When is spine surgery the answer?

[@Alex-tg2uj]

Thanks doc, How about arachnoïditis ? I heard McGill say he can’t help those patients sometimes I have a few arachnoid cysts in the lumbar, surgeons I saw all said it’s constitutional but I’ve been experiencing ongoing flexion intolerance for 5 years despite consulting endless physios including McGill practitioners

[@DamienMearns]

This patient had loss of function, but the ASMI fixed it: kzbin.info/www/bejne/qquqp6GtftCjb7c

[@vincl7578]

I had nerve block injections which helped and then a rhizotomy was done which failed now my pain is back, doesnt shoot down the leg or anything like that. Whats next?

[@joelangford7601]

No mention of surgery for scoliosis. I know four people who have had scoliosis surgery which they say has greatly improved their lives (all four say it "gave them their lives back."). Dr. Ghosh -- any comment or point of view? Thanks.

[@SpineMDT]

Thank you for your interest and well pointed out. I'm going to do a whole separate video on deformity. In my practice I am an adult only surgeon. So the only scoliosis I treat is secondary to worsening degenerative changes that lead to it and the reason I would operate is to untrap nerves as a result or treat any instability as mentioned in the video. Adolescent long segment scoliosis (that continues to adulthood) is a whole separate entity carried out by adult and paediatric spinal orthopaedic teams in subspecialty centres. And yes, I agree the results of surgery are usually really good. I hope this answers your question and thanks for your interest.

[@joelangford7601]

@@SpineMDT Thanks for your response.