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Are you or someone you know considering or recovering from spine surgery? Understanding the role of pedicle screws can be crucial in managing pain and ensuring a successful outcome. Dr. James L. Chappuis, founder, CEO, and lead spine surgeon at Spine Center Atlanta, sheds light on this common aspect of spine surgery in a recent video discussion.
What Are Pedicle Screws?
Pedicle screws are a type of spinal instrumentation used primarily in lumbar fusions, fractures, deformities, and scoliosis. They are placed down the pedicle of the spine, which is the pillar of the spine, and into the vertebral body. These screws, often used in conjunction with other spinal fusion techniques, help stabilize the spine after decompression surgery.
When Are Pedicle Screws Used?
After decompression surgery, where pressure is relieved from the spinal cord or nerves, pedicle screws may be used to stabilize the spine to prevent movement that could cause further issues. They are part of a variety of fusion techniques, including ALIF (anterior lumbar interbody fusion), TLIF (transforaminal lumbar interbody fusion), and PLIF (posterior lumbar interbody fusion).
Are Pedicle Screws Painful?
While pedicle screws are generally not removed unless they become problematic, they can cause pain if malpositioned or if they loosen over time. Malpositioned screws can irritate nerve roots, leading to pain, which is usually evident soon after surgery. Loosening can occur, especially in patients with osteoporosis, but once the fusion is solid, there may not be a need for further intervention unless they cause problems.
Managing Pain After Spine Surgery
If you continue to experience back or leg pain after spinal fusion using pedicle screws, further evaluation is necessary. Imaging studies like CT scans or myelograms may be used to assess the fusion and the position of the screws. If the screws are deemed problematic, a hardware block may be performed to determine if the screws are the source of pain. If so, the screws can be removed, often leading to significant improvement in symptoms.
Final Thoughts
Pedicle screws are a valuable tool in spine surgery, helping to stabilize the spine and promote healing. While they can be painful if they become problematic, they are usually only removed if necessary. If you are experiencing persistent pain after spine surgery, it is important to consult with your surgeon to determine the best course of action.
Still Have Questions? Contact the Surgical Specialists at Spine Center Atlanta
Finding relief from debilitating back pain begins with an expert assessment and finding the root cause. Artificial disc replacement or the replacement of an aging artificial disc is often necessary. The experienced specialists at Spine Center Atlanta have long been at the forefront of this medical procedure, offering much-needed relief to hundreds of patients in their care.
Our dedicated surgeons tailor artificial disc replacement services in Atlanta, GA, to each patient’s individual needs. Our goal is compassionate, personalized care using the most advanced techniques and technologies. For industry-leading treatments and unparalleled surgical outcomes, the choice is clear.
Contact Us
If you have questions about artificial disc replacement or want to schedule a private consultation and assessment, we urge you to contact our team today. Take the first step to better spine health at Spine Center Atlanta.
