Doctor insights on:
Spinal Fusion Success Rate
Not as good : Some orthopedic surgeons and neurosurgeons feel the results in operating on smokers are so poor that they require their patients to quit smoking prior to surgery. Smoking markedly decreases healing rates as well as reducing success rates in general. There are many reasons for people to quit smoking, and in those facing bone surgery, there are even more urgent reasons. ...Read moreSee 1 more doctor answer
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
Spinal fusion: The success rate is a function of the spine bones and your spine specialist will do as much as possible for you. Please do not delay an appointment. Let me know what happens please. ...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
Selection: The most important factor in most spinal surgeries is selection. That being said, in a perfect candidate for disc replacement with what would be described as purely discogenic pain at a single level in the lumbar spine the success rate is approximately 80-90 percent good results. ...Read more
Pain: If by failure you mean what is the chance you will still have pain -50%. If the disc is causing loss of sensation or strength then the chances are somewhat better of aiding it. Back surgery for pain has abysmal results. Wt loss, strengthening your abs without laying on your back and glucosamine have at least as good of results if not better. ...Read moreSee 2 more doctor answers
Why surgery?: Chiari is a congenital finding of low position of the cerebellar tonsils. This is usually incidental and not clinically significant. It can be seen on MRI done for headaches, but is not the cause of headaches. Surgery should be avoided unless there is definite indication. Common time for problems is during rapid growth before puberty - not as adult. ...Read more
Yes when indicated: Most typical idiopathic scoliosis cases are treated without surgery- most by just observation and some with bracing. Fusion is for those with a curve that has gotten too big and/or progressed in spite of non op care. Bracing has been the only documented non op care that can minimize surgical interventions. ...Read moreSee 1 more doctor answer
See below: They are safe and effective and have similar results as the clasSic ACDF their advantages over the fusion are theoretical in my opinion the Acdf has a 95% chance at relieving arm pain neither are neck pain procedures , both do a good job relieving arm pain from pinched neck nerves early adopters of new technology can be surprised by outcomes since they are not as well studied without long term ...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
Joining bone togethe: A spinal fusion is a procedure used to join two spinal motion units together. It is designed to stop all motion of the motion segment. It may be performed with or without the usages of screws and rods. It is performed for spinal instability . It is like welding 2 pieces of metal together. ...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
Which has better rates of fusion, lower complication rate, and better long term outcomes for L5-S1 degen disc disease....ALIF or MIS TLIF?
Spine fusion: Both have excellent rates of fusion. A third option at L5/S1 is the Axialif. The best approach is dictated by the pathology, the patient size, and weight. Surgery is indicated when all the nonoperative options have been exhausted and there are significant limitations in activities of daily living. Discuss the options with your surgeon. ...Read moreSee 1 more doctor answer
Depends: This depends on what levels were fused and where your epidural needs to be placed to cover the pain post-operatively. For example if you were fused at l3-4, it would still be possible to perform an epidural above that level, however it may effect the spread of local anesthetic to the desired area, causing incomplete anesthesia. ...Read moreSee 1 more doctor answer
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
4 years after lumbar spine fused, a recent MRI shows 6 mm anterolisthesis. Can a fusion fracture?
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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