Surgical intervention in the treatment of the spine
World practice of operative treatment of intervertebral hernia does not recommend immediate surgical intervention in the treatment of the spine. Only in exceptional cases should the surgeon's assistance be required. In fact, everything happens in the reverse order on the territory of the Russian Federation. First, they perform a surgical procedure to promptly remove a herniated intervertebral disc, and then they think, but did they do it right?
Causes of the appearance of a hernia.
Unfortunately, the understanding that this disease is not treated in a conservative way, but only an operative intervention in the treatment of a hernia, has taken root since time.
Such bleak predictions for health reasons in the old days were painted only careless neuropathologists, today it can be heard directly from specialists of the diagnostic center. And rightly, why should such a doctor worry too much for some sick Ivan or Mary, when it's easier to send to a surgeon. It seems like the participation is accepted in the treatment of the spine, at the same time, all problems are redirected to the surgeon.
In the event that a prospective patient gets an explanatory doctor who performs his duties in good faith, and not in a formal way, he will be given a referral to the surgeon for an additional examination that is necessary when choosing a method of treatment without surgical intervention. A conscientious surgeon will not recommend a patient only one way to treat his illness, provided that the disease is not started, and the patient has a choice. The presence of protrusion is not an absolute basis for surgery, because there are other conservative methods of treatment. In case of serious damage to the structure of the spinal cord, when the progression of the course of the central nervous system disease progression and the development of the disease inevitably leads the patient to immobility, having ridden him to bed or, at best, to a wheelchair, surgical intervention is necessary. At the same time, modern surgeons are well aware and aware that various post-operative recurrences and complications can follow. Repeating surgical intervention only increases the biomechanics of the spine, destabilizing compensatory mechanisms. The result of the appearance of such phenomena means the complete disability of the patient.
Consequences of surgical intervention.
In our modern life, such a surgical problem of the foundation of the human body is still an insoluble problem, waiting for a scientific and practical solution. One of the highly skilled, with a vast experience of a practicing surgeon, taking part in one of the medical forums, made a figurative comparison of the human spine with a high-rise modern house, which started subsidence due to a subsidence, a dangerous slope of a multi-storey building appears. A person protrudes a wall, that is, a disc herniation grows. Diagnosis of hernias occurs in the lumbar region. When a surgeon cuts down this hernia, it's just a seizure of the damaged area, but not a solution to the problem of this disease. It still remains in the spine, progressing the course of the disease in the following vertebrae. This is also clearly demonstrated by the damaged house, in which it is possible to remove the damaged wall, but not having solved the main question, since the skew of the building remained at the same level. It turns out that these two unresolved problems are comparable and should find their solution in the near future.
The world surgical practice has come to the conclusion that it is necessary to develop a fundamentally new innovative concept of a fundamental solution that will necessarily include an extremely accurate prognosis of the course and development of the degenerative-dystrophic process in the spine. But the most important thing should be to optimize treatment programs, where the risk to patients is minimized.
Unfortunately, the medical practice of surgical intervention abounds with facts when a positive result has not been achieved. So it happened with one nice fifteen-year-old girl. Appeared pains in the lumbar region at this age were treated in the regional hospital medically. After the treatment course the pains disappeared. Within six months, the former patient did not handle any complaints. But with the advent of exercise, pain resumed in the lumbar region. Believing in the ubiquitous and intrusive advertising, parents decided to conduct a survey and treatment in a private medical center. Upon completion of the examination, treatment by stretching the spine was suggested. By means of the acquired special device, which had the adjustment of the angle of inclination relative to the horizon, and also the adjustment of the position of the grip handles for fixing the hands of the diseased patient on them. A brochure was issued, which described a set of special exercises on this device, which, according to the idea of the creators, was supposed to strengthen the muscular corset. The first signs of relief appeared, and after the positive result only the negative followed.
With the appearance of severe pain in the leg area, a new examination was performed with the diagnosis of a sequestered hernia of the intervertebral disc. The patient and his parents were offered surgery, the need for which was reinforced by such an argument as the possibility of future motherhood. In case of disagreement on the operation of the girl, you can say goodbye to the possibility of ever becoming a mother. Removal of the herniated intervertebral disc was by laser evaporation. The operation as a whole had a successful completion, with the subsequent pedantic observation of the postoperative regimen and treatment. A new deterioration began a month later. After medical treatment and re-operation, foot numbness occurs.
It must be remembered that one of the precepts of the medical vow is "this is not to harm", therefore any surgical intervention should be carried out only in exceptional cases. One such area of surgery is the removal of the intervertebral hernia.