Revision Lumbar Surgery Specialist

Total Orthopedics Spine and Sports Medicine

Orthopedic Spine Surgery & Neurosurgery located in Englewood, NJ, Jersey City, NJ, West New York, NJ, Staten Island, NY, Ridgewood, NJ, & Bayonne, NJ

Spinal surgery can transform people's lives and free them from chronic, disabling back pain. If surgery hasn't worked out that way for you, the skilled team at Total Orthopedics Spine and Sports Medicine can help by performing expert revision lumbar surgery. They have locations in Englewood, Jersey City, Bronx, Brooklyn, and Bayonne, New Jersey, as well as the Castleton Corners area of Staten Island in New York City, where they can assess your suitability for revision lumbar surgery. Call the Total Orthopedics Spine and Sports Medicine office nearest you or book an appointment online today.

Revision Lumbar Surgery Q & A

What is revision lumbar surgery?

Revision lumbar surgery is a procedure you might require if a previous operation on your lower back is unsuccessful. Failed back surgery syndrome (FBSS) is a complex but not uncommon problem.

Most spine surgeries offer relief from severe and chronic back pain when experienced, knowledgeable surgeons like the team at Total Orthopedics Spine and Sports Medicine perform them.

In addition, before you undergo your initial surgery, your medical team would have made it clear that surgery holds no guarantees and that all procedures carry risks. Nevertheless, it can be disappointing and frustrating to still be in pain after undergoing major surgery.

Is revision lumbar surgery the best option for me?

Before considering revision lumbar surgery, your provider at Total Orthopedics Spine and Sports Medicine is likely to try non-surgical treatments such as epidural steroid injections and radiofrequency ablation.

Even if these methods weren't successful before your first surgery, the changes that occurred after the procedure might make other treatments more effective. It's important to try any viable alternatives before committing to a second spinal operation to avoid unnecessary surgery.

When is revision lumbar surgery the best option for FBSS?

For most patients, revision lumbar surgery becomes the best option if no other potential treatments are producing results. However, for some people, there may be a more urgent need to perform revision lumbar surgery. That could be the case for you if you have problems such as:

  • New weakness, shooting pain, or numbness
  • Bowel and bladder dysfunction
  • Cauda equina syndrome
  • Spinal instability
  • Pseudoarthrosis (a fusion that fails to heal properly)
  • Spinal instrumentation that's moved or broken
  • Spinal infection

Revision lumbar surgery might also be necessary if the original problem returns, or the surgery triggers an issue like epidural fibrosis – the formation of scar tissue that presses on spinal nerves.

What does revision lumbar surgery aim to achieve?

Revision lumbar surgery has two primary objectives:

Decompression

Decompression surgery aims to relieve the pressure on your spinal nerves that's often responsible for your symptoms. Decompression might involve removing the cause of the pressure, such as a bone spur, disc, or thickened ligament, or widening the area around the irritated nerve root.

Procedures that can achieve these aims include discectomy (removal of a herniated disc) and foraminotomy, laminotomy, and laminectomy, which create more room for the affected nerves.

Stabilization

While decompression surgery can effectively address nerve compression, it may create spinal instability due to the loss of bone and supporting structures.

If your spine is or may become destabilized, your surgeon can perform a lumbar spinal fusion. They fuse two or more vertebrae with a bone graft and may support the fusion with spinal screws and rods.

Find out how expert revision lumbar surgery can help with your FBSS by calling Total Orthopedics Spine and Sports Medicine or booking an appointment online today.