Spine Surgery for Sciatica: Is it Reliable?

Spine Surgery for Sciatica: Is it Reliable?
September 11, 2020

 

If you have lumbar sciatica, are you curious whether you should have surgery or not? It is never easy to agree to undergo surgery. You have to consult a reliable spine specialist at first.

Surgery Is Normally Taken Into Account after a Non-Invasive Trial

While no definitive guidelines exist for surgical indications in sciatica, doctors are able to recommend surgery for their patients by using the following criteria:

  • If procedures are attempted for 6-8 weeks (or longer), non-invasive sciatica (such as oral drug therapies, physical therapy, and epidural steroid) has no beneficial results.

  • If neurological symptoms such as the development of numbness and/or exhaustion and/or everyday tasks are messed with.

Surgery is normally used when a lower back injury is treated surgically, such as a herniated disc, spinal stenosis, or spondylolistheses. Surgery is often preferred if a cyst, tumor, or spinal cord compression cause sciatica.

Pain Relief and Long-Term Prospects Will Differ

A few clinical trials contrasting surgical and nonsurgical sciatica procedures have been shown to provide greater symptomatic relief and better functioning in cases with surgery. However, the outcomes of surgical or non-surgical therapies are usually the same after 1-2 years and generally over the long term.

The surgical result plays a significant role in the form of the procedure and its medical cause. New procedures use minimally invasive methods such as herniated disk microdiscectomy and endoscopic spinal stenosis laminectomies. Moderate invasive operations usually have quicker recovery time and fewer postoperative risks than open surgery.

Radiologist doctor checking Xray

Sciatica Surgery Is Fairly Safe but Can Pose Risks

While Sciatica surgery usually relieves pain in suitably selected candidates, approximately 8% of those undergoing this surgery may need a second surgery within two years.

When a sciatica procedure does not provide relief, one or more of the following factors usually contribute to relief.

  • Key diagnoses are not very credible

  • Complications following surgery

  • The emotional considerations

  • The patient’s general well-being

  • Capability of a surgeon

After structural defects are resolved, a failed surgical outcome can still occur. The surgeon should, for example, have corrected the herniated disc successfully; however, pain may persist or intensify, suggesting that the pain may not be induced in the herniated disc at the beginning. The choice between when and when to have sciatica surgery is personal. To learn and understand as much as you can about your kinds of operations and non-chirurgical procedures, consulting a surgeon carefully will help you make the choice most suitable for you and your situation.

Place your trust in Oklahoma Spine & Pain Management in OKC for a reliable spine specialist. We can help you with the right diagnosis followed by a successful surgery.

**Disclaimer: This content should not be considered medical advice and does not imply a doctor-patient relationship.

Darryl D. Robinson, MD

Medical Director

Dr. Darryl Robinson, a Richmond, Virginia native, earned his undergraduate degree from Howard University, graduating magna cum laude and Phi Beta Kappa. He went on to receive his medical degree from the Medical College of Virginia in 1995. Commissioned into the U.S. Army the same year, Dr. Robinson completed his internship at Walter Reed and served as a General Medical Officer at Fort Stewart, Georgia. He left active duty in 1998 and remained in the reserves through 2004. After completing his residency in Physical Medicine and Rehabilitation and a fellowship in Pain Medicine, Dr. Robinson joined Oklahoma Sports Science and Orthopedics in 2002. He has since been recognized for delivering comprehensive, cutting-edge care for pain conditions. In 2012, he was named one of the region's top physicians by Castle Connolly. Frustrated by the limitations of conventional pain treatments, he expanded his approach to include wellness-based therapies focused on nutrition, hormone optimization, and regenerative medicine. He later became a Certified Fellow of the American Academy of Anti-Aging Medicine. Also in 2012, Dr. Robinson was honored as one of the first "Pink Tie Guys" by the Susan G. Komen foundation in Oklahoma, recognizing his advocacy for women's health.
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