Common types of dirt include: 1  dust â a general powder of organic or mineral matter. 2  filth â foul matter such as excrement. 3  grime â a black, ingrained dust such as soot. 4  soil â the mix of clay, sand, and humus which lies on top of bedrock.
1 It is also good to get a second opinion if the initial back surgery did not work and another surgery is being proposed. 2  This advice is especially true if it involves fusing further segments of the spine. 3  Often, if the initial fusion surgery does not work, further surgery will not be helpful.he surgeon interview. The best advice for a patient seeking another surgical opinion is to keep an open mind. You need to be as judgmental about the second opinion as for the first, and need to grill the second physician even further than the first. At a minimum, you should cover these topics with the surgeon:
1 Other bone may also be removed at the back of the vertebrae to make more room (laminotomy or laminectomy). 2  The surgeon may do a spinal fusion to make sure your spinal column is stable after surgery.  The muscles and other tissues are put back in place. The skin is sewn together.