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Spinal Fusion Surgery

Spinal fusion surgery is a crucial procedure that permanently connects two or more spinal vertebrae into a single solid bone. This spinal fusion surgery is primarily used to treat a series of conditions, such as degenerative disc disease (DDD), spondylolisthesis, and spinal stenosis. If you're suffering from persistent back or neck pain that isn't responding to conservative treatments, it might be time to consult Pristyn Care's team of experienced orthopedic doctors. Book an appointment today and explore the most suitable treatment options for your condition.

Spinal fusion surgery is a crucial procedure that permanently connects two or more ... Read More

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  • What is Spinal Fusion Surgery?

    This spinal fusion surgery is a surgical process performed to mend vertebrae in the spine into a single unit. The intention behind this spinal fusion procedure is to eliminate any painful motion between the vertebrae that may be causing discomfort or disability.

    This spinal fusion procedure uses techniques that trick your body into healing the vertebrae as if they were fractured bones. In spinal fusion surgery, the doctor uses either a bone graft from the patient’s body or a synthetic bone graft substitute to promote bone growth between the vertebrae. Metal plates, screws, or rods are also used to enhance stability during healing.

    This spinal fusion surgery may be recommended for various conditions like DDD, spinal deformities like scoliosis, or spinal instability during or after surgery.

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    What are the Types of Spinal Fusion Surgery?

    The type of spinal fusion surgery varies based on the approach towards the spine and the specific condition of the patient. The principal types include:

    • Anterior Cervical Discectomy and Fusion (ACDF): Performed from the front of the neck, this method involves removing a damaged disc and fusing the vertebrae.
    • Posterior Cervical Decompression and Fusion: This method is performed from the back of the neck to relieve pressure on the spinal cord or nerves before fusing the vertebrae.
    • Anterior Lumbar Interbody Fusion (ALIF): Conducted from the front of the lower back, this approach includes the removal of a disc and the fusion of vertebrae.
    • Posterior Lumbar Interbody Fusion (PLIF): Similarly, this method is performed from the back of the lower back for the same purpose as ALIF.
    • Transforaminal Lumbar Interbody Fusion (TLIF): Involving a side approach to the lower back, this procedure includes disc removal and vertebrae fusion.
    • Extreme Lateral Interbody Fusion (XLIF): This method involves a side approach to remove a disc and fuse vertebrae.
    • Circumferential or 360° Fusion: This technique combines anterior and posterior approaches to fuse both the front and back of the spine.

    The choice of technique for spinal fusion surgery depends on the location and nature of the spinal condition being treated.

    Diagnosis Before Spinal Fusion Surgery

    Before deciding on the course of the spinal fusion procedure, doctors need to diagnose the underlying condition causing discomfort. This typically involves various tests for conditions like DDD, spondylolisthesis, spinal stenosis, discogenic pain, spinal instability, tumours, and spinal deformities like scoliosis. Here is what you can expect:

    • Physical Examination: Your doctor will start by assessing your overall health, focusing on your back and spine. They’ll check for areas of tenderness, range of motion, and muscle strength.
    • Imaging Studies: Techniques such as X-rays, MRI scans, and possibly CT scans may be used to get a visual understanding of what’s happening inside your spine.
    • Symptomatic Evaluation: The doctor will note your symptoms, like pain, numbness, weakness, or limitations in mobility. These symptoms can provide important clues about the condition.

    What is the Procedure for Spinal Fusion Surgery?

    This spinal fusion surgery can sound intimidating, but understanding the procedure can help alleviate some of that fear. Here’s what spinal fusion surgery typically involves:

    • Incision: Depending on the specific condition being treated, the surgeon will make an incision either from the front (anterior) or back (posterior) to access the spine.
    • Removal: The damaged disc or vertebrae are then removed to create space for the fusion.
    • Placement of Bone grafts: These grafts could come from the patient’s own body, donor tissue, or synthetic materials and are placed between the vertebrae to promote fusion.
    • Stabilisation: Hardware like screws, rods, or cages may be used to stabilise the spine during the fusion process.

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    Who is the Right Candidate for Spinal Fusion Surgery?

    Deciding whether you are a suitable candidate for spinal fusion surgery depends on several factors. Generally speaking:

    • Symptom Severity: Patients experiencing severe pain, numbness, weakness, or mobility issues due to spinal conditions may qualify for this surgery.
    • Ineffectiveness of Other Treatments: If non-surgical treatments like physiotherapy, medications, or injections have not improved your condition, your doctor may recommend spinal fusion surgery.
    • Impact on Quality of Life: If the spinal condition has a considerable impact on your daily activities and quality of life, surgery can be an effective solution.

