Our Summary

This research study looks at the number of lumbar fusion surgeries performed on Medicare patients and how much the doctors were paid for these procedures between 2000 and 2019. Lumbar fusion is a type of spinal surgery. The researchers found that the number of these surgeries greatly increased over this time period. However, the amount of money doctors received for performing these surgeries actually decreased. The researchers argue that it’s important to be aware of these trends, as more and more older people may need this type of surgery and doctors need to have the resources they need to perform them.

FAQs

  1. What is lumbar fusion surgery?
  2. What trends were observed in the number of lumbar fusion surgeries and doctors’ payments between 2000 and 2019?
  3. Why is it important to be aware of these trends in lumbar fusion surgeries and doctors’ payments?

Doctor’s Tip

One helpful tip a doctor might tell a patient about lumbar fusion is to carefully follow post-operative instructions, including any physical therapy or rehabilitation programs recommended by your healthcare provider. It is important to take proper care of your spine after surgery to ensure a successful recovery and optimal long-term outcomes. Additionally, maintaining a healthy lifestyle, including regular exercise and proper nutrition, can also help support the healing process and reduce the risk of complications.

Suitable For

Patients who are typically recommended for lumbar fusion surgery include those who have:

  1. Degenerative disc disease
  2. Spondylolisthesis
  3. Spinal stenosis
  4. Herniated discs
  5. Spinal fractures
  6. Failed previous spinal surgery

These patients may experience chronic back pain, leg pain, weakness, numbness, or tingling due to compression of the spinal nerves or instability of the spine. Lumbar fusion surgery is often recommended when conservative treatments such as physical therapy, medications, and injections have not provided relief. The goal of the surgery is to stabilize the spine, reduce pain, and improve function.

Timeline

Before lumbar fusion surgery:

  • Patient experiences chronic back pain, leg pain, and weakness
  • Patient undergoes diagnostic tests such as X-rays, MRI, and CT scans to determine the cause of their symptoms
  • Patient tries non-surgical treatments such as physical therapy, medications, and injections to alleviate pain

During lumbar fusion surgery:

  • Patient is placed under general anesthesia
  • Surgeon makes an incision in the lower back and removes damaged disc or bone
  • Surgeon fuses together two or more vertebrae using bone grafts, metal implants, or cages
  • Surgery can be performed using minimally invasive techniques or traditional open surgery

After lumbar fusion surgery:

  • Patient stays in the hospital for a few days for recovery
  • Patient may require physical therapy to regain strength and mobility
  • Patient needs to follow post-operative instructions to prevent complications
  • It may take several weeks to months for the patient to fully recover and return to normal activities

Overall, lumbar fusion surgery is a major procedure that can provide relief for patients with severe back and leg pain. However, it is important for patients to understand the risks and benefits of the surgery and to work closely with their healthcare team to achieve the best possible outcome.

What to Ask Your Doctor

  1. What is the success rate of lumbar fusion surgery in treating my specific condition?

  2. Are there any alternative treatments or less invasive options that I can consider before opting for lumbar fusion surgery?

  3. What are the potential risks and complications associated with lumbar fusion surgery?

  4. How long is the recovery process after lumbar fusion surgery and what can I expect in terms of pain management and physical therapy?

  5. What is the long-term prognosis for someone who undergoes lumbar fusion surgery?

  6. How many lumbar fusion surgeries have you performed and what is your success rate?

  7. What is the cost of lumbar fusion surgery and will my insurance cover it?

  8. Are there any lifestyle changes or precautions I should take after undergoing lumbar fusion surgery to prevent further complications?

  9. How soon can I expect to see improvement in my symptoms after lumbar fusion surgery?

  10. Are there any specific exercises or rehabilitation programs that I should follow post-surgery to aid in my recovery?

Reference

Authors: Singh R, Moore ML, Hallak H, Shlobin NA, Brown N, Gendreau J, Meyer J, Haglin JM, Bydon M, Gottfried ON, Patel NP. Journal: World Neurosurg. 2022 Sep;165:e191-e196. doi: 10.1016/j.wneu.2022.05.131. Epub 2022 Jun 18. PMID: 35728787