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Minimally Invasive Spine Surgery: Risks, Complications, and Failures

Published Medical Research: Minimally Invasive Spine Surgery and Spine Fusion Failures are Common!

spine surgery

Conservative Treatment of the Spine Offers Better Results than Surgery. Learn Your Options Before You Opt for an Invasive Procedure.

Spine surgery is not as successful as many have been told. In fact, published research on the database of the Ohio Bureau of Workers’ Compensation reports the success rate at 26%. In this article, we will go over the various forms of spine surgery, including the minimally invasive spine surgery and spine fusion. We will also provide information on complications and long-term success rates. But before we start on the topic of spine surgery, we find it necessary to define success in clinical terms from doctors’ and patients’ points of view.

The Merriam-Webster Dictionary defines success as a “degree or measure of succeeding.“ In other words, any improvements or gains are considered successes achieved. A spine surgeon may view the surgical intervention as successful when patient symptoms decrease or when the quality of life increases. We have seen our fair share of symptomatic post-surgical patients who were classified as successful surgical cases.

A case that comes to mind is a male patient who presented to our center with severe, excruciating pain in his lower back and legs.

In addition to pain, he suffered from significant weakness in his legs, resulting in a foot drop. The severity of pain prevented the patient from sleeping or participating in any physical activity. After consulting his surgeon and us, the patient chose the surgical route with the surgeon-recommended laminectomy or fusion (minimally invasive spine surgery).

Immediately after the surgery, the pain in his lower back and legs decreased by more than 50%. His spine surgeon considered the minimally invasive spine surgery as successful, and within days the patient was scheduled for post-surgery rehabilitation. Physical therapy and home care exercises were provided to the patient, and the patient was discharged from the hospital.

Post-surgical care and home care exercises provided minimal improvements. However, the prolonged sitting, standing, and even walking were still painful. The patient continued to walk with a noticeable limp and complained of moderate back pain, leg pain, and pins and needles in his legs, feet, and toes. Clinically you could argue that this was a successful spine surgery, and you would be right to a certain extent. However, from a patient’s point of view, the outcomes were not as favorable as they should have been.

Six months after his spine operation, he still suffered from a mild foot drop, weakness in the legs, inability to walk more than 200 meters, and inability to sit for prolonged periods.

In short, he was unable to continue with the life he knew. This is a story of just one patient. But many have similar faiths when they opted for surgical interventions without exhausting an effective conservative means of non-invasive therapy.

Back pain sufferers are often told that spine surgery is successful in 90% of cases. But, what most neglect to elaborate on is the degree of success in both the short and long-term. While it is true that surgery can reduce the level of pain and discomfort, sufferers often continue to have a residual pain of varying degrees.

Published research articles often portray spine surgery success rates from 50%-90% depending on the source you come across. The differences in rates of improvements depend on the severity of the condition and of course on the researcher’s established protocols and guidelines that define post-operative clinical successes. Therefore, it is not your surgeon who provided the wrong information. The surgeon is just relaying the published literature.

Although strict publishing criteria exist, vetting of research material is a daunting task for publishers to assess the provided research article thoroughly. Furthermore, most surgeons publish patient cases that were successful. Rarely will a surgeon release for publication a failed surgical intervention.

Also, a researcher that obtained research grants from implant manufacturers may have an affinity towards publishing articles that are favorable to implants. Although there are strict criteria for disclosing conflicting interests, some may have discovered means that avoid it. In short, published research is not always flawless in claims of success.

Why is Conflict of Interest in Medical Research So Rampant?

The National Academics Press in Washington, D.C. (United States of America) published the results of surveys approved by the U.S. Governing Board of the National Research Council that showed the extensiveness and assortments of dealings and associations between physicians, industry, researchers, and academic educators in reputable universities. They reported such conduct was universal in academia, teaching hospitals and societies (associations).national academics on spine surgery reserach

According to the National Academics Press in Washington, D.C.: a variety of disturbing situations exist in published research articles, which undermines the U.S. public trust in medicine. You can download a PDF of this report from U.S. National Institutes of Health (NIH). We have provided an excerpt of these alarming situations as examples below:

  • Researchers getting gifts from drug companies is extremely rampant;
  • Drug companies and medical device companies continual visiting of doctors’ offices with free samples is widespread;
  • The vast majority of biomedical research in the United States is made possible by grants and financial support from the industry (pharmaceuticals and medical device manufacturers);
  • Academic researchers in Universities or teaching hospitals put their names on pre-written research paid for publication by pharmaceutical companies, medical device manufacturers, surgical implant makers and other industry players;
  • Professional societies (medical associations or other groups) provide research materials without disclosing the source of their funding or conflicts of interests of the authors that drafted the research article.

