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TYPES OF SCIATICA TREATMENT

	Decompression	Fusion
WHO IS THIS FOR
WHO IS THIS FOR	This aims at relieving pressure on the spinal cord or nerve roots by partially removing the damaged portion, thus avoiding need of fusion. Examples - Discectomy, Laminectomy, Foraminotomy Recommended for - Resistant cases of Sciatica	In this surgery, decompression is further supplemented with the help of implants in the form of screws and spacers. Examples - TLIF, ALIF, OLIF Recommended for - Severely damaged discs, Foot drop, Malalignment of bones (spondylolisthesis)
TREATMENT DURATION
TREATMENT DURATION	Surgery Duration: 2-3 hours Hospital Stay: 3-4 days Follow-up Visits Needed: 1, after 10 days of discharge	Surgery Duration: 2-3 hours Hospital Stay: 3-4 days Follow-up Visits Needed: 1, after 10 days of discharge
RECOVERY TIME
RECOVERY TIME	For Basic Self-Care Activities: 2-3 Weeks For Complete Return to Normal: 4-5 Weeks	For Basic Self-Care Activities: 2-3 Weeks For Complete Return to Normal: 4-5 Weeks
SUCCESS RATE
SUCCESS RATE	Very High: >95% patients experience complete return to normal pain-free walking	Very High: >95% patients experience complete return to normal pain-free walking
POTENCIAL RISK & SIDE EFFECTS
POTENCIAL RISK & SIDE EFFECTS	Extremely safe with complications happening in less than 0.1% cases. Complications include: Infection and Nerve injury	Extremely safe with complications happening in less than 0.1% cases. Complications include: Infection, nerve injury, implant loosening, non-union.

TECHNIQUES OF SCIATICA TREATMENT

	Endoscopic	Minimally-Invasive	Open
BASIC FEATURES
BASIC FEATURES	It involves use of small medical cameras (endoscopes) to remove damaged spine structures. Or, to place implant spacers. Pros: No stitches are needed, Less blood loss, Quickest recovery Cons: Higher inital costs though offset over long-term due to quicker recovery.	In this, a surgical microscope and tubular retractors are used to work in narrow corridors of spine to achieve decompression and to put implants. Pros: Skin cuts, Muscle damage and Less blood loss Cons: Higher cost but less than endoscopic spine surgery	Traditional technique involving big skin cuts and reliance on natural eye vision of surgeons. Pros: Most economical Cons: Large skin cuts, High Blood Loss, More collateral damage
RECOMMENDATION
RECOMMENDATION	This has become the gold standard for treatment of - Sciatica, Back Pain, Cervical Pain, Spine TB, Neurogenic Claudication, Annular Tears	Widely recommended for - Severe degenration of disc, Spondylolithesis, Severe Spine Infection	Quickly falling out of favor

TYPES OF MATERIAL FOR IMPLANTS

	Titanium	PEEK	Carbon Fiber
BASIC FEATURES
BASIC FEATURES	Medical grade titanium alloy is used to make screws and spacers for disc. Pros: Proven track record, High strength, Low risk of infection, Cost effective Cons: Higher rates of non-union than other material types	This is a medical-grade semi-crystalline thermoplastic polymer used in spinal implants. Pros: Highly Biocompatible, High thermal stability, High wear-resistance, Higher fusion rates Cons: Higher cost	These are Carbon re-inforced PEEK implants. Pros: In addition to all the advantages of PEEK material it has lower weight-strength ratio. Cons: Very high costs
RECOMMENDATION
RECOMMENDATION	Most common and cost-effective type.	Becoming increasingly popular.	Most expensive option.

Type of Procedure

Treatment Cost Comparison

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