Qu'est-ce que la fusion et l'enlèvement de la colonne vertébrale du cou : aperçu, avantages et résultats attendus
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La fusion et l'ablation de la colonne vertébrale du cou est une intervention chirurgicale utilisée pour traiter le disque glissé ou rompu dans le cou. Les disques cervicaux (cou) agissent comme des amortisseurs. Ils stabilisent le cou et lui permettent de se déplacer en douceur et de se pencher en avant et en arrière.
Il y a 23 disques dans la colonne vertébrale. Six d'entre eux sont dans le cou. Chacun est situé entre les vertèbres cervicales qui sont empilées les unes sur les autres. Ces disques sont constitués d'une partie intérieure molle semblable à de la gélatine protégée par un revêtement extérieur résistant. Un disque glissé se produit lorsque la bague extérieure est endommagée ou faible. En conséquence, la partie interne semblable à de la gélatine glisse. Cela provoque des douleurs, des engourdissements et une faiblesse dans le cou. Ces symptômes peuvent également être ressentis dans les mains, les bras et la poitrine.
La procédure supprime le disque endommagé. L'espace vide est ensuite comblé par un greffon osseux. Cela permet aux os au-dessus et au-dessous de l'espace où se trouvait le disque endommagé de fusionner.
Qui devrait subir et résultats attendus
Outre les disques cervicaux glissés, d'autres conditions pouvant nécessiter une fusion de la colonne vertébrale du cou comprennent les fractures osseuses qui rendent la moelle épinière instable. Il peut également être utilisé si les vertèbres cervicales ne sont pas alignées ou ont été déformées. Il est important de noter que la chirurgie n'est pas la première forme de traitement pour de telles conditions. Le traitement initial comprend des analgésiques et thérapie physique. La chirurgie devient une option lorsque la condition ne s'améliore pas après des mois de traitement non invasif.
La procédure est très efficace pour fusionner les os en haut et en bas du disque affecté. Cela procure un soulagement de la douleur. Il permet également aux patients de retrouver l'amplitude de mouvement normale de leur cou.
The surgery is an outpatient procedure. This means that patients are allowed to go home the same day. However, in some cases, they may need to stay in the hospital overnight. This is required if there are complications. These include difficulty breathing. Those with unstable blood pressure are also closely monitored before they are discharged. Patients may be allowed to go back to work four to six weeks after the surgery.
Comment se déroule la procédure ?
L'intervention peut être réalisée par un chirurgien orthopédique ou un neurochirurgien. There are certain factors that need to be decided before the procedure. The most important is the type of graft that will be used. Options include a bone graft taken from the patient’s hipbone. A graft from a bone bank or an artificial disc replacement can also be used.
Le patient rencontre également un anesthésiste avant l'intervention. Le médecin vous expliquera le type d'anesthésie à utiliser et ses risques éventuels. Pendant l'intervention, le patient est allongé sur le dos sur la table d'opération. Une anesthésie générale est ensuite administrée. Cela permet au patient de dormir tout au long de la procédure. Ils ne ressentiront aucune douleur ni inconfort.
Once the anaesthesia takes effect, the surgeon will make an incision in the neck. The supporting muscles are then moved aside to access the damaged cervical discs. This is done with the use of a special retractor.
Le chirurgien procédera en enlevant le disque endommagé ainsi que tous les matériaux qui compriment la racine nerveuse. Une racine nerveuse comprimée est l'une des principales causes de la douleur du cou.
La greffe osseuse est ensuite placée dans l'espace où se trouvait le disque endommagé. La chirurgie prendra plus de temps si la greffe osseuse est prélevée sur l'os iliaque du patient. Pour s'assurer que le greffon reste en place jusqu'à ce que les os soient fusionnés, il est soutenu par des plaques métalliques et des vis. Après la procédure, le patient subit une radiographie. Cela aide le chirurgien à confirmer la position du greffon, des vis et des plaques.
Après la chirurgie, les patients sont surveillés pour d'éventuelles complications. Leur respiration, leur rythme cardiaque et leur tension artérielle sont contrôlés. Ils reçoivent également des analgésiques. Les analgésiques sont très importants, en particulier pour ceux qui ont subi une greffe osseuse prélevée sur leur hanche. S'il n'y a aucun signe de complications, les patients sont renvoyés chez eux. On leur prescrit des pilules narcotiques qu'ils peuvent prendre pendant une période de deux à quatre semaines. Ils peuvent également avoir besoin de porter une minerve jusqu'à ce qu'ils soient complètement rétablis.
Il est conseillé aux patients d'appeler leur médecin immédiatement si leur incision montre des signes d'infection. Ils doivent également appeler s'ils développent soudainement une forte fièvre et de graves problèmes de déglutition qui les empêchent de respirer ou de boire de l'eau correctement.
Il est conseillé aux patients de faire un suivi deux semaines après la chirurgie. Le chirurgien vérifiera sa plaie chirurgicale pour s'assurer qu'elle guérit bien. On demande également aux patients s'ils développent des complications. Si nécessaire, ils sont traités pour leurs symptômes.
