Spinal Reconstruction Surgery Paducah, KY – Dr. Strenge

Spinal reconstruction surgery is a complex procedure performed to correct spinal deformities, stabilize the spine, and alleviate pain and other symptoms associated with spinal disorders. Spinal reconstruction surgery may include various procedures such as spinal decompression (laminectomy or discectomy), alignment of vertebrae, spinal fusion, artificial disc replacement, and stabilization using internal fixation devices like rods, screws, or plates. The surgery is recommended for conditions such as spinal stenosis, degenerative disc disease, spondylolisthesis, severe spinal deformities (scoliosis, lordosis, kyphosis), vertebral fractures, spine trauma, and metastatic spinal tumors. It can also be used to correct a previous, failed spine surgery.

Kentucky is known to have one of the highest arthritis prevalence rates in the nation, and back pain affects hundreds of thousands of people in Kentucky. While only a small portion of those Kentuckians will need spinal reconstruction surgery, for those that do, it is essential to find a spine surgeon who can expertly perform this complex spine surgery.

What Issues Can Spinal Reconstruction Surgery Address?

Spinal reconstruction surgery can address a wide range of spinal issues and conditions, including:

Spinal deformities: This includes conditions like scoliosis (sideways curvature of the spine), lordosis (excessive inward curve), and kyphosis (excessive outward curve of the upper back).
Degenerative disc disease: This condition occurs when the intervertebral discs deteriorate, causing pain and instability.
Spinal stenosis: A narrowing of the spinal canal that puts pressure on the nerves.
Spondylolisthesis: A condition where one vertebra slips forward over the one below it.
Vertebral fractures: Breaks in the spinal bones often caused by trauma or osteoporosis.
Spinal trauma: Injuries to the spine resulting from accidents or other traumatic events.
Metastatic spinal tumors: Cancerous growths that have spread to the spine from other parts of the body.
Failed previous surgeries: Spinal reconstruction can sometimes correct issues resulting from prior unsuccessful spine surgeries.
Chronic back pain: When other treatments have failed to provide relief, spinal reconstruction may be considered as an option.
Spinal instability: The surgery can stabilize the spine using internal fixation devices like rods, screws, or plates.
Nerve compression: Procedures like laminectomy or discectomy can be performed as part of reconstruction to relieve pressure on pinched nerves.

The goal of spinal reconstruction surgery is to correct spinal deformities, stabilize the spine, alleviate pain, and improve overall spine function and quality of life. It is a complex procedure that requires a skilled surgeon and is typically considered when other treatments have not been successful.

Who is a Good Candidate for Spinal Reconstruction Surgery?

Initial Evaluation and Diagnosis

Dr. Strenge takes a holistic, comprehensive approach to diagnosis, assessment, and treatment planning. The initial evaluation and diagnosis before spinal reconstruction surgery typically involves:

Comprehensive medical history review including signs and symptoms and your goals for treatment
A physical exam including neurological exams and provocative testing
A review of past medical and surgical history, which includes a consideration of previous spine surgeries and their outcomes, as many candidates for reconstruction have undergone prior procedures like discectomies or laminectomies.
Evaluation of the patient’s overall health and suitability for complex surgery
Advanced diagnostic imaging that may include:
- X-rays
- CT scans
- MRIs
- DEXA scans (in some cases)
Assessment of the extent of spinal deformity or misalignment affecting a major portion of the spine.
Discussion of non-surgical treatment options and their effectiveness.

Dr. Strenge will use this comprehensive evaluation to determine if spinal reconstruction surgery is the most appropriate treatment option. He will also use this information to develop a personalized surgical plan if reconstruction is deemed necessary.

Assessing the Need for Reconstruction Surgery

Good candidates for spinal reconstruction surgery typically include:

Patients with significant spinal deformities or misalignments affecting a major portion of the spine.
Individuals who have previously undergone spine surgeries like discectomies or laminectomies and now require additional reconstruction due to the natural aging of the spine.
Patients suffering from conditions such as:
- Scoliosis
- Spondylolisthesis
- Kyphosis
- Spinal stenosis
- Degenerative disc disease
- Failed back syndrome
- Recurrent disc herniation
- Spinal instability
- Severe spinal stenosis
Those experiencing symptoms such as:
- Excruciating pain caused by spinal deformities
- Loss of strength
- Numbness, tingling, or “pins and needles” sensation in the legs, feet, or arms
- Chronic pain that has not responded to other treatments
Patients whose diagnostic tests (X-rays, CT scans, MRIs) show vertebral damage affecting the spinal column.
Individuals for whom nonsurgical measures have failed or whose neurological and radiographic presentation indicates surgery as the most appropriate option.

