the patient in the first few months, we can this by kyphoplasty; that is, we can enter the bone with a needle and straighten the shape of the bone by inflating a balloon in the fractured site, fill the created empty space with bone cement. This way, we can leave the patient unattended and painless immediately; one day after the operation. I think you should not be late to find a neurosurgeon with experience in such procedures, so as not to be bothered with corsets, suffer pain and a hunch in your back.

  • Spinal cord surgery is said to be very dangerous …
  • Can you perform spinal tuberculosis surgery?

It is possible nowadays to reduce the level of risk to neglectable levels after a decision is made by the correct evaluation, and through operations done in experienced hands and equipped institutions.

  • What is spinal cord constriction?
  • What is the spinal canal narrowing or stenosis?
  • The patient has five hernias and severe canal stenosis, could it be healed by closed surgery?
  • Do you have a closed surgery method for this spinal stenosis disease?

This event, “spinal stenosis” or “lumbar stenosis” is the result of the narrowing of the canal in the middle of the mentioned spinal bones and results in complaints due to the collective squeezing of the nerves originating from the spinal cord passing just through there. Other than pain in the waist and legs, the main complaint of the patient is the contraction type of ache in the legs when walking for a short distance that prevents the patient from walking; and the patient has to constantly walk leaning forward from the waist. There is no other treatment for this problem except surgery. However, the patient may have “minimally invasive surgery” as the doctors say, or “closed surgery”, “bloodless surgery” through a needle at a very low risk; “microsurgery” or low-risk surgical interventions made through a small cut; or if these are not a solution, it may be necessary to do “fusion surgery”, “instrumentation”.

  • I am said to have a tumor in the spinal cord.
  • The spinal fluid gathered to form a fluid cyst in the spinal cord.
  • I have a spinal cord fatty sebaceous mass, I had a caesarean section by injection from the spine.
  • In my spinal cord, fluid has accumulated in the region from the neck to the middle of my waist.
  • They said that my spinal cord has 32 benign tumors …
  • A black mass appears to be in the spinal cord, doctors say that it may be a tumor, but they are not certain.

Syringomyelia is a cyst in the spinal cord. Another name for this is “hydromyelia” and is sometimes seen coincidentally in MR images and is only followed up to see whether it will grow over time. This is because these cysts may be associated with a spinal tumor that can appear only over time. Sometimes it may be necessary to treat them surgically due to the presence of severe complaints, such as marked numbness in the arms and shoulders. Although the surgical treatment of these cysts consists of opening the cyst and evacuating it with the help of a thin tube called a shunt, there is a great benefit in choosing experienced surgeons; considering paralysis and other serious problems that may arise after the surgery.

In fact, the spinal cord tumor is not a form of cancer. In other words, the tumor in the spinal cord does not spread to other organs or grow very fast like cancers. These are actually benign tumors. However, by compressing the spinal cord in a small closed bony canal; they can lead to very severe consequences. Due to the compression of spinal cord and nerves going to arms and legs; paralysis may occur, the muscles in arms and legs may stiffen, movements may be restricted and even worse, the patient may leak both stool and urine. When these tumors are diagnosed, they need to be operated upon immediately. There is also no chance of radiotherapy or drug treatment, i.e. chemotherapy with these tumors. Once the paralysis has developed over time, the paralyzed condition cannot be reversed even with surgery.

  • My daughter is a 17 years old scoliosis patient but she suffers through pain…
  • When I was researching about my scoliosis, I saw schroth exercises.

If there is a spinal curvature, be a scoliosis or a kyphosis; corset is the first step of treatment. These are often custom-made corsets, i.e. corsets specially designed for the patient to be worn all day long; which need to be renewed over time according to the changes that occur in the patient’s curvature and body height. As the second step, it is necessary to perform a fusion surgery or spinal instrumentation. Here, the purpose of the operation is either to fix the spine to the corrected state in some adult patients or to correct the spine while allowing it to grow using movable instruments and adjustable rods, especially in small children.

In some patients, especially in the elderly; these surgeries may be complicated and dangerous surgeries that require the removal of spinal bones totally or partially. In this type of surgery, an experienced neurosurgeon – as well as orthopedists – must also be present in the operation. I would also like to emphasize that, if a congenital anomaly which accompanies the curvature is detected; only treatment of this problem surgically by an experienced pediatric neurosurgeon may be sufficient to correct the curvature.

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