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Is your back or neck pain an Indication of a severe spinal condition?


A nagging neck or back pain can be extremely stressful. It is physically distressing and mentally tiring. Being a common condition, three out of four adults experience neck or back pain and the number of such experiences may rise with age and other factors such as obesity.

In most cases, back or neck pain is a result of faulty or stressful movements, sprains, and strains. Yet, in certain cases, back or neck pain could be an indication of a severe spinal condition such as herniated disc, infection or spondylosis.

Disc Herniation

The spinal column in a human body is made up of 33 bones stacked on top of one

another called the vertebrae. Each bone has a rubbery disc in between and it

consists of a soft center (nucleus) with a tougher exterior (annulus). In a herniated

disc, the nucleus pushes through a crack in the annulus causing intense pain.


Spondylosis is a type of arthritis that induces neck and lower back pain and appears conspicuously with ageing. It occurs due to the daily wear and tear of tissues, degeneration of joints and discs and bone spurs (an outgrowth of bone).

Both disc herniation and spondylosis, in most cases, could be resolved through non-surgical treatments. However, there are situations when you may want to consider spine surgery:

  • You have bowel or bladder dysfunction. This is rare, but it may occur with spinal cord compression.
  • You are experiencing other neurologic dysfunctions such as leg weakness.
  • Your symptoms become severe and/or non-surgical treatment is no longer effective.
  • You have other constitutional symptoms such as fever, weight loss, etc.

In the aforementioned cases, surgical treatment can be required. According to Dr Sreekanth Reddy Rajoli, Specialist Orthopedic & Spine Surgeon, Medeor Hospital, the type of surgical procedure is chosen upon the condition of the patient.


The various types of spinal surgery are;

Discectomy/Decompression procedures

  • Microscopic Discectomy
  • Open Discectomy
  • Laminectomy


Spine Fusion Surgery

  • TLIF (Transforaminal Lumbar interbody fusion)
  •  PLIF (Posterior Lumbar interbody fusion)
  •  PLF (Posterolateral fusion)


Pain management

  • Transforaminal Nerve Blocks
  • Sacroiliac Joint Blocks
  • Facet Blocks


Cervical procedures

  • ACDF (anterior cervical discectomy and fusion)
  • Posterior Lateral mass fixation


Spine trauma management

  • Posterior instrumented stabilization
  • Osteoporotic fracture management 
  • Management of Spinal infections/Spondylodiscitis



If you are concerned about your neck or back ache, feel free to make an appointment with Dr Sreekanth Reddy Rajoli, Specialist Orthopedic & Spine Surgeon at Medeor Hospital, Abu Dhabi.