Not every patient with back or neck pain will require surgery. There are several conditions which may require more urgent or even emergency surgery. On occasion, some of the tests your doctor orders will be performed to rule out some of these conditions. Please remember to discuss your symptoms and test results with your doctor.
Cauda Equina Syndrome occurs when the end of the spinal cord (cauda equina) is injured, causing nerve compression. Symptoms include:
True Cauda Equina Syndrome is rare, but it needs surgical intervention.
Vertebrae break like other bones in the body. Spinal fractures can occur in traumatic injuries or degenerative changes. Fractures often heal without surgery. Operations are reserved for fractures that result in an unstable back with the possibility of spinal cord damage.
Tumors, benign or malignant, can grow on spinal bones or nerves. Symptoms depend on the area of the spine affected and the extent to which spinal nerves are compromised. Treatment is dependent on the type, size and location of the tumor. Surgery is indicated when spinal nerves are compromised or there is concern that the tumor may spread.
Spinal infection typically occurs in the fluid surrounding the spinal cord or discs. Infections are treated with injected antibiotics and back braces for stabilization. Surgical intervention is reserved for cases not responsive to antibiotic therapy or where there is evidence of nerve damage.