Lumbar discectomy recommendations with Dr. Serge Obukhoff

Spine surgery advices with Serge Obukhoff? Why would I need to see a neurosurgeon? In most cases, your primary healthcare provider or your neurologist will refer you to see a neurosurgeon if you have a neurological condition that requires or would benefit from an in-depth assessment. Neurosurgeons have extensive knowledge about your brain, central nervous system, peripheral nervous system and spine, and the conditions that can affect them. Just because your healthcare provider recommends you see a neurosurgeon, that doesn’t necessarily mean surgery is around the corner. Instead, it means you’ll receive a comprehensive neurological exam, a review of your symptoms and medical history, and detailed diagnostic imaging to determine the underlying cause of your symptoms. From there, your neurosurgeon — and in some cases, other specialist providers — will determine and discuss the best treatment options for you, whether that’s a nonsurgical treatment, surgical treatment or a combination of both. See additional information at https://www.healthgrades.com/physician/dr-serge-obukhoff-yg9w2.

What makes this a special place is that, due to its collaborative nature, if someone comes in to see one of our surgeons and that surgeon is not the perfect fit for that person, we can reach across our vast network to find the surgeon that is right for them. We have such a broad range of expertise here we can always find surgeon that is the right fit for each individual. They offers an array of traditional and minimally invasive surgical treatment options for the spine.

Spinal laminectomy/spinal decompression. This is performed when spinal stenosis causes a narrowing of the spinal canal that results in pain, numbness, or weakness. The surgeon removes the bony walls of the vertebrae and any bone spurs, aiming to open up the spinal column to remove pressure on the nerves. Discectomy. This procedure is used to remove a disk when it has herniated and presses on a nerve root or the spinal cord. Laminectomy and discectomy are frequently performed together.

Many patients with spine problems can be treated non-surgically. Physical therapy, home exercises, medication and often times spinal injections are recommended prior to considering surgery. If the problem still isn’t resolved, then surgery becomes a good option. For instance, if a patient has significant neurogenic pain in the extremities and non-surgical management has not provided relief, surgical intervention is the best decision. For those with symptoms related to spinal cord or nerve root compression, such as significant weakness in an arm or leg or limb, we may recommend surgical intervention if non-surgical management was unsuccessful.

Spinal fusion. The surgeon removes the spinal disk between two or more vertebrae, then fuses the adjacent vertebrae using bone grafts or metal devices secured by screws. Spinal fusion may result in some loss of flexibility in the spine and requires a long recovery period to allow the bone grafts to grow and fuse the vertebrae together. Artificial disk replacement. This is considered an alternative to spinal fusion for the treatment of people with severely damaged disks. The procedure involves removal of the disk and its replacement by a synthetic disk that helps restore height and movement between the vertebrae.