The goal of spine surgery is to relieve the patient of pain so that he may resume a normal life. Overall, in the right hands, spine surgery is highly successful and excellent outcomes are achieved. Occasionally a patient will require additional surgery. The reasons for revision surgery may include: re-herniation of a disc, infection, pseudoarthorsis, hardware failure, non-surgery related spine degeneration, Flatback Syndrome, instability, or adjacent segment degeneration.
Revision surgery is more complex and should be performed by a spine surgeon experienced in handling scar tissue, performing osteotomies to “loosen” the spine and inducing sagittal and coronal balance. The risks of revision surgery are higher than the patient’s first surgery. There is the chance of residual pain and it is more difficult to restore nerve function.
Dr. Pashman has performed complex spinal salvage surgeries from the beginning of his career. His experience has given him a unique perspective on how to prevent problems during the first surgery, as well as work with spines that have been operated on multiple times. Below are a few case examples of lumbar revision surgery cases Dr. Pashman has performed.
Anterior and Posterior Spinal Fusion:
Case Example #1:
27 year old female presented status post three microdiscectomies with foot drop.
Case Example #2:
31 year old female presented status post minimally invasive Dynesys surgery. The hardware had failed.
Case Example #3:
35 year old male for Norway presented with pseudarthrosis, Flatback, and a screw in the spinal canal status post L4-S1 posterior fusion.