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Surgeons strongly recommend to avoid smoking, as it slows healing. [19] There is also debate that NSAID medications such as aspirin, ibuprofen, and naproxen may delay bone repair after spinal fusion or grafting, however there is some evidence that short-term use around the time of surgery is not associated with worse outcomes. [19]
A large study of spinal stenosis from Finland found the prognostic factors for ability to work after surgery were ability to work before surgery, age under 50 years, and no prior back surgery. The very long-term outcome (mean follow-up time of 12.4 years) was excellent-to-good in 68% of patients (59% women and 73% men).
Recovery following spinal fusion is extremely variable, depending on individual surgeon's preference and the type of procedure performed. [20] The average length of hospital stay for spinal fusions is 3.7 days. [6] Some patients can go home the same day if they undergo a simple cervical spinal fusion at an outpatient surgery center. [21]
In addition, physical therapy and related healing modalities (e.g., massage, acupuncture) may be recommended in order to promote proper healing, as well as to strengthen the surrounding muscles that can take over the neck brace's 'job' of ensuring proper spinal alignment when the patient starts (around 4 to 6 weeks after surgery) to wean off ...
Under the “interbody fusion” bullet point, it may be useful to explain ‘anterior’ and ‘posterior’ as stomach/back. Risks: Consider hyperlinking “bone graft” and “autograft’. Great chronologic breakdown of risks. Great job explaining terms like epidural fibrosis and adjacent segment disease. Recovery: Awesome section.
Spinal fusion is usually needed when a curvature reaches 40 degrees. However, there is a window of opportunity for a minimally invasive surgery. The curvature needs to be between 0 and 70 degrees. Minimal rib rotation and only one curve is preferred. Also, minimally invasive spinal fusions are almost always only done in the thoracic region.
The probability of these complications range from 5-20% after this procedure. [8] While the success rate of the laminoplasty procedure is dependent on the underlying condition that causes the need of surgery, the vast majority of patients that undergo this procedure see significant relief of pain and approximately 75% of patients see ...
Less invasive surgical options have improved recovery times, but evidence regarding effectiveness is insufficient. [17] For those with pain localized to the lower back due to disc degeneration, fair evidence supports spinal fusion as equal to intensive physical therapy and slightly better than low-intensity nonsurgical measures. [18]