The published survey above offers insights into why there are so many conflicting reports about the clinical successes claimed by most in regards to spine operation.

When we set out on a mission to find surgical complications related to spine surgery, we found a few articles. In fact, the vast majority of articles published were favorable of spine surgery in the short and long-term. Therefore, we changed our search criteria and started to look at published research on the data compiled by governmental agencies. We were astonished by what we discovered in published research from the database of the Ohio Bureau of Workers’ Compensation. Before we discuss the merits or importance of this published research, let’s go over the common types of spine surgery.

Different Types Of Back Operations Procedures

In general terms, spine surgery is performed when the spinal nerve, spinal cord or thecal sac (housing of the spinal cord) are compressed to the degree that causes significant symptoms. Three main disorders lead to such compression are:

  1. Spinal disc degeneration, bulge, herniation, protrusion, prolapse, extrusion or fragmentation (slipped disc or slip-disc)
  2. Degenerative and arthritic changes in the facets (spinal joints)
  3. Hypertrophy thickening and degeneration) of the ligamentum flavum or other soft tissues impacting the spinal canal or spinal joints.

The primary goal of spine surgery is to decompress the compressive effects of damaged tissue, either by cutting them or through instrumentation (plates, rods, and screws). In some cases, both cutting and instrumentation are used. Decompression spine surgery involves the removal of structures or tissues that are compressing and putting pressure on nerves. There are several methods, and we shall discuss them briefly below.

chiropractic or spine surgery
 foraminotomy is a form of spine surgery

Spinal Decompression: Laminectomy/Laminotomy, Facetectomy, Foraminotomy, and Partial Discectomy

Spinal decompression surgeries are sometimes touted as the minimally invasive spine surgery. They are called minimally invasive spine surgery, as most can be performed using the keyhole method. However, just because they are considered minimally invasive doesn’t make them any more successful or non-intrusive. In fact, any time you cut into tissue, it is invasive and even damaging to muscles, ligaments, spinal discs, spinal joints, or spinal nerves. As such, they fail to provide long-term relief.

There are various types of minimally invasive spine surgery in Malaysia. Generally speaking, most fail in the long-term. The vast majority of patients experience residual pain even if highly experienced surgeons in Europe or the United States did the surgical intervention. In fact, most will require additional surgical interventions within 2-5 years following the minimally invasive spine surgery such as surgical decompression.

There are several types of minimally invasive spine surgery or spinal decompression surgery. We have listed them below:

  • Radiofrequency (RF) Ablation or Radiofrequency Neurotomy
  • Laminectomy or Laminotomy
  • Facetectomy or Spinal Joint Surgery
  • Foraminotomy
  • Partial Discectomy
  • Nucleoplasty

Radiofrequency (RF) Ablation or Radiofrequency Neurotomy for the Chronic or Acute Spine Pain

The Radiofrequency ablation or Radiofrequency Neurotomy is minimally invasive spine surgery. The primary goal of radiofrequency ablation or neurotomy is to destroy the nerves that sense pain. The term Neurotomy is descriptive of surgical interventions that cut or destroy nerves that sense pain. Ablation is a general term meaning taking away or removal.  In surgical scenarios, ablation applies to the surgical removal of tissue. In short, Radiofrequency ablation and radiofrequency neurotomy are interchangeable terms used is the destruction of the innate or inherent functions of nerves. It is carried out through radiofrequency that generates heat by radio waves. RF ablation has the most conflicting research when it comes to clinical successes. Some call it an absolute failure while others cite mild relief of pain, temporarily.

Radiofrequency isn't effective form of spine surgery

Radiofrequency ablation or radiofrequency Neurotomy may provide you pain relief for 6-18-months at best according to experts who studied this procedure! 

So, why would you take the risk with methods known to fail in the long-term? Do you cut the wire to the light that illuminates the check engine? You wouldn’t because the problem will still be there and in time you will have more significant issues! The same applies to your body. Why would you cut or kill the nerve that warns you of a problem? Take our advice; short-term gains through invasive methods are wasteful at best.

