While the main aim of this guide is to explain what resorption is, we believe it is important to say a few words about surgical treatment as well. Absolute indications for surgery:
- Compression of cauda equina spinal roots. (This condition causes numbness of the genital area and muscle weakness)
- Pelvic floor dysfunction (mostly, urinary and fecal incontinence)
- Intractable pain syndrome after adequate long-term treatment.
That is. There are no other absolute indications for surgery.
Operative interventions are often offered to patients without a reasonable basis. On average, the successful outcome of surgeries is 70-90%. The effectiveness of surgeries compared to conservative treatment of patients with a disc herniation in the long-term is equal and does not have any additional advantages. The risk of recurren
ce after microsurgical treatment is 5-30%.
Narrowing of the spinal canal (stenosis) occurs in 10-30 % of cases. Damage of the upper spinal cord segment occurs in 58% of cases, the secondary stenosis of the spinal cord and the damage of facet joints occur in 45 % of cases. There are also some other complications that can be classified as failed back surgery syndrome. Summary: surgery is not a is not a silver bullet. In the long-term, conservative treatment may prove even more effective. Surgery should be offered only if medically required and this is a measure of last resort. Any competent neurologist and neurosurgeon is well aware of it.