Risques et complications possibles
As with any other surgical procedure, neck spine fusion and removal has risks and complications. These include voice hoarseness, swallowing difficulties, and nerve damage. The hardware that holds the bone graft in place can also break. This can be a serious problem if it happens when the bones are not yet fully fused. In addition, there are a few cases where the vertebrae fail to fuse. Common causes are malnutrition, smoking, and obésité.
Les références:
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Xie JC, Hurlbert RJ. Discectomie versus discectomie avec fusion versus discectomie avec fusion et instrumentation : une étude prospective randomisée. Neurochirurgie 61:107-16, 2007.
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North American Spine Society (février 2013), « Five Things Physicians and Patients Should Question », Choisir avec soin : une initiative de la Fondation ABIM, North American Spine Society
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[wp_show_posts id=””]**Question:**
**What is Neck Spine Fusion and Removal: Overview, Benefits, and Expected Results?**
**Answer:**
**Overview:**
Neck spine fusion and removal, also known as cervical spinal fusion and decompression, is a surgical procedure that involves the removal of a damaged or degenerated intervertebral disc and the fusion of two or more vertebrae in the neck (cervical spine). The purpose of the surgery is to alleviate pain and restore stability to the neck.
**Benefits:**
1. **Pain Relief:**
Neck spine fusion and removal can effectively reduce or eliminate neck pain caused by a herniated disc, bone spurs, or spinal stenosis.
2. **Improved Function:**
The surgery can improve range of motion and functionality in the neck, allowing patients to perform daily activities more easily.
3. **Stability:**
Fusing the vertebrae creates a more stable neck, reducing the risk of further injury or instability.
4. **Long-Term Relief:**
For many patients, the benefits of neck spine fusion and removal can be long-lasting, providing sustained pain relief and improved quality of life.
**Expected Results:**
The expected results of neck spine fusion and removal vary depending on the individual patient’s condition and overall health. Generally, patients can expect:
– Reduced or eliminated neck pain
– Improved range of motion in the neck
– Increased stability in the neck
– Improved ability to perform daily activities
– Enhanced quality of life
**Recovery:**
Recovery from neck spine fusion and removal typically takes several months. Initially, patients may experience some pain, swelling, and limited mobility in the neck. Physical therapy is often recommended to help patients regain strength and flexibility in the neck. Most patients are able to return to their normal activities within a few months.
**Risks and Complications:**
As with any surgical procedure, neck spine fusion and removal carries some risks and potential complications. These include:
– Infection
– Bleeding
– Blood clots
– Nerve damage
– Failure of the fusion to heal properly
– Recurrence of pain or instability
It is crucial to discuss these risks and complications with your healthcare provider before deciding on neck spine fusion and removal surgery.
**Conclusion:**
Neck spine fusion and removal is a surgical procedure that can be effective in alleviating pain and restoring stability to the neck. The benefits of the surgery can be substantial, including reduced pain, improved range of motion, increased stability, and enhanced quality of life. Recovery from the surgery typically takes several months, and patients should be aware of the potential risks and complications associated with the procedure.
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Neck Spine Fusion and Removal Overview and Expected Results:
Description:
Neck spine fusion and removal involves surgical procedures to address various spinal conditions in the cervical spine (neck). This comment provides an overview of these procedures and the typical expected results.
Fusion:
In cervical spine fusion surgery, two or more vertebrae in the neck are permanently joined together using bone grafts or implants to stabilize and reduce movement at the affected site. The fusion aims to relieve pain, increase stability, and potentially improve neurological function.
Expected Results:
– Pain Reduction: Successful fusion surgery often leads to reduced neck pain and improved quality of life.
– Increased Stability: Fusion stabilizes the affected vertebrae, reducing excessive movement and helping to prevent further damage.
– Neurological Improvement: In some cases, fusion may help alleviate neurological symptoms such as numbness, tingling, or weakness in the arms or hands caused by nerve impingement.
Removal:
Cervical spine removal surgery, also known as cervical laminectomy or discectomy, involves removing parts of the vertebrae, ligaments, or herniated discs to relieve pressure on the spinal cord or nerve roots. The goal is to alleviate pain, improve nerve function, and restore mobility.
Expected Results:
– Pain Relief: Removal surgery aims to reduce or eliminate pain caused by nerve compression.
– Neurological Improvement: The procedure can help restore neurological function, such as sensation and motor control, by removing the source of pressure on nerves.
– Improved Mobility: Removal surgery may improve neck mobility and range of motion.
Recovery:
Both fusion and removal surgeries require a period of recovery. Rehabilitation, including physical therapy, plays a crucial role in regaining strength, range of motion, and overall function. The recovery timeline varies depending on the individual and the extent of the surgery.
Risks:
As with any surgical procedure, there are risks associated with neck spine fusion and removal surgeries. These include infection, bleeding, damage to surrounding nerves, and potential complications during or after surgery. Thorough preoperative evaluation and appropriate post-operative care help minimize these risks.
Conclusion:
Neck spine fusion and removal surgeries are performed to address specific spinal conditions, aiming to reduce pain, improve stability, and potentially restore neurological function. The expected results depend on the individual’s condition and surgical goals. Successful outcomes rely on skilled surgical intervention, appropriate patient selection, and adherence to post-operative rehabilitation protocols.