Our clinical teams are opposed to any invasive procedures when it comes to the spine, including the minimally invasive spine surgery. RF or Neurotomy regardless of its level of invasiveness is a procedure best avoided. The harm inflicted on the joints and soft-tissues outweigh even the best-hopped scenarios.  In short, there are no shortcuts to getting better. Cutting away the nerves or killing them with heat or radio waves do not constitute a cure.  Seek useful conservative treatment options before opting for this invasive procedure. Visit a Chiropractic Specialty Center® today and learn about the best comprehensive means of spine care.

Spinal Decompression Through Laminectomy/Laminotomy

The lamina are the bony structures at the rear of the spine. They protect the spinal canal and enable the attachment of critical ligaments for spinal stability. Your spinal canal starts at the base of the skull and runs all the way down to the tailbone. Laminectomy is a minimally invasive spine surgery that removes the lamina. Earlier we mentioned that the lamina has the attachment point for a critical ligament. Ligamentum flavum is a highly specialized ligament that connects spinal segments with one another through their laminal attachment points.

 laminactomy forms of spine surgery fails

The ligamentum flavum limits excessive motion and has the contractile ability to reposition the spine into proper alignment following a flexion or forward bending. Repetitive traumatic events, poor posture, and prolonged sitting can lead to hypertrophy of the ligamentum flavum. Hypertrophy of the ligamentum flavum is the leading cause of spinal canal stenosis.

So, a laminectomy is performed not because the lamina has issues, but rather due to the thickening of the ligamentum flavum. In reality, this procedure is performed to remove the thickened or hypertrophied ligamentum flavum. The surgeon may remove a part of the lamina (partial laminectomy) or all of it. In the old days, they removed the whole lamina. In recent times, they remove only parts to avoid excessive instabilities that often arise from a laminectomy. Surgeons refer to this as a minimally invasive spine surgery, as it can be performed through a keyhole method of surgical intervention. According to published research, patients that opt for a laminectomy often require a second or third surgical intervention.

the spine journal on spine surgery

Decompression of Spine Performed Through a Foraminotomy 

Spinal nerves originate from the spinal cord. As they leave the cord, they pass through a passageway. The passageway provides protection and an exit point for the spinal nerves. These passageways are termed intervertebral foramina or foramen. But, the foramina are not a passage just for the nerves. Other structures also pass through this opening, including the spinal artery, veins, and Sinu-Vertebral Nerve (the major pain-sensing nerve for spinal discs, spinal joints, and joint ligaments). The borders of the spinal foramina are formed by the spinal discs, spinal bones (vertebral bodies) anteriorly, and spinal joints (facets) posteriorly. Arthritic or degenerative changes of spinal discs, vertebral bodies, and facet joints will result in narrowing of the foramina.

Narrowed spinal foramina (vertebral foramina) are classified as stenotic. The term used to describe such conditions is called foraminal stenosis. The narrowed foramina (foraminal stenosis) compress the spinal nerves and vessels within the passageway (vertebral foramen). Foraminotomy is the process of removing portions of the bony walls (pedicels of the top of facets or parts of vertebral bones), spinal discs, or both. Furthermore, the cutting or spinal discs and pedicles on top of facets may lead to instabilities. As a result, the majority of patients who undergo a foraminotomy need additional surgical interventions such as a nucleoplasty, laminectomy, discectomy, or spinal fusion in the future.

Nucleoplasty: A Useless Invasive Spine Procedure With Far-Reaching Consequences!  

A published research study in the Journal of Spine Disorders and Techniques reported nucleoplasty with or without intradiscal electrothermal therapy (IDET) as ineffective. The published study reported the impacts of nucleoplasty on nine patients. A total of 32 discs in these nine patients was treated with neuroplasty. The authors reported the average patient pain level before nucleoplasty at 6.7 (on a Visual Analog Scale or VAS of 1-10, with 10-being excruciatingly severe). Nine months after nucleoplasty, pain levels were documented at a 5.6, equating to about a 10% decrease in pain. In other words, nucleoplasty has a failure rate of 100% because none of the nine patients were rendered pain-free. They only improved by 10% on average! As such, the authors concluded nucleoplasty with or without IDET as ineffective.

minimally invasive spinal surgery

Nucleoplasty is a form of discectomy where portions of the spinal discs are removed from the inside of your spinal discs. Percutaneous discectomy or nucleoplasty is a minimally invasive spine surgery that we adamantly oppose. Generally speaking, we oppose most surgical procedures performed in the absence of targeted non-surgical therapy. However, our opposition to nucleoplasty is higher, as it has failed to show effectiveness. In fact, a sham or fake nucleoplasty was proven just as effective as the real one.

