Cervical spine surgery is máIt's frequent than it seems. Cervical operations account for approximately 20% of all surgeriesías they are performed in the column. In this artíass we will treat the pathologyíso they may require surgeryía, What types of cervical operations exist and when?áare the possible complications.
Index
PATHOLOGISTÍSO THAT MAY REQUIRE AN OPERATIONÓN OF CERVICALS.
HERNIA CERVICAL.
Possibly it is the cause máIt is common for a patient to need an operation.ón of cervical. when we have a herniated disc cervical los síntomas máCommon s are neck and head pain and pain radiating down the arm. Arm pain or brachialgia is like a burnón that is associated with sensory alterations and péloss of strength and mobility.
Cervical hernias más frequentes son C5-C6 C6-C7.
The pain produced by a C5-C6 hernia is characterized by radiating pain on the outer side of the arm, we will notice a tingling that reaches the first finger of the hand and weakness to bend the elbow.
Instead, when we have a C6-C7 hernia, We will notice the numbness in the middle fingerón mainly and we will have weakness to extend the elbow.
MIND PATTERNSÍA CERVICAL.
In myelopathyíThe cervical is a disease that consists of a lesionón of the méspinal cord caused by compressionón. This includedón can be caused by a hernia, by a tumor or growth óbone that occurs during the cervical degenerative process.
In myelopathyíto cervical presents sísensory and motor symptoms in arms and legs, sometimes the spheres are alteredínteres.
In myelopathyíthe cervical is a pathologistíthe eminently wantedúrgica, so that I hurt herón medullary does not generate some síntomas crónicos should be operated promptly. The time that the compression lastsón is one of the factors más important when determining the degree of recoveryówhat are we going to have.
CERVICAL FRACTURES.
Usually to have a surgical cervical fractureúrgic you have to have a major traumatism. Cervical fractures can have significant complications and lead to injury.ócomplete medullary no.. Cervical fractures are sometimes accompaniedñan of dislocations, that is to say, not only the v breaksévertebra if not that it moves, that is why before performing the operationón of cervicals, the dislocation must be reducedón.
CERVICOARTROSIS.
With the passage of the toños, the discs, cervical ligaments and joints deteriorate. Discs lose their height, Eastán less hydrated, the cartílake of the joints does not maintain its properties and the alignment is lostócorrect n of column.
He síThe main symptom of cervical osteoarthritis is neck pain and dizziness..
WHATÉ MAY FORCE CERVICAL OPERATION
The problems that can force us to go through the quirófano for one operationón of cervical can be punctual and obvious, after a trauma. For instance, for car accident or caíand.
CÓMO ARE CERVICAL OPERATIONS
La operationócan't be done behind or behindás By the neck, themselvesúin the criterion of méI say after analyzing the magnetic resonanceética.
- “Lo máIt is usual that it is done in front”, explains the traumaólogo. “Specifically in herniated discs and in some types of stenosis (narrowing) of the medullary canal“
“What is done is decompress, removing if necessary herniated spinal discs or those portions of the vertebrae which cause stenosis of the médrama”.
These discs are a kind of pads between a vévertebra and other. The discs have núcleo pulpy which is usually the one with the añyou get out of your zone and “chafa” the médrama. It is what is known as herniated disc.
“Then the area stabilize with mesh or one bolted plate”, depends on the caseñto Dr. Aguilera.
- The other optionón is a laminanectomía.
“It consists of operating behindás neck. open the lámines of the vévertebrae and decompress. In this case usually no plate needs to be placed·.
IT IS AN OPERATIONÓNO COMPLEX
It is not a microsurgeryía. There is a opening widens so that you can work and decompress well.
- The durationón de la operationón it will depend on the vévertebrae that you have to decompress.
“If it is a single level you can take an hour, if there are three or moreás levels you can take 3 O 4 hours”, explains the doctor.
after surgeryía, recovery timeón it can be about three months
- The recover usón Eastá in relationón with the problem treated.
If the affectationón medullary it is scarce recover usón is ráask and good. And you affect itón medullary is large, must wait to see the evolutionón.
“after surgeryía, to the four or five díso you can go out of the hospital. The reasonable time of recover usón total is about three months májust the least”, he says traumatizedólogo. Again, it will depend on each patient.
Durante la operationóThere are two ways to repair the andñcaused by osteoarthritis.
- In some cases, a pródisc thesis to replace the disk, to that pad that acts as a cushionín between a vévertebra and other.
- In other cases it join the two vévertebrae subjectáby means of a bolted plate to stop the movement between them.
LA OPERATIONSÓNO OF DISC HERNIATION
Not always the surgeryíthe cervical is so spectacular.
If it were a simple problem cervical disc herniation that has not caused a narrowing of the channel, everything is meáit's simple.
