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Premia Spine developed the TOPS System and initiated a US trial to compare it with the traditional transforaminal lumbar interbody fusion (TLIF) procedure. Under the Investigational Device Exemption (IDE) study by the FDA, the system was available to a limited number of U.S. patients at select hospitals and institutions. [7]
They found 68% of lumbar fusion patients still unable to return to work two years after surgery. This was in stark contrast to reports of 68% post-op satisfaction in many series. [199] [142] In a follow-up study it was found that the use of intervertebral fusion devices rose rapidly after their introduction in 1996. This increase in metal usage ...
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]
The rehabilitation process following a spinal cord injury typically begins in the acute care setting. Occupational therapy plays an important role in the management of SCI. [2] Recent studies emphasize the importance of early occupational therapy, started immediately after the client is stable.
Chelsea was in a New Jersey hospital recovering from spinal fusion surgery last February, and was living in constant pain up until late last year, her softball career in serious doubt.
After being discharged from the hospital the patient will be required to wear a back brace for the first three months after surgery. After nine months to a year a patient will be able to resume all normal activity. Unlike other spinal fusions, with a minimally invasive thoracic spinal fusion only about 10 percent of mobility is lost.
Another problem with pain management is that pain is the body's natural way of communicating a problem. [6] Pain is supposed to resolve as the body heals itself with time and pain management. [6] Sometimes pain management covers a problem, and the patient might be less aware that they need treatment for a deeper problem. [6]
Bone morphogenetic protein (rhBMP) should not be routinely used in any type of anterior cervical spine fusion, such as with anterior cervical discectomy and fusion. [2] [3] There are reports of this therapy causing swelling of soft tissue which in turn can cause life-threatening complications due to difficulty swallowing and pressure on the respiratory tract.