    Remember, it is always vital to discuss the risks, benefits, and expected outcomes of spinal fusion surgery with your doctor before making a decision.

    What are the Benefits of Spinal Fusion Surgery?

    This spinal fusion surgery is performed to improve the quality of life for individuals suffering from severe back or neck pain due to various spinal conditions. Here are some of the key benefits of this surgical procedure:

    • Stabilises the spine: One of the main benefits of spinal fusion surgery is that it stabilises the spine and reduces abnormal movement between vertebrae. These movements can cause pain, numbness, or weakness, which can be significantly reduced post-surgery.
    • Corrects spinal deformities: Conditions like herniated discs, spinal stenosis, spondylolisthesis, or spinal traumas can cause spinal deformities or instability. This spinal fusion surgery can correct these deformities effectively.
    • Relieves pressure: This spinal fusion procedure aids in relieving pressure on the spinal cord or nerves by immobilising the affected vertebrae. This can significantly help in reducing pain and discomfort.

    How to Prepare for Spinal Fusion Surgery?

    Preparation is crucial before undergoing any surgical procedure, including spinal fusion surgery. Here are some steps you can follow:

    1. Educate Yourself: Learn as much as you can about the surgery, including the procedure itself, potential risks, benefits, and the expected recovery process. Your surgeon should provide you with detailed information, but feel free to ask any questions you may have.
    2. Pre-Surgery Evaluation: Your surgeon will likely perform a thorough evaluation before the surgery to ensure that you’re a suitable candidate. This may involve physical examinations, imaging tests (like X-rays, MRI scans, or CT scans), and possibly blood tests.
    3. Medical Clearance: Depending on your overall health and medical history, your surgeon may require clearance from your primary care physician or other specialists before proceeding with the surgery.
    4. Medications: Your surgeon will give you instructions on which medications to continue taking and which ones to stop before the surgery. This may include blood thinners or other medications that could increase the risk of bleeding during surgery.
    5. Lifestyle Changes: Your surgeon may recommend certain lifestyle changes leading up to the surgery, such as quitting smoking, losing weight if you’re overweight, or increasing physical activity to improve your overall health and fitness level.
    6. Prepare Your Home: Make arrangements at home to ensure a comfortable and safe recovery. This may involve setting up a recovery area with easy access to necessities, such as a comfortable bed or recliner, bathroom aids, and items you may need during your recovery period.
    7. Support System: Arrange for someone to help you during the initial recovery period, especially if you live alone. This could be a family member, friend, or hired caregiver who can assist with daily tasks, transportation to medical appointments, and emotional support.

    What are the Recovery Tips and Precautions to Follow After Spinal Fusion Surgery?

    The recovery process after the spinal fusion procedure needs patience and careful adherence to a few guidelines:

    • Avoid heavy lifting: During your early recovery period, avoid lifting anything above 10–15 lbs. Also steer clear of bending, twisting, and high-risk activities.
    • Wear a back brace: Your doctor may recommend wearing a back brace to limit motion and support your spine during the recovery process.
    • Gradually increase activity: You can start with walking, light chores, and driving. You should gradually increase your physical activity post-spinal fusion surgery, as approved by your surgeon.
    • Participate in physical therapy: A tailor-made physical therapy programme will help you regain strength and learn safe movement techniques.

    Potential Risks or Complications Associated with Spinal Fusion Surgery

    Just like any surgical procedure, spinal fusion surgery also carries certain risks and potential complications. It is important to be aware of these:

    • Infection: After spinal fusion surgery, there is a risk of infection. This can be minimised by following the doctor’s instructions and maintaining good hygiene.
    • Blood clots and bleeding: During spinal fusion surgery, there is a chance of blood clots and bleeding, which can be managed by the surgical team.
    • Respiratory problems, heart attack, or stroke: These are very rare but serious potential risks during any major surgery.
    • Nerve damage or persistent pain at the bone graft site: This is a possible post-surgery complication that needs to be monitored closely.
    • Failure of the vertebrae to properly fuse together: In some cases, the vertebrae may not fuse properly after the spinal fusion procedure, which might require further medical intervention.

    Remember, discussing all these points with your doctor will help you make an informed decision regarding your treatment.

    What is the Cost of Spinal Fusion Surgery in India?

