Doctor insights on:
Recovery From Laminectomy And Spinal Fusion
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
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
You just have to ask: Your question is best answered by the person doing the surgery. The most obvious reason is that the procedure is based on the diagnosis and the immediate pre operative evaluation. A not so obvious reason is training and experience. You informed consent is based, in part, on knowing the answers to these questions. So ASK. ...Read more
I'm having a hard time deciding on spinal fusion and a laminectomy. What is the long term prognosis if I don't? G1 spondylolisthesis, R&L foraminal sten
Gradual worsening: Gradual worsening with foot drops if you have significant neurologic symptoms peotecting the nervesc with reconstruction has a better long term out com if you have only axial backache surgical outcome is less obviously beneficial wiltze urged us to wait for the leg pain then intervene if you don't have leg pain then your nerves are ok. ...Read more
After having a failed laminectomy w/ spinal fusion @ l5-s1, what can't they surgically fix the area?
Lumbar fusion: Failed can mean alot of things. Is it that you are not happy with the results? Or is there still a problem that is operative, i.e. Adjacent level syndrome at the level above the fusion or did the fusion not take at l5/s1 and there is a nonunion. I'm sure that your spine surgeon has discussed this with you. ...Read more
No adjustment!: Myelopathy means you have symptoms due to pressure on the spinal cord in the neck. Adjustments are absolutely out of the question. A decompression or fusion is the most appropriate treatment to stop progression of symptoms. However, the kind of procedure is dependent on the reason you have myelopathy. You need to see a spine surgeon in order to fully evaluate your problem. ...Read more
I've had a laminectomy, spinal fusion of lower 2 discs, and a spinal cord stimulator put in last year. Still have back & leg pain. Any hope left?
I recommend you have the scs reprogram with the company representative. If it doesn't help to relieve some of your pain, discuss your pain with your doctor again. Scs is usually used as adjunct therapy, not a sole therapy for pain.
If he/she cannot help you, you should seek a second opinion. ...Read more
I have extreme pain in the right sacral joint area. I have had laminectomy of l3-4, 4-5, and later spinal fusion of the same, then a spinal implant.
Varies: There are many potential causes and if it is severe enough to require more treatment, then it is critical to determine the exact diagnosis. The appropriate treatment will hinge on making the correct diagnosis. A detailed histroy, exam and appropraite tests can usually detect the specific cause for your pain. I would encourage you to be thoroughly evaluated. ...Read more
Undergone laminectomy w/ spinal fusion with implants & bone graft t9 to t 12. How many days is safe for not acquiring infection on the wound site?
Couple of weeks: The most common time frame for getting post operative infection is first two weeks it is possible to get delayed infection as well occasionally one can get deep infection after 4-6 weeks post op, also but if the wound heals andr the sutures are out you are generally safe at that point. Good luck. ...Read more
Am I too young for spinal fusion? I'm a 18 yo female I had a laminectomy last year in my lumbar spine l3-s1 to decompress my nerves. Its been a year and im still in excruciating chronic pain my surgeon said I need a spinal fusion but he won't do it cause im
Yes you are young: But discuss this with your surgeon. It may be the only option to stop your pain. ...Read more
Husband 34years old. Has sequestrated disc L5 S1. Neurosurgeon recommended lumbar laminectomy and orthopedic surgeon suggests spinal fusion. Advice please?
What concerns should I have about spinal fusion surgery? I'm very apprehensive about my upcoming spinal fusion surgery. What should I expect from this procedure and the recovery afterward?
This depends on: Several variables: your age, your health, your weight status & nutritional status, how in shape you are, smoking history, reason for surgery, type of surgery with number of levels involved as well as approach, the experience of your surgeon, to name a few. If a smoker, 3-8x failure rate of non smoker & overweight higher risk of complications especially if diabetic. Need to discuss with surgeon! ...Read more
Varies: This varies as to the diagnosis, your age, the extent and location of your surgery, what type of procedure that was done, whether you smoke and jf this is not your first back surgery. However, on average, for a one level low back surgery, most fusions heal within 6 months. ...Read more
Variable: Fusion recovery experiences are variable, dependent upon the individual patient, each surgeon, type of spinal fusion (open vs. Minimal invasive), prior pain/pathology, and history of pre-operative pain medication usage. Best advice is to speak with your surgeon for expectations after the surgery. ...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 but always ideally one can immediately get down by bending at the knees and hips rather than at the waist which is the right way. ...Read more
What is the recovery time for spinal fusion? How long will I be recovering after spinal fusion before I can resume normal activities? .
