The number of surgeries, popularly known as platinum insertion or nailing, has increased. It should be known that surgeries go through many processes to achieve a successful technique.
The newest technique used to prevent abnormal movement and correct curvature in some disorders of the spine is the fixation of the spine with titanium screws in a way that respects the tissue and provides the most benefit with minimal touch.
WHO SHOULD BE SCREWED?
There are multiple causes of slipped back. Congenital ones are important in the first place.
Birth before the spine has completed its development is one of the most problematic causes of slipped back.
Recently, partially congenital slippage, which we call pars fracture ‘defect’, is also among the causes.
There are multiple causes related to old age, trauma and people who have undergone back surgery.
The debate on “who needs screws” or “who does not need screws” also causes skepticism among patients. From a scientific point of view, if the degree of slippage changes on a dynamic-functional lumbar X-ray or if the canal through which the nerve passes is crushed, a screw should be inserted.
OH HODJA, DON’T CALL ME A SCREW
The first reaction of patients who need to have a screw inserted is “Oh my God, don’t call me a screw”. In fact, this surgery is to eliminate the previous painful, aching and uncomfortable life.
The stories of patients coming out of surgeries performed with old techniques have spread like a legend.
IS IT POSSIBLE WITH MICROSURGERY?
As we constantly talk about the gold standard success of microsurgery, physicians often encounter the question of “Will the screw be made with microsurgery” from patients.
There are actually two separate layers.
The first layer is the spinal sac through which the nerves pass and the tunnels through which the nerves pass sideways.
Any kind of touch here should be microsurgical. If open surgery is performed with the naked eye in the area where the nerves are most sensitive, nerve damage or spinal cord membrane damage may occur. Surgical success also decreases.
After completing the interventions here with microsurgery by making a 1.4 cm incision in the skin, the screw insertion stage, that is, the second layer, is started.
Opening the skin 10 cm for the procedure to be performed does not indicate that it is in the logic of an open surgery.
Because open surgery, with the naked eye, is a method of removing almost all of the bones surrounding the nerve and then inserting screws.
It is to remove all of the patient’s back bone support.
Microsurgery, on the contrary, is to enter through a small window and enlarge the canal almost 40 times under a microscope and eliminate the compression of the nerves with a fast working shaving tool.
“WILL I SING AT THE MALL ENTRANCE?”
Since the screws are titanium, they do not give a signal except for very detailed X-Ray scans.
Nevertheless, it is recommended that patients declare that they have undergone surgery when entering special areas where security measures are at a high level.
WHEN DO WE REMOVE IT?
The post-operative screws of a person who has abnormally moved and caused nerve compression are monitored for a certain period of time.
In particular, the bone graft and the surrounding bone tissue should be strengthened with the screw insertion that completes the surgery.
Thanks to this, the patient’s own bone strengthens and the screw adapts to its own bone tissue.
As a result, there is no need to remove it.
Like knee replacement, there is no such thing as removal or replacement after a certain number of years.
As we always say, do not be afraid of surgery, be afraid of being late.