It is important to note that the decision to proceed with spinal reconstruction surgery is determined on a case-by-case basis. Factors such as overall health, age, and specific spinal conditions play a role in determining whether a patient is suitable for this complex procedure. A thorough evaluation by a specialized spine surgeon is necessary to determine if spinal reconstruction surgery is the appropriate treatment option.

Our Approach to Spinal Reconstruction Surgery in Paducah, Kentucky

What can you expect during a spinal reconstruction surgery?

Preparation for Surgery

Comprehensive medical examination, including review of medical history, physical examination, blood tests, and diagnostic imaging.
Discussion of medications, especially blood thinners or anticoagulants that may need to be stopped before surgery.
Cessation of smoking to improve blood circulation and reduce complication risks.
Improving fitness levels through regular exercise to aid in quicker post-operative recovery.
Fasting for 6-8 hours prior to the procedure.
The surgery can take anywhere from one to seven hours, depending on the complexity of the case.

Overview of the Surgical Process

Administration of general anesthesia to ensure the patient is unconscious during the procedure.
Positioning of the patient either supine (on back) or prone (on chest), depending on the surgical approach.
Making one or more incisions to access the spine.
Performing spinal decompression to relieve pressure on spinal nerves.
Aligning the remaining bones in the vertebral column.
Stabilizing the aligned bones using internal fixation devices.
Possible spinal fusion, depending on the specific case.

Techniques Used

Laminectomy: Removing a section of bone from a vertebra.
Discectomy: Removing a section of a damaged disc.
Stabilization using rods, pins, screws, or plates.
Spinal fusion to join vertebrae together.
Artificial disc replacement.
In rare cases, entire vertebrae may be removed and replaced with artificial devices, e.g., vertebral column resection.

Choosing a Kentucky Spine Specialist for Reconstruction Surgery

Consider the following factors when choosing a Kentucky spine specialist for spine reconstruction surgery.

Important questions to ask before correction

How many spinal reconstruction surgeries have you performed?
What is your success rate for this specific procedure?
What are the potential risks and complications?
What is the expected recovery time and post-operative care plan?
Are there any alternative treatments we should consider?

Qualifications to look for in a spine surgeon

Board certification in orthopedic surgery or neurosurgery
Fellowship training in spine surgery
Extensive experience in spinal reconstruction procedures
Affiliation with reputable hospitals or spine centers
Ongoing education and involvement in research or clinical trials

Dr. K. Brandon Strenge is a highly qualified spine specialist in Kentucky, with the following credentials:

Fellowship-trained orthopedic spine surgeon
Specializes in minimally invasive spinal surgery and motion-preserving procedures
Treats cervical and lumbar spine disorders
Influential consultant for implant design teams and clinical trials
Passionate about leading the way in research-driven solutions
Practices at STRENGE Spine Center in Paducah, KY
Utilizes advanced technologies like the EOSedge spinal imaging system
Affiliated with Baptist Health in Paducah, KY

Dr. Strenge’s practice emphasizes personalized treatments and innovative, research-driven surgical solutions. The STRENGE Spine Center website states that they are “committed to providing the highest in quality care for our patients” and aim to help patients “achieve a pain-free future”.

Recovering from Spinal Reconstruction Surgery

Post-operative Instructions and Care

Rest and limited activity: Initially, focus on rest and gradually increase activity levels as advised by your healthcare provider.
Wound care: Keep the incision site clean and dry. Follow your surgeon’s instructions for dressing changes.
Medication management: Take prescribed medications as directed, especially for pain management and infection prevention.
Avoid certain movements: Refrain from bending, lifting (over 10-15 pounds), and twisting for the first few months to protect the fusion site.
Wear supportive devices: Use prescribed braces or supports as instructed by your surgeon.

Managing Pain and Discomfort

Pain medication: Follow your doctor’s instructions for pain management, which may include both over-the-counter and prescription medications.
Ice therapy: Apply ice packs to reduce swelling and discomfort, especially in the first few weeks.
Proper positioning: Use pillows and supportive devices to maintain comfortable positions while resting or sleeping.
Gradually increase activity: Slowly increase your activity levels to help manage pain and improve mobility.

Importance of Rehabilitation

Physical therapy: Follow a structured physical therapy program, typically starting 6 to 8 after surgery.
Strengthening exercises: Focus on exercises that strengthen muscles supporting the lower back.
Mobility improvement: Work on gradually increasing your range of motion and flexibility.
Posture and body mechanics: Learn proper techniques for sitting, standing, and moving to prevent future back pain.
Customized program: Your physical therapist will tailor exercises to your specific needs and recovery progress.