Are There Different Types of Nucleoplasty for the Spine?

Well, there is the Bad One, and then there is the Nasty One. Joking aside, there are two main types of nucleoplasty:

  1. Nucleoplasty without intradiscal electrothermal therapy (IDET): the “Bad One.”
  2. Nucleoplasty with intradiscal electrothermal therapy (IDET): the “Nasty One.”

The process of inserting a catheter (introducer) at the very center of the spinal disc is damaging, but, cooking it through electrothermal means blows the mind. However, most troubling is the motive behind the continued use of this rootless procedure in light of its documented failures!

A randomized, double-blind study from the Department of Orthopedics at the Royal Adelaide Hospital in South Australia concluded no differences between the nucleoplasty with IDET and sham IDET procedure. The study was published in the Spine Journal. It included 58 patients; of the 58 patients, 38 were treated through an actual IDET method, and 19 were treated with a fake or sham IDET method. The fake surgery (sham) was provided in much the same manner as the real one, except for the cutting and heating of the inner disc material. If your surgeon is recommending nucleoplasty, you need to read this research article first.

Six months after the procedures, there were no differences between the real and fake spine operations. As such, we, like many before us, consider nucleoplasty a useless intervention. In fact, you are better off in pain than having it done!

Your surgeon’s hope with a nucleoplasty is to remove the nerve pressure caused by spinal disc herniation or disc bulge better known as a slipped disc or slip-disc. Regardless of their hopes of clinical achievements, nucleoplasty renders your surgically treated disc unstable. The instabilities result from the cutting of the inner tissues of the spinal disc. Just because you have a disc herniation, you don’t need to cut it apart from the inside. Let our clinical teams fix your spinal disc from within, without cutting.

discectomy or minimally invasive spine surgery malaysia

Discectomy is the type of Operation that removes the Spinal Disc in part or totally.

The spinal discs are the separators, connectors, shock absorbers, and stabilizers of the spine that provide mobility and weight bearing. Poor posture, prolonged sitting, and repetitive traumatic events lead to degenerative changes that impact the health of spinal discs. A degenerated spinal disc is a weak structure that is unable to provide efficient loadbearing and mobility. In time, a degenerated disc can succumb to stresses of daily life causing the spinal disc to tear, bulge, herniate, or rupture. A bulging disc or a herniated disc is better known by its layperson term, slipped disc or slip-disc.

As the spinal disc fibers protrude, bulge, or herniate beyond its normal boundary, it can push or pinch the spinal nerve or spinal cord. Spine surgeons often recommend cutting portions or the all of the discs in its entirety depending on the severity of protrusions. Although there is sufficient data that reports the retraction of spinal discs through conservative means, surgeons still prefer to perform microdiscectomy or total discectomy of patients with slipped discs.

A partial discectomy usually accompanies laminectomy, facetectomy, and foraminotomy. Partial discectomy can be performed through the keyhole method and as such is considered by surgeons as minimally invasive spine surgery. A full or complete discectomy is usually accompanied by spinal fusion. Regardless of the type, discectomy is not a cure. Patients may continue to suffer from varying degrees of pain after discectomy. The cutting of spinal discs will lead to instability in the operated segment and spinal segments adjacent to the surgical site. As such, patients are always advised to exhaust their conservative route before considering the surgical options.

Spinal Fusion: An intervention for severe cases or for failed laminectomy (laminotomy), facetectomy, foraminotomy, nucleoplasty, and partial discectomy.