    This spinal fusion surgery, a routine procedure for treating various spinal conditions, comes with its own set of costs. It can be noted that the cost of this spinal fusion surgery in India is quite affordable. However, it’s crucial to note that these costs can vary based on numerous factors. Let’s look at some of these factors:

    • Surgeon’s Fees: Fees for the surgeon are an integral part of the cost structure. Renowned and experienced surgeons will likely charge higher fees than their less-experienced counterparts.
    • Hospital Charges: Depending upon the facilities and services offered, individual hospitals have their own unique pricing structures, which add up to the overall cost of the spinal fusion procedure.
    • Geographical Location: The city where the spinal fusion surgery is performed also plays a significant role in determining the cost. Metropolitan cities with high living standards may charge more compared to smaller towns.
    • Specific Requirements of the Surgery: Depending on the complexity of the patient’s condition, the requirements for each surgery may differ. Specialised techniques or technology used during the spinal fusion surgery can increase the overall cost.
    • Individual Medical History & Comorbidities: The patient’s specific medical history and associated health conditions (comorbidities) may also influence the cost.

    Is Spinal Fusion Surgery Covered Under Insurance?

    Yes, spinal fusion surgery is covered under most health insurance policies in India. However, coverage is usually provided for medically necessary procedures, subject to waiting periods and policy terms and conditions.

    Procedures like spinal fusion surgery that are performed to treat spine injuries from accidents or certain medical conditions are usually covered under insurance up to a specified limit in the policy. On the other hand, spinal degeneration caused by congenital conditions may not be covered under most insurance policies.

    It is always advisable to review your policy documents carefully and consult with your insurance provider to clarify any doubts about coverage for spinal fusion surgery. Remember, understanding the details of your policy can help eliminate unwanted surprises later.

    FAQs around Spinal Fusion Surgery

    How effective is spinal fusion surgery?

    While effectiveness can vary based on individual circumstances, studies in India have shown a success rate of approximately 70–90% for spinal fusion surgeries. This means that the majority of patients experience a significant reduction in their back pain and improvements in their mobility after spinal fusion surgery.

    How long would I have to stay in the hospital after a spinal fusion surgery?

    Typically, your hospital stay ranges from 3 to 4 days, depending on your overall health condition and the complexity of the spinal fusion surgery. However, it’s always the doctor’s call, and they may recommend a longer stay if necessary.

    Will I require physical therapy after my spinal fusion surgery?

    Yes, most doctors usually recommend physiotherapy after the spinal fusion procedure to help restore strength and mobility. The duration and intensity of the physical therapy would depend on your recovery rate.

    Will I have a noticeable scar after my spinal fusion surgery?

    Yes, there will be a surgical scar. However, its visibility will reduce over time, and specific scar minimization techniques could be used by your doctor during the spinal fusion surgery.



    Are there any lifestyle changes I need to make after spinal fusion surgery?

    There are very few permanent restrictions after spinal fusion surgery. While every situation is unique, most individuals are asked to refrain from smoking as it interferes with bone healing. Regular exercise under professional guidance and maintaining a healthy weight is also recommended to minimize strain on the spine.

    Will I need any medical equipment at home after having spinal fusion surgery?

    A raised toilet seat, shower chair, or walker may be necessary, depending on your situation. Your doctor or occupational therapist will inform you about any needed equipment before you leave the hospital.

    Is there any diet plan I need to follow post-surgery?

    A healthy diet with plenty of fiber is often recommended post-spinal fusion surgery to aid in recovery and prevent constipation caused by certain pain medications. It’s also important to stay well-hydrated and consume adequate amounts of protein and calcium to support bone healing.

    Can I drive after my spinal fusion surgery?

    There are hardly any permanent restrictions after spinal fusion surgery. Doctors generally recommend waiting for at least 3-6 weeks before getting back behind the wheel, depending on your recovery progress. However, it is always best to follow your surgeon’s recommendations.

    Is it normal to feel depression or anxiety after spinal fusion surgery?

    Yes, it’s normal to experience a range of emotions after a major procedure such as spinal fusion surgery. If these feelings persist or worsen, it’s crucial to seek help from a mental health professional.

    Can I resume my normal work activities after spinal fusion surgery?

    You will need to gradually resume your activities under the guidance of your doctor, who will advise you based on your recovery progress. It typically takes around 3–6 months for most people to return to their regular work schedule after spinal fusion surgery.

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    Content Reviewed By
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    Dr Deepak Kumar Das
    23 Years Experience Overall
    Last Updated : July 1, 2024