Cervical surgery

Cervical surgery

Surgical interventions present a wide range of indications and needs to correct the acute or chronic problem. With regard to surgical treatment of the spine, thanks to advances in biomedical sciences, engineering, as well as improvements in protocols and quality in imaging tests, it is possible to make all the predictions on the material that is It will require the approximate surgery time as well as improving the choice of a less aggressive approach, treating the pathology completely, allowing us to reach an effectiveness that a few decades ago was hardly imaginable.
Article index

1. What is cervical surgery?

2. Indications for cervical surgery

3. How is cervical surgery performed?

4. Recommendations before and after cervical surgery

5. Follow-up to cervical surgery

What is cervical surgery?

It is a surgical intervention performed at the cervical level to treat disc pathologies accompanied by neurological compressions of the nerves or the spinal canal. Also if there is bone formation (osteophytes) accompanied or not by compressive disc involvement.

Indications for cervical surgery

This intervention is indicated in painful conditions associated with pathology of the intervertebral discs or osteophytes at the cervical level. The lesions can produce various symptoms or even be asymptomatic, but they can be associated with changes in the biomechanics of the cervical spine and limit its mobility or favor the formation of joint degeneration, forming osteophytes that, in severe and complex conditions, can be accompanied by neurological involvement or myelopathy.

How is cervical surgery performed?

It is performed in the operating room under general anesthesia, for which a preoperative study with the anesthetist is necessary and can be performed a few days before. During the procedure, a fluoroscope is also used to locate the region to be intervened, marking before inserting surgical materials and instruments, and controlling the procedure with it to avoid errors and treat segments that are not affected. The procedure usually lasts between 60-90 min on average, it consists of performing a central and foraminal recalibration with placement of a fixed interbody fusion cage or cervical prosthesis, freeing the nerves and removing the disc or bone tissues that produce the compressions.

Recommendations before and after cervical surgery

Before performing this procedure, a correct medical evaluation and having a soft cervical collar is recommended. The procedure has different protocols that will be specified according to the patient's health status. It is a procedure that presents a quick response allowing discharge the day after the intervention. Recommendations of rest for 15 days will be indicated as well as medical treatment to treat the inflammation caused by the intervention.

Follow-up to cervical surgery

The follow-up will be carried out at 15 days to assess the correct healing of the surgical wound, as well as a radiographic control to carry out a comparative examination with those carried out on the day of the intervention. During it, it is recommended to use the soft collar permanently. Consultations will be made with the surgical team one month and 3 months after surgery to assess the consolidation of the material and start treatment in conjunction with the physiotherapy team, being at all times possible to assess the response and the clinical and radiological situation of the patient. patient if it becomes necessary.
Remember that this information is made for disclosure purposes and that only a spine specialist will indicate the appropriate treatment for your spinal problem.
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