Doctor insights on:
Recovery From Laminectomy And Spinal Fusion
Surgery to cause two or more spine segments to be joined together through a growth of bone initiated by the placement of bone tissue or graft taken from the patient or from a donor source or even a manufactured source which could include: bone growth proteins and particulate structures that act as scaffolds for bone to grow on and may include implants or instrumentation ...Read more
Different surgeries: Spinal decompression surgery is performed nerve root impingement-usually from bone or ligaments in the spinal canal or where the nerve roots exit-the neuroforamena. Generally called a laminectomy, it involves removing bone and ligament from the spine. A spinal fusion locks together two or more segments of the spine, usually with screws and rods. Bone is added as well to allow the bones to knit. ...Read moreSee 2 more doctor answers
Physical therapy: After a lumbar spine fusion with instrumentation, most patients are mobilized within a day or two. They progress with physical therapy. The incisions are usually healed within a week. Ultimately, the fusion needs to become solid. This may take about 3 months. During that time physical therapy is key in getting the patient moving and overcoming the pain from surgery which can be significant. ...Read more
Depends on reason: This depends on the reason for this type of surgery, the number of levels involved. , whether this is a repeat surgery, the health and age of the patient, the smoking status of the patient, their weight and nutritional status and other co morbidities or problens like diabetes, thyroid disease, etc.. The bone density can also play a role, ie, osteoporosis. ...Read more
What are the pros/cons of a 3 level cervical laminectomy w/o fusion vs a keyhole endoscopic decompression for stenosis(disc &spurs compressing nerves?
Complex: It is a little complex to fully discuss in such a forum; but a for amounting would be appropriate if you are just having symptoms of foraminal stenosis causing pain in the arm, where a laminectomy may be needed if you have problems related to central cord compression. Definitely would need to discuss face to face with your surgeon. ...Read more
This is dependent on: Several factors including one's health status & physical conditioning, any associated instability of the spine, whether obese &/or a smoker, any underlying diabetes or neuropathy, evidence of any peripheral vascular disease-but in general, when indicated appropriately , 85% success rate --generally 6-8 week recovery depending on number of levels involved in spine that has not had any prior surgery. ...Read moreSee 3 more doctor answers
A term meaning that: Someone had a spine surgery involving the neck most typically from anterior or front approach involving removal of cervical disc and filling the disc space with either bone or a cage & bone as well as possibly some spine instrumentation or hardware in the lower part of the neck or cervical spine. The disc spaces range from c2-3, c3-4, c4-5, c5-6, c6-7 & c7-t1. The lower 3 would be one of them. ...Read moreSee 1 more doctor answer
Is a laminectomy or minimally invasive foramenectomy w/o fusion better for mixed foraminal and spinal cervical stenosis?
Ask your surgeon(s): They'll review your imaging with you and discuss your options. But before further surgeries, you mention physical therapy and cymbalta, (duloxetine) but there may be other non-surgical options including other medications, pain psychology and interventional pain procedures that may be helpful for your condition. Good luck! ...Read more
This varies as to : The type of fusion done, number of levels involved as well as the type of instrumentation ( if any) that was used. In general, assuming normal healing ( not smoking, not a diabetic, not a revision surgery, not hypothyroid or malnourished) usually after several months for most activities with fusion 6 months to a year to all activities -closer to a year for activities like golf. ...Read moreSee 2 more doctor answers
Pain from spine surgery years after 3 failed back surgeries. I also have spinal stenosis, spinal fusions, fibromyalgia, severe scar tissue, bad hip?
A type of spine : Surgery where implants which are usually several screws that attach to the bones of the spine and are then interconnected over one or more levels with usually a pair of metal rods -this is the instrumentation. A fusion is a healing together of two or more spine bones or vertebra with the use of bone material or synthetic substitutes. ...Read moreSee 1 more doctor answer
What are the long term outcomes of posterior cervical foramenectomy and ACDF For cervical RADICULOPATHY from foraminal/spinal stenosis C4 thru C7?
ACDF outcomes: Even a surgeon can not answer that question. Long term can be pain relief all the way to more pain. I would say if you haven't found a good interventional pain specialist to consult with prior do so now and see what other options there are besides surgery. This is if it is just for pain, if you are having any neurological deficits surgery might be your option. ...Read more
Activity after fused: Given that rods were removed, i must assume that the fusion is solid. Therefore, there are really no restrictions for you in a solidly fused lumbar spine. Core exercises like pilates/piyo/yoga are great (your flexibility will be limited, obviously). Aerobic exercises as tolerated and continue to progress as tolerated. ...Read more
LP complications: When spinal tap is done, if difficult, you might have local external bruising, swelling, and tenderness. Rarely, a local infection could occur. Typically, the usual reactions dissipate within a day or two. If symptoms are worsening, contact your doctor. ...Read moreSee 1 more doctor answer
What is the prognosis for lumbar stenosis with bulging discs at l4/l5 and l3/l4 with spinal cord effacement and bilateral facet joint hypertrophy.
Mixed: Facet hypertrophy is a common change as people age; the amount of joint enlargement is more important than the fact that it is present. Stenosis is an issue if it is symptomatic. Weight control and exercise can help. Surgery can help in cases that don't respond to other treatment. The spinal cord usually ends at l1-2, so if it truly goes down to l5, there are other issues that need to be addressed. ...Read moreSee 2 more doctor answers
A fusion gets rid of a joint or disk between to bones, getting the bones to join together with bone between them. If successful, it eliminates almost all the motion between the bones. Sometimes fusion simply occur as a result of disease, rarely from aging. Most of the time ...Read more
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