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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]
A 2012 study presented in Barcelona found that one in four elderly patients who had lumbar spinal fusion for lumbar spinal stenosis (LSS) or spondylolisthesis needed a second spinal surgery within two years. Additionally, nearly half of these patients were readmitted to the hospital due to complications.
With spinal fusion, the recovery time may be longer. In some cases after laminectomy and spinal fusion, it may take several months to return to normal activities. [1] Potential complications include bleeding, infection, blood clots, nerve injury, and spinal fluid leak. [1]
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.
Other interventions vary depending on the location and extent of the injury, from bed rest to surgery. In many cases, spinal cord injuries require long-term physical and occupational therapy, especially if it interferes with activities of daily living. In the United States, about 12,000 people annually survive a spinal cord injury. [2]
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.
The Charité, a mobile core device for use in the lumbar spine, was approved first, in 2004, but is no longer in use. prodisc, the longest continually used disc replacement device in the US, is a fixed core device manufactured by Centinel Spine and was approved in 2006 for the lumbar spine with a cervical device approved in 2007.
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 ...
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