Surgery for Spinal Trauma

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Surgery for Spinal Trauma

Rebuilding Stability and Restoring Function

When someone has a serious injury to their spine, like a fracture, dislocation, or damage to the spinal cord, they may need surgery for spinal trauma. Stabilising the spine, stopping it from getting worse, and relieving pressure on the spinal cord or nerves are the major goals. To realign and stabilise the vertebrae, rods, screws, and plates may be used. Decompression techniques may also be used to ease pressure on the spinal cord or nerve roots. The method used depends on the type of injury and where it happened. The goal is to restore spinal stability and increase the chances of healing and long-term function.

What is Spinal Trauma?

Spinal trauma is when outside causes, like falls, accidents, sports injuries, or violence, hurt the spine. Some of these injuries are minor pulls, while others are more serious and include broken or dislocated vertebrae or damage to the spinal cord. Spinal injuries can cause pain, loss of movement, and problems that could be life-threatening if they affect the spinal cord, like losing the ability to move or feel. Accidents involving cars falls from heights, sports, and violent events like gunshots or stabbings are common ways that spinal injuries happen. How bad spinal injuries are and how it is treated depends on how bad it is and what part of the spine is affected. Often, medical help is needed right away to stop more damage.

Spinal trauma can affect any part of the spine and may lead to:

  • Fractures of the vertebrae.
  • Dislocations or misalignment of spinal segments.
  • Compression or damage to the spinal cord or nerve roots.
  • Loss of stability in the spinal column.
  • Neurological symptoms like numbness, weakness, or paralysis.

Goals of Surgery for Spinal Trauma

  • Relieve pressure on the spinal cord and nerves.
  • Stabilize the spine to prevent further damage.
  • Restore alignment of the vertebrae.
  • Promote recovery and improve quality of life.

When is Surgery Needed?

Surgery for spinal trauma is indicated in the following scenarios:

  • Severe fractures or dislocations causing instability.
  • Spinal cord or nerve compression leading to neurological deficits.
  • Persistent pain or deformity.
  • Failed conservative treatments like bracing or physical therapy.

Types of Surgical Procedures

Spinal Decompression

Relieves pressure on the spinal cord or nerve roots by removing bone fragments, herniated discs, or other debris. Common techniques include:

  • Laminectomy: Removing the lamina (back part of the vertebra) to create more space for the spinal cord.
  • Discectomy: Removing damaged or herniated discs pressing on nerves.

Spinal Fusion

Joins two or more vertebrae using bone grafts, screws, or rods to stabilize the spine and prevent further injury.

Vertebral Fixation

Metal screws, rods, or plates are used to realign and stabilize fractured or dislocated vertebrae.

Kyphoplasty or Vertebroplasty

Minimally invasive procedures to stabilize fractures caused by trauma, using bone cement injected into the vertebrae.

What to Expect During Surgery

  1. Pre-Surgical Assessment: Imaging tests like X-rays, MRI, or CT scans are performed to determine the extent of the injury.
  2. Procedure: Surgery is conducted under general anesthesia, and the approach depends on the location and severity of the trauma.
  3. Post-Surgery Care: Patients are monitored for complications and start rehabilitation to regain strength and mobility.

Recovery and Rehabilitation

Recovery after spinal trauma surgery involves:

  • Physical Therapy: Tailored exercises to restore mobility, strength, and coordination.
  • Pain Management: Medications to manage discomfort during healing.
  • Lifestyle Adjustments: Guidance on posture, activities, and precautions to protect the spine.

Why Timely Intervention Matters

Prompt surgical intervention can prevent worsening of neurological damage, improve spinal stability, and enhance overall outcomes. A multidisciplinary approach ensures comprehensive care tailored to each patient’s needs.

Regain strength and reclaim your life with expert care for spinal trauma.

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Dr. B. Leela Prasad is one of the country’s most renowned orthopedic doctors, with over 15 years of experience in the field. After earning his medical degree from Andhra Medical College, Visakhapatnam, he pursued post-graduation in Orthopedics at Guntur Medical College.

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