Surgical Interventions for Spine Pain Management

  • Andrew B. Pham
  • Louis G. JenisEmail author


Surgical intervention is often considered as the last option for patients suffering from significant spinal pain syndromes. In the absence of progressive neurological compromise or spinal deformity, most patients undergo an aggressive course of nonoperative treatment which tends to be very favorable in prognosis. Numerous nonoperative options are available; however, if these options have been exhausted and the patient continues to suffer from significant pain, disability, and/or neurological loss of function, then surgical options are discussed. Clinical outcomes are optimized by appropriateness of surgical intervention, proper identification of pain source, and patient preparation. Patients need to be medically and physically optimized and counseled at length regarding the risks and benefits of surgery as a form of shared decision-making. This chapter will focus on surgical intervention and options for decompression and stabilization in those patients suffering from pain syndrome.


Spine surgery Fusion Decompression Laminectomy Laminoplasty Interbody fusion Disc replacement Minimally invasive surgery Osteotomies 


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryMassachusetts General HospitalBostonUSA
  2. 2.Department of Orthopaedic SurgeryNewton Wellesley HospitalNewtonUSA

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