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08/03/2024

Spinal fusion is a surgical process that aims to combine two or more vertebrae in your spine such that they cannot move. Although GK can help alleviate chronic pain, enhance the range of motion, and potentially become a safe long-term treatment option, the patient and his/her family should be aware of the outcomes of the therapy process. In this, we shall accompany you from the time of the surgery to when the patient is recovering and adapting to new ways of life.

What is Spinal Fusion Surgery?

Spinal fusion involves the joining of two or more vertebrae that are structurally compromised or unstable to form a more stable section. This is usually carried out in cases of spinal deformities such as degenerative disk disease, scoliosis, spondylolisthesis, or fracture. In the operation, your surgeon is going to remove the affected discs and then join the bones of the spine through the use of bone and metal hardware.

Indications 

The spinal fusion surgery is dependent on various factors.It is performed when other conservative measures such as physical therapy, medications, and steroid injections have not been helpful. Common conditions that may require spinal fusion include:

  • Degenerative disc disease: Some of the common causes  are aging and the general wearing out of the spinal discs.
  • Scoliosis: A condition in which the spinal column is curved normally.
  • Spondylolisthesis: Prolapse of one vertebra over the one below it.
  • Spinal fractures: Fracture of the vertebrae.
  • Tumors or infections of the spine: Rare.

Risks Associated with Spinal Fusion Surgery

Like any surgery, spinal fusion carries certain risks, including:

  • Infection: Surgical site infection is possible following the operation or procedure done on the patient.
  • Bleeding: Some of the complications of surgery are excessive bleeding, within or after the operation.
  • Nerve damage: During the procedure, great care must be taken especially so that nerves of the neck are not damaged.
  • Nonunion: It may also result in some of the bones not fusing properly as it is supposed to.
  • Adjacent segment disease: Some of them include The pressure on the discs above and below the fused area may rise.
  • Device failure: The medical devices that have been used during the surgery, may wear out or become loose.

Complications 

Postoperative adverse events were divided into intraoperative/perioperative complications and other complications of spinal fusion surgery. While complications are relatively uncommon, it's important to be aware of potential issues:

Pain: So, you may feel discomforting pain within the area where the surgery was carried out, or in any other part of the body.
Stiffness: One of the known factors is restricted movement as it is especially typical during the first days after surgery.
Numbness or weakness: It is possible to feel changes in the skin as well as the muscles’ power.
Pseudarthrosis: This happens when the bones which are joined together do not heal properly.

Post-Surgical Care with Spinal Fusion Surgery

In most cases, patients are advised to take some time to recover to strengthen and mobilize the spinal column after the spinal fusion surgery. Your healthcare provider will provide specific instructions, but general post-surgical care includes:

  • Pain management: Analgesics will be administered to treat pain.
  • Wound care: The most important thing to avoid is contamination of the surgical site by allowing it to get dirty, wet, and exposed to any other form of injury.
  • Physical therapy: Activities should be done to strengthen the muscles and improve the flexibility of your body.
  • Braces: Adults may need to wear the brace as spinal support may be needed.

Lifestyle Changes After Surgery

To optimize your recovery and prevent complications, you may need to make some lifestyle adjustments:

  • Activity restrictions: Sometimes you will need to reduce the level of your activity to prevent yourself from straining your body.
  • Weight management: It is recommended to lose some weight as every additional pound contributes to stress on your spine.
  • Ergonomics: Appropriate ergonomics of the body are required.
  • Smoking cessation: Smoking also prevents the body from healing and repairing itself; in this case, it will prevent the healing of the bone.

When To Go To Your Doctor?

It's essential that you get in touch with your physician if you notice any of the issues listed below:

  • Severe pain
  • Fever
  • Increased swelling
  • Redness or pus-like formation from the area in which the incision was made
  • Numbness or weakness
  • Having a hard time passing urine or a motion.

What Are The Precautions One Has To Take After Surgery?

To minimize the risk of complications and promote healing, follow these precautions: 

  • Avoid lifting heavy objects.
  • Maintain good posture.
  • Wear supportive shoes.
  • Get plenty of rest.
  • Physical activity should be done as per the guidelines of your doctor.

Conclusion

Lumbar spine fusion surgery as a treatment option for patients with intractable spinal pain has the potential to alter one’s life for the better. Thus, knowing the possible drawbacks, postoperative and rehabilitation process, it is possible to determine and compare the outcomes as a method providing considerable pain relief and better mobility. Hence, you should ensure that you follow your physician's advice, practice everything that your surgeon advises you and even practice the right lifestyle changes if need be, all these will make sure you get a good recovery. 

Frequently Asked Questions (FAQs)

Q1. How is the length of the spinal fusion surgery determined?
A: The length of the surgery depends on the extent of the case, nonetheless, it takes several hours on average.

Q2. What about going back to work? I am afraid of being laid off from work. Will I be able to return to work after the surgery?
A: Every individual’s physical ability to get back to work depends on the nature of the work performed and the seriousness of the surgery. Your doctor shall then proceed to give you specific information. 

Q3. Will I have any permanent limitations after the surgery?
A: Some limitations may be necessary, especially in the initial recovery period. However, with proper rehabilitation, many patients regain a high level of function.

Q4. How painful is the recovery process?
A: You can expect some pain and discomfort after the surgery, but it can be managed with pain medication.

Q5. How long does it take to fully recover from spinal fusion surgery?
A: Full recovery from spinal fusion surgery can take several months. It's crucial to follow your doctor's recommendations for a gradual return to activities. Additionally, attending scheduled follow-up visits with your healthcare provider is essential to monitor your recovery progress and overall health.

Q6. Will I need to wear a brace after the surgery?
A: Whether or not you need a brace will depend on the specific circumstances of your surgery. Your doctor will provide guidance.

Q7. How long does spinal fusion last?
A: The success of spinal fusion can vary depending on the individual and condition for which surgery has been done, but many patients experience long-term relief from pain.

Q8. Can I still exercise after spinal fusion?
A: Yes, you can exercise, but it's important to choose low-impact activities and avoid high-impact exercises that put excessive stress on your spine. Specific guidance will be given by your healthcare provider according to your recovery after the surgery.

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