Leg and Buttock Pain After Spinal Fusion Surgery
Having Leg and Buttock Pain After Spinal Fusion Surgery is one of the most common problems people have after the operation. When a person has a herniated disc in the lumbar region, the resulting compression of the nerve root can lead to inflammation of the membranes that surround the nerves of the spinal cord.
If this occurs, the pain in the buttocks may become unbearable. Having leg and buttock pain after a spinal fusion surgery can make it difficult for a person to walk and even to move around. Fortunately, there are several treatments available that can help alleviate the symptoms.
Recurrent lumbar disc herniation
Leg and Buttock Pain After Spinal Fusion Surgery Despite the increasing popularity of fusion surgery, there are still many concerns regarding the recurrence of lumbar disc herniation after spinal fusion surgery. Several studies have attempted to determine whether recurrent herniation is associated with a different diagnosis or surgical technique.
One study compared aggressive discectomy with a conservative approach. In this study, surgeons used a sizing tool to measure the annulus fibrosus and removed the disc fragment near the spinal canal. The goal was to prevent recurrence of the disc herniation.
Another study evaluated the risk of recurrent herniation after primary lumbar discectomy. The authors found that recurrent herniation occurs in 7-18% of patients. A higher body mass index and disc height are associated with increased risk of recurrent herniation. In addition, recurrent herniation is associatedwith Modic endplate changes.
Leg and Buttock Pain After Spinal Fusion Surgery Recurrent lumbar disc herniation after discectomy is a common surgical problem. It can be a cause of severe pain and may result in reoperation. Recurrent herniation has been shown to occur up to 8 years after a primary discectomy. The majority of recurrent herniations occur in the first year after the index operation. The recurrence rate may be influenced by the type of discectomy and follow-up.
Inflammation of the membranes that surround the nerves of the spinal cord
Leg and Buttock Pain After Spinal Fusion Surgery Usually, the pain is in the back of the thigh, buttock or knee. The sciatic nerve is the largest nerve in the body. It originates from the fourth and fifth lumbar nerve roots and travels from deep in the buttock down to the foot.
Spinal arachnoiditis is a condition that causes inflammation of the membrane that surrounds the nerves of the spinal cord. The condition can occur due to a number of idiopathic causes, such as infection from viruses or bacteria, or due to the effects of physical or chemical irritation. It can also occur as a result of spinal surgery.
The arachnoid membrane is a thin, fragile tissue that surrounds the nerves of the spinal cable. It is surrounded by three layers of protective membranes. The inner surface of the membrane is covered with fibrinous exudate, which can cause it to adhere to the thecal sac.
Postoperative inflammation of the nerve root
Leg and Buttock Pain After Spinal Fusion Surgery Several factors can affect the outcome of spine surgery. This includes the type of surgical procedure and patient characteristics. However, nerve damage during back surgery is relatively rare, occurring in a few cases.
During the procedure, the nerves are often pushed around, which can aggravate nearby nerve roots. The surgery site is also a common location for painful scar tissue.
These areas can cause pain down the leg and in the buttock. Fortunately, these pains are usually temporary and will go away as the nerve heals. If you notice any ongoing pain or numbness after surgery, you should contact your surgeon. X-rays can reveal the source of your pain.
If the pain persists, you may have postoperative epidural fibrosis. This occurs when scar tissue forms near a nerve root.
Leg and Buttock Pain After Spinal Fusion Surgery Another condition that can occur is called adhesiolysis, or epidural lysis of adhesions. This is a procedure in which a catheter is inserted into the affected area to inject medication to destroy the scar tissue.
Recombinant human bone morphogenetic protein-2
Leg and Buttock Pain After Spinal Fusion Surgery Several studies have investigated the safety of recombinant human bone morphogenetic protein-2 (rhBMP-2) for leg and buttock pain after spinal fusion surgery. The underlying mechanism for this intervention is that rhBMP-2 promotes bone growth, which promotes the formation of a fusion between two or more vertebrae. This procedure is performed to alleviate pressure on neural elements, such as nerve roots, and to prevent buckling of the ligamentum flavum.
A large volume of literature on intervertebral disc disease and spinal fusion surgery is available. This article aims to describe the latest developments in the scientific field, as well as discuss the interplay between these advances and their clinical application.
One meta-analysis of a large number of randomized trials, as well as cohort studies, revealed a significantly increased risk of post-operative back pain with rhBMP-2. This increased risk was associated with an increased risk of ectopic bone formation.
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