Spinal fusion is a surgical intervention that has been around for decades. It was the go-to method of spine surgery for most surgeons. In spinal fusion, the surgeon attempts to fuse spinal bones together either through implants, a bone graft, or a combination of the two. The goal of fusion is to stop mobility or motion in segments that are hypermobile, unstable, or excessively damaged. There are various methods of spinal fusion, including a minimally invasive spine surgery.

spine surgery by lumbar fusion

Each type or method has its merits and disadvantages. In some patients, the surgical method is performed from the front, the back, or from the front and back. If the bone graft is used, it is often harvested from the patients’ hip or a synthetic source. In spinal fusion, a surgeon removes the facet joints and the spinal disc. They may pack the void with spacers or a bone graft. Also, screws may be used to hold the implant and spacer (hardware) in place. The bone graft will join one or more spinal segments into a single solid mass. With fusion, there will always be a loss of mobility. Restricted motion is a common cause of additional stress on segments adjacent to the fused vertebrae.

Fusion is the leading cause of spinal instability in the otherwise healthy spinal segments. With spinal fusion, healthier segments above or below the fused segments tend to degenerate at an alarming rate!

Spinal fusions are common in patients who continue to suffer from pain after laminectomy (laminotomy), facetectomy, foraminotomy, or partial discectomy. Our advice is if you have had surgery, and it failed to provide the relief you were seeking, visit one of our centers. Insanity is doing the same thing and expecting different results. In other words, if the first surgery failed, the second surgery is not going to make things better. In fact, it will only add more scar tissue to an already damaged area of the spine. Patients who opted for spinal fusion of a degenerated or herniated segment will develop a similar condition in the sections above and below.

doctor ready for spine surgery

How Long Does It Take to Recuperate from the Operation? 

Recovery from spine surgery can take 3 to 4 months. In fact, 3 to 4 months is the minimum. For some patients, it can take six months or more. The rate of recovery depends on your overall health, the skill of your surgeon, follow-up care, home care, and your activities of daily living. In short, you will need to give it some time. However, if your symptoms come back after surgery, you are not alone. It is common, occurring in more than 80% of cases. Complete recovery to a point where you are free of all symptoms is rare to non-existent. Unless, of course, the surgical intervention was performed on relatively minor conditions that would have done well with conservative treatments.

Always seek a second and third opinion before considering surgery. For best results, consult a second surgeon and a nonsurgical spine specialist before you opt for spine surgery. We will be happy to provide this service for you. 

How successful is the back operation? Let’s see what research on the Spine Journal reported.

According to a published research article in the renowned Spine Journal, fusion causes spinal stenosis, disc herniations, and instabilities next or adjacent to the surgically fused segment. In other words, patients who were operated through spine fusion surgery developed spinal disc problems in segments that were healthy before surgery. Spine surgery (laminectomy, foraminotomy, discectomy, nucleoplasty or spinal fusion) can reduce pain if successful but it will also hamper your spine’s ability to function normally. In time, the operated-on segment or those near the surgical site will decay or degenerate faster. Spinal fusions have the highest rate of degenerative changes in the good ones. We have provided the recap of that research below:

review of x-rays before spine surgery

All fifty-eight patients acquired spinal stenosis, disc herniation, or disturbance in a section next to previously asymptomatic or healthy spinal segments. In short, spinal fusions could result in damage and symptoms that arise from segments that are adjacent to the operated site.

Another published research that reported on the clinical outcomes of 64 cervical laminectomy noted abnormal changes in spinal curvatures in 36% of patients. Also, 14% of the patient cases studied resulted in reversed cervical curvatures or kyphotic curves two years post-surgery. Furthermore, two of the 64 patients needed additional surgeries. Additional surgeries were needed two years following the first surgery to address the instabilities caused by laminectomy.

Unfortunately, this study did not elaborate on the level of pain, function, symptoms, or quality of life following surgery. Also, the study only reviewed cases 2-years post-surgical intervention. We are confident, had they examined patient cases at 5 years and 7 years (post-surgical study), the reported statistics would undoubtedly be much higher amongst those needing a second or even a third operative procedure. Nonetheless, from the limited information gathered, one could persuasively argue that laminectomy has a success rate of 50%.

The most astonishing report on the long-term success or outcomes of a lumbar fusion surgery comes from research conducted from the records of the Ohio Bureau of Workers’ Compensation. We have provided a link to the abstract of a historical cohort on surgical spinal fusion for your review.

after effects of minimally invasive spine surgery

Let’s Look At Facts Explaining Why Spine Operations Fails? 

