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Surgery

Overview of surgical techniques

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Strange as it may seem, the objectives that a spinal surgeon wants to achieve in the treatment of spinal disorders are surprisingly few and very simple. There are only four - and in fact these are the only objectives that can be achieved.

1. Freedom From Pain

First, the surgeon wants to achieve freedom from spinal pain. This is the commonest cause of trouble within the spine and is most commonly due to mechanical problems.

2. Freedom From Neurological Compromise

Second, the surgeon wants to achieve freedom from neurological impairment or compromise, both immediately and also in the future.

3. Stability

Third, the surgeon wants to achieve stability of the spine.

4. Make a Pathological Diagnosis

Fourth, when needed, the surgeon wants to make a pathological diagnosis - is the problem mechanical, or is it for example an infection or a tumour? Treatment of the spinal disorder will then clearly involve treatment of that underlying condition as well.

However, where as the objectives of surgical treatment - and its limitations - are simple, the means whereby we achieve these objectives are exceedingly complex. This is in fact the bulk of the subject matter of learned text books, which I will not attempt to reproduce here. However, it pays all - patients, even clinicians - to remember these four very simple principles.

 Usually, freedom from neurological compromise, spinal stability and the treatment of the underlying pathological process will result in freedom from pain.

Surgical Technique

All surgery has to be carried out with meticulous surgical technique, and this is particularly true in neurosurgery. The consequences of minor lapses in technique may be tolerated in other surgical fields. In neurosurgery, they can be disastrous.

Carrying out a surgical procedure falls into a number of phases:
First, we obtain an informed consent. This means that the patient understands the nature of the procedure, the indications, risks, complications and the post operative care. Above all, the patient must understand that surgical procedures do not relieve all symptoms, and this must be discussed before hand.

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Surgical Procedures

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Please find the treatable conditions by Mr Munchi Choksey, if you have any questions please check our FAQ section and contact us if your question is not answered. If you are due to have your procedure please check our pre-operative patient guide.

Please note all treatable conditions are performed under General Anaesthetic unless stated otherwise.

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