How does revision lumbar spine surgery differ from ‘virgin’ surgery?
The risk of complications from lumbar spine revision surgery (surgery after a previous spinal surgical procedure) is significantly higher than in first-time procedures. This is due to a number of factors, particularly scar tissue formation around the nerves and the distortion of the usual anatomical structures. Spinal fluid (CSF) leakage from a hole in the lining over the nerve roots is a significant risk, but is usually managed successfully without serious long-term consequences. It is also more difficult to relieve pain and restore function in revision surgery, as the nerves may have been damaged by longstanding compression and previous interventions. It is important be aware that the possibility of experiencing long-term back pain is increased with revision surgery. What do I need to tell the neurosurgeon before surgery? It is important that you tell your surgeon if you: • Have blood clotting or bleeding problems • Have ever had blood clots in your legs (DVT or deep venous thrombosi
