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:
The surgeon cuts away bone at the sides of your vertebrae to widen the space where nerves exit your spine. The extra room may relieve pressure on the nerves and ease your pain. Like a laminectomy, this procedure can also make your spine less stable. So the surgeon may do a spinal fusion at the same time. Thatâll increase the amount of time you need for recovery. Diskectomy. Sometimes a disk, the cushion that separates your vertebrae, can slip out of place, press on a spinal nerve, and cause back pain. In a diskectomy, the surgeon removes all or part of the disk. He may have to make a big cut in your back, or he may be able to do it through a small one.