A failed spine surgery is one where patients experience reemergence of their back pain or symptoms after spine surgery. The recurrence of symptoms is the result of multiple factors. Symptoms or pain reemerge because of accelerated degenerative changes brought forth by the biomechanical factors from the spinal column post-surgical intervention. Back surgery always leads to biomechanical changes. These changes will impact load-bearing activities at surgical segments as well as sections adjacent to the surgical vertebra. These biomechanical changes are present with even the most minor of procedures. In other words, it is present in the minimally invasive procedures as well as in major spine procedures such as the spinal fusion. However, the instabilities associated with spinal fusions are significantly higher when compared to a laminectomy, foraminotomy, facetectomy, or partial discectomy (forms of minimally invasive spine surgery).

Biomechanical changes lead to accelerating degenerative changes in spinal discs, facet joints, and even the soft tissues (spinal muscles and ligaments). Even the most minimal intervention will hamper the function of spinal muscles and ligaments, as they are often directly traumatized during spine surgery. The combined effects of these biomechanical factors are the leading causes of foraminal stenosis, canal stenosis, disc herniations, bone spurs, at the operated-on spinal segments, and healthy spinal segments near the operated-on vertebra. Although the minimally invasive procedures are less intrusive, they are not considered free of instabilities. As such, we recommend all spine patients to thoroughly exhaust conservative management of their spine before opting for surgical intervention, regardless of the degree of invasiveness.

An article in the European Spine Journal reported the failure rate of eliminating patient pain or symptoms through invasive spinal decompression methods by experienced surgeons at 90% two months after the operation. The failure rate drops to 75% after five years with painkillers (medication). 

The European Spine Journal published research on the five-year outcome of lumbar surgical decompression performed on 149 patients by four experienced spine surgeons. This study concentrated on spinal decompression surgeries performed through laminectomy, foraminotomy, facetectomy, or partial discectomy. The authors reported that 90% of patients still complained of a varying degree of leg pain two months after surgery.

european spine journal on spine surgery

After five years, 75% continued to live with pain even though they were taking various nerve and pain-killing medications. Only 25% of patients reported an absence of leg pain five years following surgical intervention. Also, 24% of patients underwent a second surgery (spinal fusion). Some even went through a third surgical intervention. What is interesting is the fact that this research reported the surgical intervention as successful, while their published data revealed leg pain in 90% of the operated patients two months after surgery.

Some believe that once they have opted for the minimally invasive spine surgery procedure, they would be free of pain. This research contradicts that point. Also, the researcher reported that 40% of the 149 patients continued to rely on pain medication even 5 years after the surgical intervention. Any decrease in patients’ symptoms backed the author’s claims of surgical successes. In other words, any evidence of improvement was deemed as success achieved. You can download and read this research below:

report on spine surgery
surgeon holding spine before spine surgery

Spine Fusion Failure was related to permanent disabilities in 74% of workers in the U.S. State of Ohio. 

Researchers examined clinical outcomes of 1,450 patients using the database of the Ohio Bureau of Workers’ Compensation. The researchers specifically targeted patients with a diagnosis of disc degeneration, disc herniation, or radiculopathy. Let’s define what radiculopathy is first. Radiculopathy is pain or discomfort that runs down one or both limbs due to nerve compression or nerve damage. Patients complaining of radiculopathy may experience pain, tingling (pins and needles), burning sensations, and weakness in one or both limbs. Those with neck-related radiculopathy may experience symptoms in upper and lower extremities. Radiculopathy involving the lower back mainly impacts the lower the buttocks and legs. Now, let’s get back to the research article.

Researchers divided the database into two equal groups, surgical and non-surgical. What is important to note is the fact that both groups had patients that suffered from the same diagnosis and severity. In short, of the 1,450 cases, 750 were operative patients, and the remaining 750 cases were treated non-invasively. The researcher compared the clinical outcomes in each group after a two-year period. Keep in mind that patients in both groups had identical complaints. Despite the fact that they were similar, the recovery and overall success were not the same.

Only 26% of the injured workers that were operated on returned to work. The remaining 74% of fusion patients were considered medically disabled and as such, unfit to continue their work-related activities.

The published statistics equate to a resounding failure rate of 74% for the surgical patients. Had the surgery been successful, surely the patients would have returned to work! Now, let’s see how the non-surgically treated patients did.

