Disease Overview
Lower back pain is one of the most common health problems experienced by most individuals, at different phases of their lives.
The most common causes of low back pain include:
- Lumbar spinal stenosis
- Herniated disc
- Adult degenerative spondylolisthesis
- Degenerative disc disease
Indications of Lower Back Surgery
Low back pain usually does not require surgery. However, surgery may be beneficial for persistent pain, spinal instability, weakness or numbness in the legs or feet, and impaired bowel or bladder function. Lumbar spine surgery may also be considered if all conservative methods have failed to provide pain relief.
Types of Lower Back Surgery
Open surgery or minimally invasive technique may be indicated to relieve nerve compression and stabilize the lumbar spine. Your surgeon may choose a minimally invasive approach rather than open spine surgery, due to the lower incidence of complications with minimally invasive surgery.
There are several types of lumbar spine surgeries. If you require surgery, your doctor will decide on the most appropriate type of surgery, based on your condition. Some of the different lumbar surgeries include:
- Anterior or posterior lumbar interbody fusion (ALIF or PLIF)
- Direct lateral lumbar interbody fusion (DLIF)
- Axial lumbar interbody fusion (ALIF)
- Intradiscal electrothermoplasty (IDET)
- Transforaminal lumbar interbody fusion (TLIF)
- Image-guided spine surgery
- Laminoplasty
- Laminotomy
Before Lower Back Surgery
Before lower back surgery, your doctor will explain the surgical procedure as well as its risks and complications to you. You should obtain a medical clearance from your physician before proceeding with the surgery. Your doctor may also order a few blood tests, X-rays or other imaging tests to assess your medical condition.
After Lower Back Surgery
After lower back surgery, you will be shifted to the recovery room where your vital signs will be closely monitored by the medical staff. You may have mild discomfort following the surgery.
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