Revision spine surgery is defined as any surgical procedure that is performed in patients with chronic pain even after a spinal surgery is performed, or in patients whose previous surgery was unsuccessful and/or created scar tissue.
There is also the possibility that scar tissue that develops around a previous surgery can cause complications for a patient.
Dr. Jeremy Smith, M.D., often performs revision spine surgery on his Orange County patients, and doctors often refer patients to Dr. Smith for a variety of these procedures.
Revision spine surgery addresses:
Diminished function due to previous spinal surgery
Sharp pain due to a build up of scar tissue
Intense levels of pain
Postural deformities related to the previous surgery
Loose hardaware or pseudoarthrosis after the initial surgery
One of the main reasons to consider revision spine surgery is to address symptoms that did not improve, or worsened, after the previous surgery.. In some cases, scar tissue can pinch on the nerve, causing intense pain in the neck, back and leg(s).
Revision spine surgery can cause major complications that patients should consider, such as: infection, implant failure, pseudarthrosis, neurological injury, scar tissue formation, and other potentially life-threatening issues. In some cases, there can also be more bleeding around previous scar tissue and in instances of prolonged anesthesia, there is an additional stress on the lungs and heart.
INITIAL EVALUATION AND DIAGNOSIS
At Dr. Jeremy Smith, M.D., we believe in putting the patient first – that means listening to our patients, particularly during the initial evaluation period. We believe in committing to a robust diagnosis so that we can remain confident in providing our patients with the best level of care.
ASSESSING THE NEED FOR REVISION SURGERY
Some conditions that may suggest a revision spine surgery is right for you include:
A general worsening of symptoms (such as pain and range of motion) in the 6-24 months following an initial surgery
Recurrent disc herniation
Failed back surgery syndrome
Uncorrected or worsening postural issues
At Dr. Jeremy Smith, M.D., our team is here to support you every step of the way. Finding the right spinal surgeon can be one of the most important decisions one can make – after all, your spinal health affects not only your overall health, but also your day-to-day living. We want to help you discover the right path to a pain-free future. Call our staff today for a consultation to make the best decision for your spine.
At Dr. Jeremy Smith, M.D., we pride ourselves in being one of the top most recommended doctors for complex revision surgery in Orange County, CA.
There are several indications for complex revision procedures, such as:
The formation of scar tissue around the incision
An unsuccessful surgery
Surgery performed at the wrong site or on non-eligible candidates
Revision spine surgery does run the risk of presenting some challenges, such as:
Nerve root injuries
Deep venous thrombosis
Scar tissue formation
At Dr. Jeremy Smith, M.D., we pride ourselves in being one of the top most recommended doctors for complex revision surgery in Orange County, CA. Performing surgical procedures from a place of seasoned experience means our patients can have confidence in our treatment plans, and our reputation for successful revision spine surgeries continues to thrive as our community continues to grow.
At Dr. Jeremy Smith, M.D., we follow a compassionate, listening-first approach. Our philosophy is to truly listen to our patients and then to provide the level of care that benefits their lifestyle. We consider all non-surgical options first, and only once they are exhausted do we recommend surgical treatment plans.
During the surgery preparation process, a patient should expect to abstain from tobacco use for at least 6 weeks prior to revision spine surgery. In addition, refraining from the use of alcohol can also have a positive impact on avoiding unnecessary bleeding risks.
OVERVIEW OF THE SURGICAL PROCESS
Revision spine surgery begins with an incision near the surgical site that is followed by the retraction of muscles and soft tissues. Next, new bone (or new artificial hardware) may be placed into the area which is then followed by the closing of the incision. This will ensure proper healing. Antibiotics are given during and for 24 hours after surgery to prevent infection.
At Dr. Jeremy Smith, M.D., we use the most cutting-edge techniques available and the most up-to-date technology on our patients. Minimally invasive techniques are often applied to revision spine surgeries, where smaller incisions are made and some surgeries can be completed as outpatient, same-day procedures.
At Dr. Jeremy Smith, M.D., we can answer your questions, any step of the way. It’s important to ask your surgeon if you’re a good candidate for revision spine surgery, what the recovery time will look like and what you can do to help prepare for the surgery ahead of time.
Dr. Jeremy Smith, M.D., is a nationally recognized spinal surgeon, and is highly sought after for his care in scoliosis correction. Dr. Jeremy Smith, M.D., is a board certified orthopaedic surgeon who specializes in disorders of the spine. He is fellowship trained in Orthopaedic Spine Surgery and specializes in spinal reconstruction surgeries, particularly for patients in need of scoliosis or other deformity correction surgery.
During the first few weeks that follow surgery, activity is limited for patients to no bending, lifting, or twisting. We encourage standing and walking as soon as possible after surgery. Patients recover from revision spine surgery slowly and are able to gradually resume normal activities. Initial recovery generally takes between 6 weeks to 3 months, and the nerves can take anywhere from 1-2 years for their recovery process.
POST-OPERATIVE INSTRUCTIONS AND CARE
After surgery, patients are put on a bending, lifting, and twisting restriction. A back brace is usually used for patient comfort. It is also recommended that patients refrain from standing or sitting in the same position for more than 30 minutes in a row, in the two weeks directly following surgery. Patients may also require use of a cane or walker in order to facilitate walking as soon as possible after surgery.
MANAGING PAIN AND DISCOMFORT
Dr. Jeremy Smith, M.D.’s staff will put you on a pain management plan that may include both medication and a physical exercise treatment plan.
IMPORTANCE OF REHABILITATION
Committing to one’s physical therapy and rehabilitation are key to arriving at a speedy and complete recovery after surgery.
How long is the recovery period after revision spine surgery?
The average initial recovery period after a revision spine surgery is anywhere between 2 weeks and 3 months
What are the success rates for revision spine surgery?
The success rate for revision spine surgery depends on a variety of factors including: lifestyle, overall health and weight.
How long does revision spine surgery usually take?
Revision spine surgery varies and can take between one and six hours, depending on the complexity of the case.
How do I find a qualified and experienced surgeon for revision spine surgery?
Contact our team at Dr. Jeremy Smith, M.D., and meet the most qualified and experienced spinal surgeon in Orange County for revision spine surgery.