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Does Cervical Spine Or Lumbar Spine Surgery Have The Best Prognosis And Ease Of Surgery?

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Posted on Mon, 12 Nov 2012
Question: Does cervical spine or lumbar spine surgery have the best prognosis and ease of surgery? Is artificial disc replacement or fusion  surgery best for treating cervical spondylosis with myelopathy?
doctor
Answered by Dr. S K Mishra (37 minutes later)
Hi,

Thanks for the query.

Q1. Does cervical spine or lumbar spine surgery have the best prognosis and ease of surgery?
Ans: Definitely yes. In the expert hands of a competent surgeon, they do have good prognosis.

Q2. Is artificial disc replacement or fusion surgery best for treating cervical spondylosis with myelopathy?
Ans: Artificial disc replacement or fusion - both is good options; but they are not the main part of surgery. While treating cervical spondylosis with myelopathy, before artificial disc replacement or fusion, a thorough decompression of spinal cord is required by discectomy with or without corpectomy as required.

Hope this answers your query. Let me know if you have other queries.

Regards

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. S K Mishra (5 hours later)
Regarding question one, is cervical OR lumbar spine surgery less complicated? Which is easiest to perform from a surgeon's perspective?

Regarding question two, please explain what "a thorough depression of the spinal cord is required by discectomy with or without CORPECTOMY" mean?
doctor
Answered by Dr. S K Mishra (59 minutes later)
1. Both are easy in expert hands. Only difference is cervical disc is located around more vital structures, if complication occurs may be serious.

2. Corpectomy is removal of vertebral body (Corpus=body), which may be partial or total. Usually reserved and It may be required in selected cases when decompression of cord cannot be achieved only by removing disc material.

Hope this helps.

Regards,
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. S K Mishra

Spine Surgeon

Practicing since :1998

Answered : 116 Questions

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Does Cervical Spine Or Lumbar Spine Surgery Have The Best Prognosis And Ease Of Surgery?

Hi,

Thanks for the query.

Q1. Does cervical spine or lumbar spine surgery have the best prognosis and ease of surgery?
Ans: Definitely yes. In the expert hands of a competent surgeon, they do have good prognosis.

Q2. Is artificial disc replacement or fusion surgery best for treating cervical spondylosis with myelopathy?
Ans: Artificial disc replacement or fusion - both is good options; but they are not the main part of surgery. While treating cervical spondylosis with myelopathy, before artificial disc replacement or fusion, a thorough decompression of spinal cord is required by discectomy with or without corpectomy as required.

Hope this answers your query. Let me know if you have other queries.

Regards