Spine Program
Diagnosis & Treatment Options
DIAGNOSIS
Because of the complex composition of the human spine, there are many causes for back pain. Often it can originate from muscle trauma or strenuous activity. The most common causes of low back pain are sprains and strains. Athletes are at greater risk of sustaining a lumbar (lower) spine injury. Back pain can also be triggered by everyday activities such as lifting, awkward bending, twisting or even driving. Pain is usually confined to the back, but can also travel to the legs. Other conditions that can cause back pain include:
- Herniated Disc
- Spinal Stenosis
- Osteoarthritis of the Spine
- Spondylolisthesis
- Ankylosing Spondylitis
- Osteoporosis and Fractures of the Lumbar Spine
- Pregnancy
- Fibromyalgia
For the same reasons it is hard to determine a cause for back pain, it may also be difficult to get an accurate diagnosis. However, it is critical because different diagnoses will require different treatments. X-rays, CT scans and MRIs are the most common tools used for diagnosis. Physicians may also use a myelogram, an X-ray of the spinal canal using an injected dye, to detect if there’s blockage due to an infection, tumor, arthritis or as a result of a herniated disc. Blood tests may be conducted to determine if these same factors are present, in addition to the presence of a metabolic disorder.
TREATMENT OPTIONS
CHARITE© Artificial Disc
This innovative treatment is an alternative to spinal fusion surgery. It is a high-tech device made of two metallic endplates and a movable high-density plastic center. It is implanted under general anesthesia through a small incision in the abdomen. The procedure usually takes one to two hours. The artificial disc is designed to move like the body’s own spinal disc, helping to maintain the position of the spine and allowing for flexibility to bend and twist.
Spinal Fusion
Spinal Fusion is a more common treatment for back pain. It joins vertebrae together using bone grafts. It may or may not involve use of supplemental hardware, such as plates, screws and cages. Potential reasons for fusing the vertebrae include: treatment of a fractured vertebra, correction of deformity, elimination of pain, treatment of instability and treatment of some cervical disc herniations. A brace is sometimes needed for the early post-operative period. Recovery from fusion surgery usually takes longer than other spinal surgeries. Due to the healing process, returning to a normal active lifestyle may also take longer.
Stereotactic Imaging Guidance System
The Stereotactic Imaging Guidance System imports data from CT scans, MRIs and X-rays which is analyzed in a computer software program. The data is then compared with what is actually viewed inside the body at surgery. Patients who might benefit from the stereotactic imaging technology include those with scoliosis, spinal deformities, fractures, tumors and other conditions requiring reconstructive surgery.