Other Important Considerations

Follow-up appointments: Attend all scheduled follow-up visits with your surgeon to monitor your progress.
Gradual return to work: Most patients can return to sedentary jobs within 4-6 weeks, but more physical jobs may require 3 months or longer.
Lifestyle adjustments: Be prepared to make temporary changes to your daily routine, including assistance with household chores.
Patience and realistic expectations: Full recovery and bone fusion can take 3-6 months, with continued improvement for up to 12-18 months.
Monitor for complications: Be aware of signs of infection or other complications and contact your healthcare provider if you experience any concerning symptoms.

Remember that recovery timelines can vary based on individual factors such as overall health, the extent of the surgery, and adherence to post-operative instructions. Always follow your healthcare provider’s specific guidance for the best recovery outcomes.

Schedule a Consultation with the Strenge Spine Center Today!

Spinal reconstruction surgery is a complex procedure performed to correct spinal deformities, stabilize the spine, and alleviate pain associated with various spinal disorders. It can address issues such as degenerative disc disease, spinal stenosis, spondylolisthesis, and spinal tumors. The surgery typically takes 1-5 hours and may involve techniques like spinal decompression, vertebrae alignment, and stabilization using internal fixation devices.

Recovery from spinal reconstruction surgery involves a gradual process, with initial rest followed by physical therapy starting 6-8 weeks post-surgery. Full recovery and bone fusion can take 3-6 months, with continued improvement for up to 12-18 months.

Dr. K. Brandon Strenge, a fellowship-trained orthopedic spine surgeon at the STRENGE Spine Center in Paducah, Kentucky, specializes in minimally invasive spinal surgery and motion-preserving procedures. He utilizes advanced technologies and takes a comprehensive approach to diagnosis and treatment planning.

If you are experiencing chronic back pain or have been diagnosed with a spinal condition that may require reconstruction surgery, don’t wait to seek expert care. Schedule a consultation with Dr. Strenge at the STRENGE Spine Center in Paducah, Kentucky today. Take the first step towards a pain-free future and improved quality of life by calling our office or visiting our website to book your appointment. Let our experienced team provide you with personalized, innovative solutions for your spinal health needs.

FREQUENTLY ASKED QUESTIONS

How long is the recovery period after spinal reconstruction surgery?

The recovery period after spinal reconstruction surgery varies but generally involves an initial hospital stay of 2-4 days, followed by several weeks of rest and limited activity. Most patients can return to sedentary jobs within 4-6 weeks and light physical activities around 8 weeks post-surgery. Full return to normal activities typically takes 3-6 months, with physical therapy often starting 6 weeks to 3 months after surgery. Complete bone fusion usually occurs within 3-6 months, with continued improvement over 12-18 months. Factors such as the surgery's complexity, the patient's overall health, and adherence to post-operative care can influence recovery time. Full recovery, including return to physically demanding activities, may take up to a year.

What are the success rates for spinal reconstruction surgery?

The number of procedures and the complexity of spinal reconstruction surgery make it impossible to give one success rate that covers all the possibilities. Success rates for spinal reconstruction surgery can be as high as 95% for relatively simple reconstruction to as low as 70% for major reconstruction. Success rates drop with each successive surgery at a given spinal level.

How long does spinal reconstruction surgery usually take?

Spinal reconstruction surgery typically takes between one to five hours, depending on the complexity of the procedure and the patient's specific needs. However, the total time in the operating room may be longer due to preparation and post-operative care. The duration can vary significantly based on factors such as the type of reconstruction, the number of vertebrae being fused, the complexity of the patient's condition, and any additional procedures required. More complex cases involving multiple vertebrae or severe spinal deformities may take longer. For a more accurate estimate of surgical time for a specific case, it's best to consult with the surgeon, who can consider individual circumstances and the surgical plan.

How do I find a qualified and experienced surgeon for spinal reconstruction surgery?

To find a qualified and experienced surgeon for spinal reconstruction surgery, start by researching neurosurgeons or orthopedic surgeons specializing in spine surgery. Check their credentials, board certifications, and experience, particularly looking for those with fellowship training in spine surgery. Consider surgeons affiliated with reputable hospitals or specialized spine centers. Read patient reviews and schedule consultations with multiple surgeons to discuss your condition and their approach. Ask about their success rates, experience with complications, and expertise in your specific condition. Look for surgeons with extensive experience in spinal reconstruction and a track record of positive outcomes. By thoroughly vetting potential surgeons and feeling comfortable with their expertise and communication style, you can make an informed decision for your spinal reconstruction surgery.

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