The
goal of spine surgery is to relieve the patient of
pain so that he may resume a normal life. Overall,
in the right hands, spine surgery is highly
successful and excellent outcomes are achieved. Occasionally
a patient will require additional surgery. The
reasons for revision surgery may include: re-herniation
of a disc, infection, pseudoarthorsis, hardware failure,
non-surgery related spine degeneration, Flatback
Syndrome,
instability, or adjacent
segment degeneration.
Revision
surgery is more complex and should be performed by
a spine surgeon experienced in handling scar tissue,
performing osteotomies to “loosen” the
spine and inducing sagittal and coronal balance. The
risks of revision surgery are higher than the patient's
first surgery. There is the chance of residual
pain and it is more difficult to restore nerve function.
Dr.
Pashman has performed complex spinal salvage surgeries
from the beginning of his career. His experience has
given him a unique perspective on how to prevent problems
during the first surgery, as well as work with spines
that have been operated on multiple times. Below are a
few case examples of lumbar revision surgery cases
Dr. Pashman has performed.
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Case Example
#2:
31 year old female presented status post minimally invasive Dynesys surgery.
The hardware had failed. View her case
details here. |
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Case
Example #3:
35 year old male for Norway presented with pseuodarthrosis, Flatback, and a
screw in the spinal canal status post L4-S1 posterior fusion. View
his case details here. |
