Aetna considers lumbar spinal fusion medically necessary for any of the following: Adult scoliosis, kyphosis, or pseudarthrosis (non-union of prior fusion which is associated with radiological (e.g., ct or mri) evidence of mechanical instability or deformity of the lumbar spine that has failed 3 months. Note that sagittal imbalance on standing radiographs of the spine are considered significant where there is: 1) as an offset of greater than 5 cm between dissertation the sagittal vertebral axis (a plumb line downward from the center of the C7 vertebral body) and the posterior superior aspect. Aetna considers lumbar spinal fusion experimental and investigational for degenerative disc disease and all other indications not listed above as medically necessary because of insufficient evidence of its effectiveness for these indications. Aetna considers spinal surgery in persons with prior spinal surgery medically necessary when any of the above criteria (i - v) is met. Aetna considers cervical and lumbar laminectomy and cervical fusion experimental and investigational for all other indications not listed above as medically necessary because of insufficient evidence of its effectiveness for these indications. Aetna considers cervical, thoracic and lumbar laminectomy and fusion experimental and investigational for all other indications not listed above as medically necessary because of insufficient evidence of its effectiveness for these indications. Medical records must document that a physical examination, including a neurologic examination, has been performed by or reviewed by the operating surgeon. For purposes of this policy, central stenosis is classified into grades: normal or mild changes (ligamentum flavum hypertrophy and/or osteophytes and/or or disk bulging without narrowing of the central spinal canal moderate stenosis (central spinal canal is narrowed but spinal fluid is still clearly visible between the.
Number: 0743, policy, aetna considers cervical laminectomy (and/or an anterior cervical diskectomy, corpectomy and fusion) medically necessary for individuals with herniated discs or other causes of spinal cord or nerve root compression (osteophytic spurring, ligamentous hypertrophy) when all of the following criteria are met: All other reasonable sources of pain have been. Aetna considers thoracic laminectomy (and/or thoracic diskectomy and fusion) medically necessary for individuals with herniated discs or other causes of thoracic nerve root compression (osteophytic spurring, ligamentous hypertrophy) when all of the following criteria are met: All other reasonable sources of pain have been ruled out;. Aetna considers lumbar laminectomy medically necessary for individuals with a herniated disc when all of the following criteria are met: All other reasonable sources of pain have been ruled out; and, central/lateral recess or foraminal stenosis graded as moderate, moderate to severe or severe (not mild or mild. Aetna considers cervical, lumbar, or thoracic laminectomy medically necessary for any of the following: Spinal fracture, dislocation (associated with mechanical instability locked facets, or displaced fracture fragment confirmed by imaging studies (e.g., ct or mri or Spinal infection confirmed by imaging studies (e.g., ct or mri. Aetna considers lumbar decompression with or without discectomy medically necessary for rapid progression of neurological impairment (e.g., foot drop, extremity weakness, numbness or decreased sensation, saddle anesthesia, bladder dysfunction or bowel dysfunction) confirmed by imaging studies (e.g., ct or MRI). Aetna considers cervical spinal fusion medically necessary for any of the following: Cervical kyphosis associated with cord compression; or Symptomatic pseudarthrosis (non-union of prior fusion which is associated with radiological (e.g., ct or mri) evidence of mechanical instability or deformity of the cervical spine; or Spinal. Aetna considers thoracic spinal fusion medically necessary for any of the following: Scoliosis confirmed by imaging studies, with Cobb angle greater than 40 degrees in skeletally immature children and adolescents, or Cobb angle greater than 50 degrees associated with functional impairment in skeletally mature adults;.
Cumfaced gif Lumbar Spinal, fusion, surgery, helps With
In many patients these treatments are sufficient to alleviate the symptoms of slipped disc. For patients with moderate to severe spondylolisthesis or attendant spinal stenosis who do not respond to conservative therapies, spinal decompression surgery may be recommended. Spinal decompression involves removing portions of the vertebrae that impinge on the spinal cord and nerve roots. Spinal decompression can have a dramatic affect, relieving pain and other symptoms caused by the slipped disc and spinal stenosis. However, removing portions of the vertebrae reduces the stability of the spinal column.
Traditionally spinal fusion back surgery is grandmother performed after spinal decompression ; screws and rods are implanted to permanently join adjacent vertebrae and restore spinal stability. One drawback is that spinal fusion eliminates the natural independent motion that gives the spine its flexibility. Fusion has also been shown to promote deterioration of adjacent vertebrae. Now there is an alternative to spinal fusion, the tops system, developed here at Premia spine. The tops system restores stability while preserving the spines full range of motion after decompression and has been clinically shown to provide better outcomes than spinal fusion surgery in trials conducted around the world. We encourage anyone afflicted with back problems to consult a physician who specializes in spinal disorders, and to learn about all treatment options.
