Our Summary

This research paper is about creating decision-making guidelines that doctors can use when deciding on the best surgical approach for adults with spinal deformity. These guidelines are constantly updated as we learn more about the goals of surgery and as technology used during operations improves. This helps ensure that each patient gets the best possible care and treatment plan for their specific situation.

FAQs

  1. What is the role of algorithms in patient and approach selection for adult spinal deformity surgery?
  2. How has the evolution of surgical goals and intraoperative technology impacted lumbar fusion procedures?
  3. What are some key factors considered in minimally invasive spine surgery selection algorithms?

Doctor’s Tip

One helpful tip a doctor might tell a patient about lumbar fusion is to follow a comprehensive rehabilitation program after surgery to help improve strength, flexibility, and overall function in the back. This can aid in the success of the fusion and decrease the risk of complications. It is important to work closely with a physical therapist and follow their guidance for a safe and effective recovery.

Suitable For

Patients who are typically recommended lumbar fusion may include those with:

  1. Degenerative disc disease
  2. Spondylolisthesis
  3. Spinal stenosis
  4. Spinal instability
  5. Failed back surgery syndrome
  6. Traumatic injuries to the spine
  7. Tumors or infections affecting the spine

It is important for patients to undergo a thorough evaluation by a spine specialist to determine if lumbar fusion is the most appropriate treatment option for their specific condition. Factors such as the severity of symptoms, response to conservative treatments, and overall health status will also be taken into consideration when recommending lumbar fusion surgery.

Timeline

Before lumbar fusion:

  1. Patient experiences chronic back pain, leg pain, and other symptoms related to spinal deformity or injury.
  2. Patient undergoes a thorough physical examination, imaging studies (such as X-rays, MRI, or CT scans), and possibly other diagnostic tests to determine the extent of the spinal problem.
  3. Patient may undergo conservative treatments such as physical therapy, medications, injections, or other non-surgical interventions to manage symptoms before considering surgery.
  4. After consultation with a spine surgeon, patient decides to proceed with lumbar fusion surgery.

After lumbar fusion:

  1. Patient undergoes pre-operative testing and medical clearance before the surgery.
  2. Patient undergoes lumbar fusion surgery, where the surgeon fuses two or more vertebrae in the lumbar spine to stabilize and reduce pain.
  3. Patient is closely monitored in the hospital for a few days after surgery to ensure proper healing and to manage pain.
  4. Patient undergoes physical therapy and rehabilitation to regain strength and mobility in the weeks and months following surgery.
  5. Patient follows up with the surgeon for post-operative appointments to assess healing, manage any complications, and monitor long-term outcomes of the lumbar fusion surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with lumbar fusion surgery?
  2. What is the expected recovery time and rehabilitation process after lumbar fusion surgery?
  3. How will my pain be managed after surgery?
  4. What type of physical therapy or exercises will be recommended post-surgery?
  5. How long will I need to refrain from certain activities or work duties after surgery?
  6. Are there any alternative treatments or procedures that could be considered instead of lumbar fusion?
  7. What is the success rate of lumbar fusion surgery for patients with my specific condition?
  8. Will I require any additional surgeries or procedures in the future after lumbar fusion?
  9. How long do the results of lumbar fusion surgery typically last?
  10. Are there any long-term risks or complications associated with lumbar fusion surgery that I should be aware of?

Reference

Authors: Goldberg JL, Hussain I, Fu KM, Virk MS. Journal: Neurosurg Clin N Am. 2023 Oct;34(4):599-607. doi: 10.1016/j.nec.2023.06.007. Epub 2023 Jul 26. PMID: 37718106