There are not numerous health centres in Pakistan that are devoted to health issues related to spine and neck areas. Most of them either are deficient of skilled staff or technical services required for ample treatment of the patient. Dr. Asif Bashir is one of the most knowledgeable specialists for the treatment of spine conditions in Pakistan. Besides foreign qualifications and training, he has succeeded in receiving a number of international accolades and honors because of his work.
As a patient going through continuous low back pain, if at minimum six months of conventional (nonsurgical) treatment has failed to aid, then back surgery may be a choice to result in pain liberation and bring back one’s capability to work. For patients in this state of affairs, this article delivers an outline of the two types of back surgery now obtainable: spinal fusion and artificial disc replacement.
Lumbar Spinal Fusion
The old-style method to healing pain and/or ill health from lumbar degenerative disc disease is spinal fusion. This operation involves establishing a direct bony link between the vertebrae adjoining the painful disc(s); pain release takes place by discontinuing the movement of the painful disc(s).
There are a plethora of choices obtainable with spinal fusion, each with their own benefits and drawbacks. Surgical methods include fusion advanced from the front, the back, or both. Spinal arrangement in the form of intervertebral cages and/or pedicle screws deliver internal fundamental backing while the bone fuses, and bone graft can either be collected from the patient or one of a number of artificial bone graft alternates or extenders can be employed.
Lumbar Artificial Disc Replacement
A newer operating option for the management of painful lumbar discs is artificial disc replacement. With the expertise now available, artificial disc replacement is perhaps becoming more common and talked over more frequently as a treatment choice.
With artificial disc replacement, pain release is caused by elimination of the painful disc and movement maintained with the use of a prosthetic implant made of metal. This is more related to theory to the synthetic hip, knee, and shoulder joints that orthopedic doctors have been employing for more than 35 years .Nevertheless, there is a noteworthy alteration in that only one of the three joints that are existent at each vertebral level is being substituted, while a hip or knee joint the total joint is substituted.
Fusion operation is yet definitely the most predominant operation, and patients ought to be mindful that most patients will not be qualified for a disc replacement as it can only cure limited types of disc pathology.
Some of the thoughts are the same for some sorts of fusion and for artificial disc replacement. For instance, an anterior method is used for both an anterior lumbar interbody fusion and artificial disc substitution, which means that the dangers and possible difficulties are alike for this feature of both operations. Conversely, there are distinctive contemplations for each category of surgery, and patients are well recommended to become as educated as probable when contemplating the two surgeries and converse their choices methodically with their treating surgeon(s).
Before allowing for any type of surgery, though, patients with long-lasting low back pain must initially reminisce that not all ache is curable by surgery. Fiasco of non-operative cure does not mean that operation is necessarily the subsequent stage. Assessment with MRI and x-rays may be sufficient for the specialist to give a judgement, but other examinations, including CT scan and discography may be wanted to see if operation is suitable and if both spinal fusion and artificial disc replacement are choices.