Get answers to your Spine related questions.
Vertebral interbody fusion; Posterior spinal fusion; Arthrodesis; Anterior spinal fusion; Spine surgery - spinal fusion
You will stay in the hospital for 3 to 4 days after surgery.
You will receive pain medicines in the hospital. Pain medicine may be taken by mouth or given through a shot or a vein (intravenous line, or IV). You may have a pump that allows you to control how much pain medicine you get.
You will be taught how to move properly and how to sit, stand, and walk. You'll be told to use a "log-rolling" technique when getting out of bed. This means that you move your entire body at once, without twisting your spine.
You may not be able to eat for 2 to 3 days. You will be given nutrients through an IV. When you leave the hospital, you may need to wear a back brace or cast.
People who had chronic back pain before their surgery are likely to still have some pain afterwards. Spinal fusion is unlikely to take away all the pain and other symptoms.
Even when using MRI scans or other tests, it is hard for your surgeon to always predict which patients will improve and how much relief surgery will provide.
Losing weight and getting exercise will increase the chance of feeling better
Future spine problems are possible for all patients after spine surgery. After spinal fusion, the area that was fused together can no longer move. Therefore, the spinal column above and below the fusion are more likely to be stressed when the spine moves, and may have problems later on.
Weinstein JN, Tosteson TD, Lurie JD, et al. Surgical versus nonsurgical therapy for lumbar spinal stenosis. N Engl J Med. 2008;358:794-810.
Brox JI, Nygaard ØP, Holm I, Keller A, Ingebrigtsen T, Reikerås O. Four-year follow-up of surgical versus non-surgical therapy for chronic low back pain. Ann Rheum Dis. 2010 Sep;69(9):1643-8.
Curlee PM. Other disorders of the spine. In: Canale ST, Beatty JH, eds. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 41.
Weinstein JN, Tosteson TD, Lurie JD, et al. Surgical versus nonoperative treatment for lumbar spinal stenosis four-year results of the Spine Patient Outcomes Research Trial. Spine (Phila Pa 1976). 2010 Jun 15;35(14):1329-38.
Matz PG, Holly LT, Groff MW, et al; Joint Section on Disorders of the Spine and Peripheral Nerves of the American Association of Neurological Surgeons and Congress of Neurological Surgeons. Indications for anterior cervical decompression for the treatment of cervical degenerative radiculopathy. J Neurosurg Spine. 2009 Aug;11(2):174-82.
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