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The Back Surgery, Changing


Lumbago, sciatic, herniated disc, as many pathologies of the spine (called rachis again) become a Calvary for those who suffer from. Often presented as a solution of last resort, surgery of the spine allows today, through new technologies, alleviate the evil of the century.

-Back pain: who and when operates t – on?
-Between classic surgery and new surgery
-Operations of the back more “gentle”.
-Changing back surgery
-Back surgery: a miracle solution?
-Back pain: prevention and awareness
-Lumbago, backache, sciatique…, how to distinguish them?


“I had the feeling to be released”.
“I have full back ! This exclamation was not found by chance. The back is indeed one that bears the weight of pain, physical or psychological. In France they are about three million people who suffer back. Many people who have tried the physiotherapists and osteopaths, the disqualification and pomades relaxing without find outcome to this evil which range daily and sometimes becomes a real handicap social and professional. If all patients cannot be candidate for back surgery, for some diseases, it is very effective. With new technologies that today enjoys this surgery operations become less invasive and more in more rapid convalescence.

Back pain: who and when operates t – on?

The route of the “painful back” (read box) often begins with the generalist, which may offer physiotherapy sessions, infiltration, and may return to a rheumatologist, in addition to appropriate medical treatment. After several months, if pain is still as intense, the visit in the spine surgeon that it is an orthopedic surgeon or neurosurgeon is necessary.

The back operation will therefore be that if medical treatment fails and if the anatomical cause of pain is identified and curable by surgical Act. A lesion balance is established after reviewing clinical, x-ray and MRI… In all cases, the decision is never taken by a single specialist. It is the result of a comprehensive care for back pain are often born many factors. The patient is involved in this choice because he is more fit to judge the impact of these pain on her personal life.

Indeed, the suffering caused by these pain can sometimes become a true ordeal. “Two years ago, I have had sciatica.” Despite treatment, pain became chronic and more intense, says Catherine, 52 years old, accountant Secretary. This much affected my morale and my susceptibility. I was more able to work and me concentric.» Certain pathologies, such as hernia, can become so important that it engenders neurological deficits. “In this case, more the operation is not forthcoming, less the results will be good,” commented Professor Charles Court, an orthopedic surgeon at the Bacteria CHU, Deputy Secretary-General of the Sect ** and a member of the SFCR.

Between classic surgery and new surgery

The principle of the new surgery’, known as invasive, is to conduct the same surgical in conventional surgery but act in a less aggressive manner for the muscles. “Still some years ago, the operation of herniated or the arthromeres in the lumbar region (Editor’s Note: fixing one or two vertebrae), was in conventional surgery, notes Professor short.”.

Today mini-invasive surgery took the step and these ongoing developments allow to operate more in addition to pathologies.» With minimally invasive surgery, an incision of two to four centimeters is sufficient, in taking off and pushing very little to reach the root. The surgeon is supported for this microscope or magnifying loupes or an endoscope, which allows to see on a video screen, the operative field at high magnification.

In addition, other fields of this new surgery open, such as vertebral metastases, but also to certain types of fractures of the column, that there still were only treated by classical way.

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