Varies: For a simple one level, back to every day activities is very early. Much longer to get back to heavy or strenuous activity, maybe 2-3 months. ...Read more
I wish I would have been given more specific rcovery plans and expectations coming home from spinal fusion surgery 2 weeks ago. How much can I do?
This depends on: Several variables: age, health, weight & nutritional status, how in shape you are, smoking history, reason for surgery, fusion type with # of levels involved & approach, the experience of your surgeon, to name a few. If a smoker, 3-8x failure rate of non smoker & overweight higher risk of complications especially if diabetic. Need to discuss with surgeon! It can take up to 1 year to heal. ...Read more
I wish I would have been given more specific rcovery plans and expectations upon coming home from spinal fusion surgery 2 weeks ago. What can I do?
Spine fusion: It's all about creating realistic expectations. I tell my fusion patients whether minimally invasive or open that they are going to hurt and have a rough road the first week and every day after should be a little better with a few hiccups along the way. At 6 to 10 weeks they should be feeling pretty good, some need a little longer. ...Read more
6 weeks post-op 2 level lumbar spine fusion + laminectomy. Sciatic pain gone-healing on sched. Why the intrmittnt sunburn-like pain on skin of thighs?
Will work. Comp. OK my spinal laminectomy w fusion surgery if I was born w a smaller spinal canal? This is my 3rd claim for injuries here in 22yrs.
They should but won't: Work comp is terrible about authorizing treatment including surgery. The congenital narrow canal is not work comp related but since you have narrow canal, you are likely to suffer earlier and more from any degenerative condition that narrows the canal more like disc protrusion, bone spurs, and ligament over growth. This can all arise from cumulative work comp related injuries. ...Read more
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
I got a wide depressed scar after multi level posterior cervical laminectomy without fusion 1 yr ago. Is my spinal cord protected?
Stops motion: The purpose of a lumbar fusion procedure is to stabilize the segment in the lumbar spine. It stops motion in that segment to treat back pain and possibly nerve root compression leading to leg pain, weakness, numbness, or any combination of those. It relies on removing the disc and replacing with bone graft. In addition, screws and rods are used to hold this in place while the fusion occurs. ...Read more
Varies: This varies as to the diagnosis, your age, the extent & location of your surgery, what type of procedure that was done, whether you smoke & if this is your first back surgery. It also depends on how tolerant you are to pain medication in terms of how much & how long you may have been on medication preop. Depression can also magnify pain & if in pain for 6 months or longer, higher risk depression. ...Read more
A tough two weeks:
The first two weeks are tough. Make sure you have help. Most people get spinal fusion because they already are in constant pain. If the fusion works then you will start to feel better. If you smoke then quit now this will help you heal. If not a smoker don't start. :)
good luck. ...Read more
Failure to fuse: The goal of fusion surgery is to cause bones of the spine to grow together. If a fusion is successful, then two or possibly more bones joined as one. Usually this is accomplished by removing the disc between each two bones being fused and replacing it with something to stimulate fusion of the bones. If the fusion does not occur, then the superior vertebrae may slip forward (called listhesis). ...Read more
Pseudoarthrosis: If a bony fusion doesn't heal properly (pseudoarthrosis or failed fusion) then it may slip forward over time. It may also cause pain and result in broken hardware. This is more common in tobacco users, diabetics, obesity, and other conditions. A ct scan can be used to assess the fusion. Revision spinal fusion may be necessary. ...Read more
Yes: Major spine surgery has small risk of life changing complication associated and failure to relieve symptoms consider carefully nonunion failed back surgery make sure benefits outweigh risks. And the pain generator is well lidentified by diagnostic injections. ...Read more
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