If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.
If you think your pain medicine is making you sick to your stomach: Take your medicine after meals unless your doctor has told you not to. Ask your doctor for a different pain medicine. You will be given specific instructions about how to care for the cuts incisions the doctor made. The instructions will depend on the type of materials used to close the cut. Do back exercises as instructed by your doctor.
Your doctor may advise you to work with a physiotherapist to improve the strength and flexibility of your back. To reduce stiffness and help sore muscles, use a warm water bottle, a heating pad set on low, or a warm cloth on your back. Do not put heat right over the incision. Do not go to sleep with a heating pad on your skin. For example, call if: You passed out lost consciousness.
You have sudden chest pain and shortness of breath, or you cough up blood. You are unable to move a leg at all. Call your doctor or nurse call line now or seek immediate medical care if: You have pain that does not get better after you take pain pills.
You have new or worse symptoms in your legs or buttocks. Symptoms may include: Numbness or tingling. You lose bladder or bowel control. You have loose stitches, or your incision comes open. You have blood or fluid draining from the incision. You have signs of infection, such as: Increased pain, swelling, warmth, or redness. A physical therapy program will likely include exercises to strengthen your back and low-impact aerobics, such as walking or swimming.
Your physical therapist will show you how to make modifications to your daily standing, sitting, and sleeping habits-for example, learning how to lift properly or sitting for shorter periods of time. Regular back exercises strengthen muscles that support your spine, easing pain and preventing further injury.
Most people who have spinal fusion surgery are off work for several weeks depending on the type of work you do and the surgical procedure. You may or may not need to return to work with restrictions based upon your job. If you have a physically demanding position, you may need to be on restrictions when you return.
Includes hooks, rods, plates, screws, and interbody cages. We comply with the HONcode standard for trustworthy health information. This information is not intended to replace the medical advice of your health care provider. Patients who come to Mayfield with neck or back problems are given a rapid review of their medical condition within a few days, not weeks.
It's a treatment process called Priority Consult. Nearly 80 percent of our spine patients are able to recover with nonsurgical treatment.
But when physical therapy, medications, and spinal injections fail to relieve pain, we help patients with surgery. We perform more than lumbar spinal fusion surgeries each year.
Advances in technology and medical devices give our neurosurgeons the ability to operate on the spine with minimal disruption to the normal anatomy. Image-guided systems enable us to precisely insert pedicle screws, fusion devices, and other hardware. We are committed to using minimally invasive procedures whenever possible to speed your recovery.
To make an appointment call Make an Appointment. Many Mayfield patients have the option of same-day, outpatient surgery at our spine surgery center. Minimally invasive spine surgery can be used to treat herniated discs, fractures, and degenerative spine conditions. Endoscopes and image-guided surgery systems help surgeons navigate through small incisions. In this webinar, Dr. William Tobler explains minimally invasive, outpatient spine fusion surgery. Preparing for lumbar spinal fusion Overview Spinal fusion is a surgery that permanently joins together one or more bony vertebrae of the spine.
What is spinal fusion? Figure 1A. Normal spine. Figure 1B. Degenerative spine disease impairs the disc and facet joints causing spinal instability and back pain. Figure 1C. Spinal fusion restores the normal height of the disc space and prevents abnormal movement. Depending on whether your surgeon approaches your spine from the front anterior spinal fusion or from the back posterior spinal fusion , the vertebrae will be fastened together either with a metal plate or with rods and screws.
Surgeons perform spinal fusion while you're under general anesthesia so you're unconscious during the procedure. Surgeons have developed a variety of techniques for performing spinal fusion surgery. The technique your surgeon uses depends on the location of the vertebrae to be fused, the reason for the spinal fusion, and in some instances, your general health and body shape.
In selected cases, some surgeons use a synthetic substance instead of bone grafts. These synthetic substances help promote bone growth and speed the fusion of the vertebrae. A hospital stay of two to three days is usually required following spinal fusion.
Depending on the location and extent of your surgery, you may experience some pain and discomfort but the pain can usually be controlled well with medications. It may take several months for the affected bones in your spine to heal and fuse together.
Your doctor may recommend that you wear a brace for a time to keep your spine aligned correctly. Physical therapy can teach you how to move, sit, stand and walk in a manner that keeps your spine properly aligned. Spinal fusion is typically an effective treatment for fractures, deformities or instability in the spine. But study results are more mixed when the cause of the back or neck pain is unclear. In many cases, spinal fusion is no more effective than nonsurgical treatments for nonspecific back pain.
It can be difficult to be certain about what exactly is causing your back pain, even if a herniated disk or bone spurs show up on your X-rays.
Many people have X-ray evidence of back issues that have never caused them any pain. So your pain might not be associated with whatever problem has been revealed on your imaging scans.
Even when spinal fusion provides symptom relief, it does not prevent you from developing more back pain in the future. Most of the degenerative conditions in the spine are caused by arthritis, and surgery will not cure your body of that disease. Immobilizing a section of your spine places additional stress and strain on the areas around the fused portion. This may increase the rate at which those areas of your spine degenerate — so you may need additional spinal surgery in the future.
Ali explains. For example, a patient may need surgery if he or she has suffered from a trauma that has led to spinal instability. Spinal fusion surgery may also be performed for a variety of medical conditions or back deformities. Ali sometimes sees spondylolisthesis—a problem in which one vertebra bone slips onto another, causing pain. During the procedure, the surgeon connects two or more vertebrae.
This prevents motion in that area and can reduce pain from conditions like arthritis. The goal is to fuse the vertebrae together to prevent abnormal motion of the spine. With any spinal fusion surgery, the goal of surgery is to create bone across two segments of vertebrae.
Small pieces of bone are usually placed in the space between the vertebrae that are going to be fused.
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