Lumbar Fusion Surgery:
Understanding the Procedure and Aftercare

Fusion, in simple terms, means joining two bones, and in the context of lumbar fusion surgery, it’s about uniting the two blocks of the Spinal Working Unit. This surgery is akin to decompression but incorporates screws and rods for added support. Its primary objective is to address the exit foramen or tunnel along the slip road (Read More) while restoring the tunnel’s height.

X-rays showing PLIF cages in place, side and front views

1. The Fusion Process

  • Traffic Metaphor: Imagine it as clearing debris from a slip road to allow traffic to flow freely on your spinal motorway.
  • Procedure Details: Usually done under general anesthesia.

2. The Discectomy Process

  • Fusion Defined: Lumbar fusion involves the fusion of two spinal blocks, essentially creating a single bone unit.
  • Surgical Details: The procedure encompasses the placement of a cage, screws, and rods to bolster the fusion process.
  • Approaches: Surgeons may employ various approaches such as ALIF/OLIF (Front), XLIF (Side), or TLIF/PLIF (Back) based on individual needs and the surgeon’s expertise.

3. Risks and Considerations

  • Complexity: These surgeries are more intricate compared to simple decompression procedures.
  • Varied Risks: The associated risks can vary, contingent upon the chosen surgical approach and your overall health.
  • Treatment Goal: Lumbar fusion aims to address both leg and back pain symptoms, although back pain improvement may be more challenging.

4. Post-Operative Care

  • Mobilization and Rehabilitation: Early mobilization and a structured physiotherapy program are integral to your recovery.
  • Precautions: Avoid heavy lifting while bending forward and sitting for extended periods.
  • Walking: Gradually increase your walking activity under the guidance of a qualified physiotherapist.
  • Hygiene: In the initial weeks, be mindful of sweat collection around the surgical wound.
READ M0RE

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Note: Medical conditions should always be discussed with a qualified healthcare professional. This content is for informational purposes only.