Types of Spinal Surgeries: A Brief Overview
pinal neurosurgery has made significant advancements both globally and in Lithuania. Depending on the specific spinal condition, the patient's clinical case, comorbidities, and other factors, a neurosurgeon may recommend surgery after evaluating MRI results.
We talk to a doctor about the most popular spinal surgery, what happens during it, and when minimally invasive methods can be used. neurosurgeon med. Dr. Bronius Špakauskas.
Main Types of Spinal Surgeries
Spinal surgeries generally fall into two categories: Spinal Canal Decompression: This type of surgery involves relieving pressure on the spinal canal, which may include widening the canal to treat stenosis or removing herniated discs (discectomy). Spinal Stabilization: Performed when there is spinal misalignment, fractures, or cancer-related spinal damage. Spinal stabilization has been performed globally for over 50 years. The most common spinal surgery worldwide, including in Lithuania, is microdiscectomy, typically used to treat herniated discs. During this procedure, the surgeon makes a small incision in the lower back, around 2.5–3 cm. Using a surgical microscope and micro-tools, they identify the affected nerve elements, remove parts of the ligaments, and the piece of herniated disc pressing on the nerves. This provides significant pain relief and leads to effective recovery.
What is Minimally Invasive Surgery – Nucleoplasty?
In cases where the herniated disc does not extensively compress the spinal canal, a minimally invasive procedure called nucleoplastymay be used. This technique involves no incision; instead, a needle is inserted into the affected disc, using radiofrequency waves to reduce pressure. However, nucleoplasty is suitable only for select patients without extensive nerve compression or spinal instability, and after careful evaluation of their clinical condition, age, and other health factors.
"Spinal Cementing" – Vertebroplasty
Vertebroplasty is another minimally invasive procedure that involves stabilizing a damaged vertebra without an incision. A special needle is inserted into the damaged vertebra, guided by X-ray, to inject a medical-grade cement-like polymer. After hardening, this "cement" stabilizes the bone, especially helpful for patients with osteoporosis who suffer painful vertebral fractures. Vertebroplasty is also used in certain cases of spinal tumors, such as hemangiomas or solitary myelomas, providing both pain relief and structural support to prevent further fracture and nerve damage. These procedures are tailored to the patient’s specific medical needs and offer significant pain relief, helping restore quality of life.