Even though some people have undergone surgery to treat their spinal diseases, they still do not get better, and some cases suffer more than before. This medical condition is called Failed Back Surgery Syndrome or FBSS.
Complex Spine Problems
Currently, there is a significant number of spinal patients with complex problems that are difficult to treat. These often come from referrals from other hospitals or patients seeking treatment themselves, such as cases with severe spinal cord or nerve compression, or those who have had surgery but did not improve. Failed Back Surgery (FBS) in patients with these complex spine problems (Complicated Spine Problems) will receive care to help solve problems, including non-surgical treatment and surgical treatment.
For example, a foreign doctor patient was referred for treatment because of a vertebral disc pressing on the thoracic spinal cord, making it impossible to walk. This is a case where surgery would have a high risk of causing permanent paralysis. The patient recognized the importance of having a specialized spine surgeon and surgical equipment, such as the Microscope and Intraoperative Neurological Monitoring (IONM) tools. After being informed about the surgical process, the patient trusted the Spine Center at Bangkok International Hospital and the surgical team, thus deciding to have the surgery here. The surgery was smooth, allowing the patient to walk again normally in the following week, showcasing the international standard capability in treating complex spine diseases.
Augmentative Technologies in Spine Surgery
Beyond the experience and expertise of the physicians, technology also plays an augmentative role in spine surgery. Technologies used by the Spine Center at Bangkok International Hospital to enhance surgical efficiency include microscope-assisted surgery and three-dimensional O-Arm computerized x-rays, which record images of the spine while the surgeon is operating on the patient. The resulting images are clear, three-dimensional, showing the exact position of the spinal vertebrae, and are transferred into a three-dimensional animation format providing information to the three-dimensional navigation system. This helps surgeons perform surgery accurately, especially in precisely placing metal implants even in severely deformed spines. A scan is performed again before wound closure.
Introducing such modern tools into surgical practices smoothens the procedure, minimizes wound size, reduces post-surgical pain and blood loss, enabling patients to recover quickly after spine surgery. Importantly, it reduces the risk of spinal cord injury (which is high in surgeries performed without these technologies) or misplacing screws that could deform the spine.
The next technology that can enhance the efficiency of spine, nerve, and spinal cord surgery, especially in Minimal Invasive Spine Surgery, is the Intraoperative Neurological Monitoring (IONM). It monitors the function of the nervous and spinal systems during surgery using neurophysiological techniques, which are based on the electrical responses of the nervous system. Thus, the effectiveness of IONM helps reduce the risks of injury to the nervous system and spinal cord during surgery.
Furthermore, the Spine Institute at Bangkok International Hospital is also accredited for its treatment standards, especially for Low Back Pain, by the Joint Commission International (JCI), indicating that the quality of treatment adheres to the standards comparable to leading hospitals in the United States.
The Spine Center at Bangkok International Hospital places importance on treating spine diseases to help solve complex problems in patients who have undergone surgery, by a team of experienced physicians and with accurate diagnostics, along with modern tools and equipment for efficient treatment.