Spondylolisthesis, youve probably heard the common medical term, a slipped disc, but what exactly does that mean? A slipped disc, or more precisely spondylolisthesis, is a condition in which one of the vertebrae the bones in the spinal column becomes displaced and moves forward or backward in relation to its proper position. This malpositioning can put pressure on the spinal cord and on the nerves that emanate from the spinal column at the position of the slipped disc. The most common cause of spondylolisthesis is degenerative changes in the joints and cartilage of the vertebrae due to aging. Spondylolisthesis can also result from trauma a sports injury or an accident, for example. The most frequent symptom of a lumbar slipped disc is lower back pain.
The pain is typically worse after exercise. Decreased range of motion and tightness of the hamstring muscles are also common slipped disc symptoms. The nerve compression may also result in pain, numbness, tingling or weakness in the legs, and in cases of severe compression, loss of bowel or bladder control. Slipped disc can also be associated with spinal stenosis, one of most common spinal problems, characterized by a narrowing of the spinal canal. A physician specializing in spinal disorders can diagnose spondylolisthesis using radiographs and X-ray imaging. The severity of the slipped disc is graded on a scale based on the degree of slippage from its normal position. After the diagnosis, a physician can recommend appropriate treatments for spondylolisthesis. Treatments for slipped disc include physical therapy, exercises for relieving pressure on the affected spinal nerves, medication, and injections.
Spondylolisthesis, treatment, surgery & Symptoms
You may plan eventually experience weakness and leg paralysis if nerves have been damaged. Infection of the spine may also occur in rare cases. Kyphosis, also called reviews roundback, is a possible complication in which the upper portion of the spine falls off of the lower half, causing increased forward spinal angulation. If you think youre experiencing symptoms of spondyloslisthesis, its important to talk to your doctor right away. Early treatment measures can alleviate most symptoms of this condition. According to an article published. Neurosurgical Focus, most people with spondylolisthesis respond well to conservative nonsurgical treatment. Your doctor will talk to you about your options, depending on how severe your condition.
Surgery is also required if the bones of your spine are pressing on your nerves. Your doctor will work to stabilize your spine by using a bone graft and metal rods. They may insert an internal brace to help support the vertebra while it heals. After the spinal fusion is complete, it will take four to eight months for the bones to fully fuse together. The success rate of the surgery is very high. Medical kindle intervention is crucial for relieving symptoms of spondylolisthesis. This condition can cause chronic pain and permanent damage if left untreated.
of pain and vertebra slippage. Nonsurgical treatments can help ease pain and encourage the bone to go back into place. Its important to avoid contact sports during the healing process. Common nonsurgical treatment methods include: wearing a back brace doing physical therapy exercises taking over-the-counter or prescription anti-inflammatory drugs (such as ibuprofen) to reduce pain using epidural steroid injections, the, american Academy of Orthopaedic Surgeons recommends trying nonsurgical treatments first. However, adults suffering from severe cases of spondylolisthesis may need to have a surgery called a spinal fusion. Surgical correction of the misplaced vertebra is required when the bone has slipped so far down that your spine doesnt respond to nonsurgical therapies.
Children may suffer from this condition as the result of a birth defect or injury. However, people of all ages are susceptible if the condition runs in the family. Rapid growth during adolescence may also be a contributing factor. Playing sports may also cause your strain to overstretch and put stress on your lower back. The following sports are especially likely to cause this condition: football gymnastics track and field weightlifting, spondylolysis is often a precursor to spondylolisthesis. Spondylolysis occurs when there is a fracture in a vertebra, but pdf it hasnt yet fallen onto a lower bone in your spine. Physical exams are the first step in diagnosing this condition. If you have spondylolisthesis, you may have difficulty raising your leg straight outward during simple exercises. X-rays of your lower spine are crucial for determining whether a vertebra is out of place.
Essay, writing Services Affordable, essay, writers, essaydoc
Spondylolisthesis is a spinal condition that affects the lower vertebrae (spinal bones). This disease causes one of the lower vertebrae to slip forward onto the bone directly beneath. Its a painful condition but treatable in most cases. Both therapeutic and surgical methods may be used. Proper exercise techniques can help you avoid this condition. The symptoms of spondylolisthesis vary. People with mild cases may not have any symptoms. However, those with severe cases may be unable to perform daily activities. Some of the most common symptoms are: causes of spondylolisthesis vary based on age, heredity, and lifestyle.