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Treatment of spine surgery failure and retracted cartilage

Introduction:

The recurrent herniated disc and the failure of previous surgeries are among the causes of back pain in patients who have previously undergone previous spinal surgeries for any reason.

Causes:

1. Neural canal expansion and removal of the lumbar cartilage without fixation.

2. Neural canal expansion, removal of lumbar cartilage, and spinal fixation with plates and screws. To simplify what we say, the reason for the failure of these surgeries is usually not due to a mistake made by the surgeon or lack of experience or inefficiency as many patients believe, but rather because of the nature of the human body, which is to recover through the formation of adhesions, and as for the result of a surgical incision and cutting muscles of the lower back and removing a part of the vertebrae to expand the neural canal and insert foreign bodies, such as metal plates and screws, all these factors stimulate the nature of the human body to form adhesions around the lumbar nerve roots and inside the neural canal, which leads to the return of the same symptoms that the patient was complaining thereof before the surgery.

3. Carrying heavy objects, sitting for long periods, wrong use of the muscles of the spine, and the patient’s return to the wrong practices that he used to adopt before the operation are considered among the important reasons for the emergence of a new herniated disc or cartilage reflux.

 

Symptoms:

  • Medical history of spinal surgery
  • Lower back pain.
  • Sciatica
  • Leg numbness.

 

Methods of Treatment:

Dealing with recurrent lumbar herniated disc and the failure of previous spinal surgeries has become easy as possible because of the availability of modern, safe, and simple technologies. After examining the patient in our centre, reviewing his medical examinations, and determining the exact cause, the appropriate technology to treat this cause will be determined with simple, limited, non-surgical interventions, release the inside of the neural canal with a catheter or sacral nerve canal endoscopy, and several other options to be determined depending on the cause.

Neural canal catheterization is a safe technique that is controlled externally and directed by a doctor to release neural canal adhesions.

The sacral nerve canal endoscopy: It is a mini endoscopy that reaches the neural canal through the catheter itself, to give the doctor a clear view of the neural canal.

Other ways to treat back pain without surgery:

  • Treatment of a herniated lumbar disc with a mini endoscopy.
  • Treatment of a herniated lumbar disc with a sacral nerve canal endoscopy.
  • Treatment of herniated lumbar disc and roughness of the lumbar vertebrae with thermal radiofrequency.
  • Lumbar nerve root injection.
  • Treatment of lumbar nerve root inflammation with thermal radiofrequency 
  • Catheter expansion of the neural canal.

Advantages of treatment of recurrent herniated disc and the failure of previous surgeries without surgery:

We call it an operation only because it takes place inside the operating room. It is a minimally invasive procedure, in which no incisions or cuts are made. It is safe, easy, and simple, as it does not take more than 45 minutes in the catheterization room under the effect of the local anaesthesia and the riding of the interventional radiology equipment.

Damages:

There are no damages. it is considered a one-day procedure because the patient is discharged from the hospital on the same day, and total anaesthesia is not used, in addition to the absence of any surgical incision or wound.