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Doctor insights on: Recovery From Laminectomy And Spinal Fusion

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How effective is having spinal fusion with decompressive laminectomy?

How effective is having spinal fusion with decompressive laminectomy?

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

Dr. Thomas Dowling
1,119 Doctors shared insights

Spinal Fusion (Definition)

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


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Why would a Dr choose a spinal fusion over a laminectomy or a microdisectomy please!?

Why would a Dr choose a spinal fusion over a laminectomy or a microdisectomy please!?

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

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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

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

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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

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I have cervical myelopathy. Should I have a spinal fusion, laminectomy or adjustment?

I have cervical myelopathy. Should I have a spinal fusion, laminectomy or adjustment?

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

Dr. Brian Le Dr. Le
1 doctor agreed:
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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?

Dr. Brian Le Dr. Le
1 doctor agreed:
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?

SCS reprogrammed: 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

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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.

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

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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?

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

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Husband 34years old. Has sequestrated disc L5 S1. Neurosurgeon recommended lumbar laminectomy and orthopedic surgeon suggests spinal fusion. Advice please?

Husband 34years old. Has sequestrated disc L5 S1. Neurosurgeon recommended lumbar laminectomy and orthopedic surgeon suggests spinal fusion. Advice please?

Back: From a surgical standpoint I would probably go with the neurosurgeon. However, from a recent article from British Medical Journal only 5% of people get lasting relief with surgery. Perhaps physical therapy and weight reduction is the answer. ...Read more

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How long is the average recovery time after a spinal fusion to correct scoliosis?

How long is the average recovery time after a spinal fusion to correct scoliosis?

6months to a year: Fusion first then activities resume, you can't make it go faster with exercise, I recomend rest, be still heal, then move non fusion cost you a year in recovery and comfort. ...Read more

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What can I expect in terms of recovery after having spinal fusion of the c 456?

Post op: Little bit of neck pain, possible neck brace. 0-2 days in hospital. Possible therapy. Relief of symptoms. Fusion 3-6 months. ...Read more

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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?

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

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Spinal fusion back surgery recovery time?

Spinal fusion back surgery recovery time?

4 months: Usually 4 months. Check out Spine-health. Com. ...Read more

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How long does recovery last for a spinal fusion?

How long does recovery last for a spinal fusion?

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

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Will you tell me about spinal fusion recovery experiences?

Will you tell me about spinal fusion recovery experiences?

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

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What is the recovery time before I can bend down again after a spinal fusion?

What is the recovery time before I can bend down again after a spinal fusion?

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

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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

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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?

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

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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

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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?

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?

Nerve healing: A decompression and sometimes let the nerves heal and cause a hypersensitivity. Also, increased activity and make this sensation from the skin and muscle use. Time is the solution with increasing your activity of walking over the next month. ...Read more

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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.

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

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Is a laminectomy or minimally invasive foramenectomy w/o fusion better for mixed foraminal and spinal cervical stenosis?

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

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I got a wide depressed scar after multi level posterior cervical laminectomy without fusion 1 yr ago. Is my spinal cord protected?

I got a wide depressed scar after multi level posterior cervical laminectomy without fusion 1 yr ago. Is my spinal cord protected?

Likely protected: Do not see any reason for concern, as the external scar has little to do with the success of the surgery. Phone the surgeon if you have concerns, but usually, if you are asymptomatic and just have the scar, you should be safe. ...Read more

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How does a spinal fusion work?

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

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How painful is a spinal fusion?

How painful is a spinal fusion?

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

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How much pain is a spinal fusion?

How much pain is a spinal fusion?

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

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How can a spinal fusion slip forward?

How can a spinal fusion slip forward?

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

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How can a spinal fusion slip forward?

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

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Is the spinal fusion a risky thing to do?

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

Fusion (Definition)

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


Dr. Jeffrey Roh
205 Doctors shared insights

Laminectomy (Definition)

Surgical removal of the posterior roof of the vertebral bone of the spine which is labeled the lamina to access the pinal canal where the neural tissue is found and ...Read more