Revision Spine Surgery
Revision spine surgery is surgery performed in certain patients to correct the problems of earlier spine surgery. Revision surgery is indicated in patients with chronic pain even after surgery. Our expert spine surgeons in any of our office locations conveniently located to the Dallas, Irving, Red Oak, Plano, Southlake, Grapevine, Colleyville and Duncanville areas can help determine if revision spine surgery is a viable option or if other non-invasive treatment options may be of benefit. Other factors indicated for revision spine surgery include:
Pseudarthrosis, or failure of the bone to heal properly following fusion surgery, is one reason patients may require revision surgery. This and other conditions may contribute to progressive deformity developing above or below the surgical site, as the non-fused vertebrae respond to additional forces being placed upon them; in addition, disks in the spine may become compressed or slip out of place, resulting in conditions such as disk herniations, degenerative disk disease, and spondylolisthesis.
Others reasons revision surgery may be necessary include:
- Instrumentation that has loosened or pulled away from the bone
- Radiculopathy, or nerve pain associated with acute nerve compression in the spine, either from parts of the spine (disk, ligament, or bone) or from the previously placed implants
- Stenosis, or leg heaviness and walking limitation associated with chronic nerve compression in the spine, typically from disk degeneration, ligament hypertrophy, and bone spur formation
- Infection in the bone or around the instrumentation
- The presence of bursas (fluid-filled sacs) that have formed around the instrumentation used for fusion
- Arthritis that develops as a result of accelerated wear and tear on the spine after fusion
- Poor bone quality, such as osteoporosis or osteomalacia, that can predispose to bone/implant fixation failure or fractures in the spine bones, either within the fused segment or external to the operated region
Failed back syndrome or failed back surgery is a condition used to describe persistent back pain following back surgeries.
Revision spine surgery can be performed using minimally invasive technique where surgery is done by making small incisions. This method causes less damage to muscles and conjunctive tissue surrounding the spine. Laser scalpel will be used to repair the damaged tissues which involve cutting away broken, malformed, or damaged tissue.
Procedures intended to repair previous interventions include laminotomy, foraminotomy, facet thermal ablation, spinal fusion, and microdiscectomy. Rehabilitation after revision surgery includes exercises to harden the weakened muscles in the affected areas.
If you have any questions or are facing continued symptoms following a previous procedure please do not hesitate to give us a call about scheduling an appointment at any of our office locations conveniently located to the Dallas, Irving, Red Oak, Plano, Southlake, Grapevine, Colleyville and Duncanville areas.