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What is Spinal Stenosis?

Spinal stenosis refers to the narrowing of spaces within the spine, which can exert pressure on the spinal cord and nerves. This condition most commonly affects the lower back (lumbar stenosis) and neck (cervical stenosis), but it can occur anywhere along the spine. As the spinal canal narrows, it can cause various symptoms, including:

  • Pain in the back, neck, or legs
  • Numbness or tingling sensations
  • Weakness or heaviness in the legs
  • Difficulty walking or maintaining balance
  • Loss of bladder or bowel control (in severe cases)

Spinal stenosis is often caused by age-related changes like osteoarthritis, herniated discs, or bone spurs. It can also result from spinal injuries, tumors, or congenital conditions.

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Indications for Spinal Stenosis Surgery

Surgical intervention for spinal stenosis is typically recommended when:

  • Conservative treatments, such as physical therapy, medications, or epidural injections, no longer provide relief.
  • The symptoms are significantly affecting your quality of life.
  • The condition is causing neurological deficits, such as weakness, numbness, or loss of function.
  • Severe stenosis is putting pressure on the spinal cord or nerve roots.

Surgical Treatment Options for Spinal Stenosis

At Gerling Spine Care NJ, we offer various surgical options to treat spinal stenosis, with procedures tailored to the severity and location of the condition. The primary goal of surgery is to decompress the spinal cord and nerves, providing relief from symptoms and restoring normal spinal function. Some common surgical procedures for spinal stenosis include:

Laminectomy

This procedure involves removing part or all of the lamina (the bony covering of the spinal canal) to relieve pressure on the spinal cord and nerves. It is typically used when spinal stenosis causes compression of the spinal cord or nerve roots.

Spinal Fusion

If spinal instability is contributing to the stenosis, a spinal fusion procedure may be performed. In this procedure, two or more vertebrae are fused together using bone grafts or implants to stabilize the spine and prevent further compression of the nerves.

Foraminotomy

This procedure involves removing part of the bone or tissue that is compressing the nerve roots as they exit the spinal canal. It is typically done when stenosis is affecting the nerve roots. Foraminotomy in New Jersey at Gerling Spine Institute is performed to relieve pressure on the nerve roots and improve mobility and function.

Minimally Invasive Spine Surgery (MISS)

For many patients, minimally invasive techniques are an option. MISS procedures involve smaller incisions, reduced muscle disruption, and quicker recovery times, leading to less pain and a lower risk of complications.

Artificial Disc Replacement

In some cases of spinal stenosis, especially in the cervical spine, artificial disc replacement may be performed. This procedure replaces damaged discs to restore normal function while preserving motion in the spine.

Surgical Procedure for Spinal Stenosis

The specific surgical procedure chosen depends on the location and severity of the spinal stenosis. Typically, spinal stenosis surgery is performed under general anesthesia. The surgery can be done through a traditional open approach or, when appropriate, using minimally invasive techniques.

Here is an overview of what to expect during surgery:

  1. Incision: The surgeon will make an incision in the back or neck, depending on the location of the stenosis.
  2. Decompression: The surgeon removes any bone spurs, disc material, or other tissues that are putting pressure on the spinal cord or nerve roots.
  3. Stabilization (if necessary): If spinal instability is present, a spinal fusion procedure may be performed to stabilize the spine.
  4. Closure: The incision is closed with sutures or staples, and the patient is monitored during recovery.

The surgery typically lasts between 1 and 3 hours, depending on the procedure's complexity.

Post-Operative Care and Recovery

Recovery from spinal stenosis surgery varies based on the individual and the type of surgery performed. However, most patients can expect:

Initial Hospital Stay

Depending on the complexity of the surgery, you may stay in the hospital for 1 to 2 days for monitoring.

Pain Management

Pain medications will be prescribed to manage discomfort following surgery.

Physical Therapy

Once the initial recovery period has passed, physical therapy is typically recommended to strengthen the spine and improve mobility.

Resumption of Activities

Most patients can return to light activities within 4 to 6 weeks, while full recovery may take several months. Your surgeon will provide a personalized recovery plan.

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Advantages of Spinal Stenosis Surgery

Spinal stenosis surgery offers several advantages, including:

  • Pain Relief: The primary benefit is significant relief from chronic pain, numbness, and weakness.
  • Improved Mobility: Many patients experience enhanced mobility and are able to perform daily activities without pain or discomfort.
  • Long-Term Results: Surgery can provide lasting relief and prevent the further progression of spinal stenosis.
  • Minimally Invasive Options: When possible, minimally invasive techniques are used to reduce recovery time and improve surgical outcomes.

Risks and Complications

Like any surgical procedure, spinal stenosis surgery carries some risks, including:

  • Infection
  • Nerve injury
  • Blood clots
  • Dural tear (tear in the membrane surrounding the spinal cord)
  • Spinal instability
  • Recurrence of stenosis

Your surgeon at Gerling Spine Care NJ will discuss these risks with you and take steps to minimize complications during surgery.

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Why Choose Gerling Spine Care NJ?

At Gerling Spine Care NJ, we are dedicated to providing top-tier care for patients suffering from spinal stenosis and other spinal conditions. Led by experienced spine specialist Dr. Michael Gerling, our team uses the latest surgical techniques, including minimally invasive approaches, to ensure the best outcomes for our patients.

We take a personalized approach to care, tailoring each treatment plan to meet the unique needs of our patients. Our research-driven approach ensures that our patients benefit from the latest advancements in spinal care, providing long-term relief and improved quality of life. If you are suffering from spinal stenosis and conservative treatments are no longer effective, contact Gerling Spine Care NJ today to schedule a consultation and learn how our advanced surgical solutions can help you regain function and alleviate your pain.

Our Locations

Gerling Spinecare & Research Institute consists of NY Orthopedics & Gerling Institute NJ. Two practices, one standard of excellence.

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Relief starts with quality orthopedic care. Contact us today to take the next step toward a more active, pain-free life.

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