How do I know if I need spine surgery?
Surgery is considered when imaging shows a clear problem that matches your symptoms and conservative care has not helped enough, or when a nerve or the spinal cord is at risk, such as worsening weakness. Dr. Mignucci shows you the images and explains what surgery would and would not change.
Procedures we perform
Minimally invasive spine surgery
Smaller incisions and special instruments that move muscle aside rather than cutting through it. This often means less pain afterward and a faster return to normal activity. Not every condition is suited to it; Dr. Mignucci will tell you which approach fits your case.
Microdiscectomy
Forsciatica or arm pain from a herniated disc that has not improved.
What happensThe part of the disc pressing on the nerve is removed through a small incision.
RecoveryMost patients go home the same day; light activity within days and desk work often within one to two weeks.
Decompression (laminectomy)
Forspinal stenosis causing leg pain when walking.
What happensBone or ligament narrowing the canal is removed to give nerves room.
RecoveryOften same-day or overnight; walking is encouraged right away; full recovery over several weeks.
Anterior cervical discectomy and fusion (ACDF)
ForArm pain, numbness, or weakness, or spinal cord compression from a disc or bone spur in the neck.
What happensThrough a small incision in the front of the neck, the disc is removed and the space is fused.
RecoveryOften same-day or overnight; a temporary sore throat or trouble swallowing is common; most return to desk work in a few weeks.
Spinal fusion
ForInstability, spondylolisthesis, or deformity.
What happensTwo or more vertebrae are joined so they heal as one.
RecoveryUsually a hospital stay of a few days; the bone takes several months to fully fuse.
Complex and revision surgery
Scoliosis correction, spine tumor removal, and fixing problems from prior surgery. Planned case by case, usually at a hospital.
Where surgery is done
Many procedures are performed at Windhaven Ambulatory Surgery Center, in the same building as the clinic, with easy pickup right outside when you go home. Larger surgeries are done at a hospital.
Risks
Every surgery carries risks, including infection, bleeding, blood clots, nerve injury, reactions to anesthesia, continued pain, and the possible need for another operation. Fusion can also fail to heal fully. Dr. Mignucci will explain the risks that apply to your procedure and your health before you decide.
Second opinions
If you have been told you need spine surgery, we welcome a second-opinion visit. Bring your imaging and the recommendation you received. We will tell you what we see, even if that means surgery is not needed.
Go to the ER or call 911 if you have:
After surgery: fever over 101°F, drainage or redness at the incision, new weakness or numbness, loss of bladder or bowel control, or chest pain or trouble breathing.
Common questions
How long is recovery?
It depends on the procedure. Many outpatient procedures mean walking the same day and light activity within a week or two. Fusion takes longer. You will get a written recovery plan.
Will I go home the same day?
For many procedures at our surgery center, yes. Larger surgeries need a short hospital stay.
Who coordinates my surgery?
Nathalie Winder, our clinical and surgery coordinator, schedules everything and walks you through pre-op instructions.
What will surgery cost me?
Tracie Baker, our patient financial counselor, gives you an estimate based on your benefits before you schedule.
Related
This page is for general education and is not medical advice or a diagnosis. Talk with your doctor about your own symptoms and treatment options.