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Back Surgery
Conventional spinal surgery versus endoscopic spine surgery
In reality, all spine surgery has a similar success rate, that is, around 70% good to excellent results. The main difference between the two types of surgery is the likelihood of a bad or negative outcome and the increased complication rates. whether the conventional spinal surgery is a standard rod and screw fusion or a new artificial disc replacement, the end results are usually similar, at least at first. The artificial disc may have a higher complication rate than the conventional fusion due to the complexity of the surgery but the success rate for both is around 70%.
As for endoscopic spinal surgery, there is less supporting data but what is available shows a similar success rate but reduced infection rates and less probability of having worse pain post the surgery. In some cases endoscopic spine surgery is the preferred route for treatment, such as with small disc herniations or budges. In other cases, fusions or artificial disc are the preferred treatment method such as with instability due to fracture of severe spondylolisthesis.
In either case, the probability of a good outcome depends more on who is actually performing the surgery than the surgery itself since success rates vary significantly for spinal surgery.
Often. patient pick their doctor strictly on whether the physician accepts their insurance or not. Most of the better surgeons may not be in the HMO's and the may not even be in the PPO's! Thus, check with other patients about your doctor before you get surgery, because afterwards is too late. Most spinal surgeons will not touch you after another doctor has operated on you due to the litigation issues and liability. So make sure your doctor is at least good in his ability. Check the state's websites for severe litigation (minor lawsuits are meaningless). Check forums on websites, but beware because some doctors have fake patients writing on these sites to bolster their claims. The reality is "buyer beware" since not all doctors are the same and you don't want a Hyundai when you can have a Rolls Royce for a similar price.
After the surgery is over, what you get is it and it may be years before you can get another doctor (if any) to fix your spinal mistake. Most surgeons will tell you that you have too much scar tissue or that you didn't follow their direction appropriately. It is simply not true because scar tissue is rarely the real issue and the real issue is an inappropriate surgery or continuation of a pinched nerve. So be a smart patient not a cheap patient since your body isn't like a car and you can't trade it in.
Associated Links:
www.spinenebula.com and www.spinenebula.net
www.spine-online.net and www.spineteam.net
www.microspine.biz www.microspine.info www.microspine.us www.microspineinc.com www.microspineinc.co.uk
www.microspineinc.us www.microspineinc.org www.microspineinc.info www.microspineinc.net www.microspinology.org www.microspinology.com www.microspinoscopy.com www.microspinoscopy.org www.neuroscopy.com www.e-spine.net www.laserspine.net www.namda.org www.mritoday.net