The non-surgical group was treated with targeted physical therapy (physiotherapy) methods. Of the 750 physiotherapy patients, 67% returned to work within two years. The study offers clear evidence that spine surgery may not allow the patient to return to an active life post surgery. Additionally, the research establishes the impact of clinically targeted physiotherapy methods as opposed to surgery.

Why should you seek a second opinion from a non-surgical provider when your surgeon recommends a procedure? 

We live in a world where the opinions and recommendations of neurosurgeons and orthopedic surgeons are not questioned. Simply put, when spine surgeons recommend surgery, patients follow their advice. There is nothing wrong with putting your trust in the doctors and surgeons who treat you. After all, you willingly went seeking their professional opinion. But, as with any surgical recommendation, you should always seek a second and even third options in non-life threatening situations.

surgeon about to proceed spinal surgery

Orthopedic surgeons and neurosurgeons spend years learning surgical methods for the spine. They are physicians that specialize in spine surgery. In short, their research, training and continuing education are all concentrated on perfecting their surgical skills and knowledge. But, by virtue of their surgical background, little time is spent on non-surgical means. As such, most are unaware of recent developments in the targeted non-surgical treatment of the spine.

We recommend getting a surgical second opinion and a non-surgical second opinion. So, get the non-surgical second opinion from chiropractors and physiotherapists that specialize in targeted research-based clinical methods of spine care. In short, visit our center. Our experts have provided non-surgical spine care at an unparalleled level of success to thousands. We have helped even those that have had failed surgical interventions.

Opt for our chiropractor before spine surgery

Why should you seek out second opinions from Chiropractors when the Surgeon has recommended an Operation for the Spine?  

A spine surgeon’s clinical focus is on surgical interventions. A chiropractor’s focus is entirely dedicated to non-surgical methods. Doctors of chiropractic medicine with focused non-surgical spine treatment treat spine-related conditions daily, weekly, monthly, and yearly. In short, a highly experienced clinical chiropractor is the best individual to visit for non-surgical second opinions. Chiropractors and physical therapists or physiotherapists have been treating the spine for over a century. For obvious reasons, a surgeon’s education and training are always focused on surgical methods of treatment. Likewise, a chiropractor or physiotherapist (physical therapist) spends years learning non-surgical methods.

However, it must be said that surgeons, chiropractors, and physiotherapists may hold degrees, but differ. Some surgeons excel more than others! The same holds true for chiropractors and physiotherapists. So, care must be taken when choosing one. Don’t shy away or be afraid to ask your neurosurgeon, orthopedic surgeon, and doctor of chiropractic or physiotherapist about their education, training, expertise, and experience. Ask them about their personal experiences in treating similar conditions and results achieved. Question them on surgical and non-surgical methods. Ask them about the time they spend researching surgical and non-surgical techniques of spine care. Don’t be afraid; it is your spine, health, and long-term well-being at stake. So, speak up and get as much information from each specialty about your options. Doing so will enable you to make a better-informed decision.

Non-Surgical Spinal Decompression Therapy (NSD Therapy®) is the Best Alternative to Neck or Back Operations

NSD Therapy® is the best alternative to spine surgery. It is a multi-faceted system of spine care rendered by research-based chiropractors, and clinical physiotherapy is through manual and advanced spine specific technologies. If your surgeon is recommending spine surgery, NSD Therapy® can help. Visit us today to discover the best alternative to spine surgery. Our clinical teams of Chiropractors and Physiotherapists use spine specific technology such as the RxDecom® to fix and repair the damage from inside. Best of all, the care you get from us is non-invasive.

conservative treatment or minimally invasive spine surgery

In other words, needles, injections or surgery in not need to fix or repair your spine. We have treated thousands of neck and back pain patients successfully. In fact, we have even helped many with failed spine surgery. So, if your surgeon is recommending minimally invasive procedures or spinal fusions, consult us. Chances of us being able to help your recovery without surgery are significantly higher compared to others. We are the only NSD Therapy® provider in Malaysia. Our first NSD Therapy® center was launched in Bukit Damansara (Kuala Lumpur). NSD Therapy® is now offered by us at several locations. You may contact our main office at 03 2093 1000 to obtain more information about our location or NSD Therapy®. Call us today to discover effective, targeted non-invasive treatments as an alternative to invasive and minimally invasive spine surgery in Malaysia.