Our Summary

This study looked at people who had undergone a specific type of back surgery (lumbosacral fusion) and the effects this had on a joint in the lower back and pelvis area (the sacroiliac joint, or SIJ). The researchers found that about 4% of these patients developed problems with their SIJ after surgery. These patients also had specific changes in their posture and alignment (lower pelvic tilt and L5 incidence) compared to those who didn’t develop these issues. The study suggests that weak hamstring muscles might contribute to these changes, potentially leading to SIJ problems. So, strengthening exercises for the hamstring muscles might help prevent these issues after this type of back surgery.

FAQs

  1. What percentage of patients developed issues with their Sacroiliac Joint (SIJ) after lumbosacral fusion?
  2. What specific changes in posture and alignment were observed in patients who developed SIJ problems after the surgery?
  3. How can strengthening exercises for the hamstring muscles potentially help prevent SIJ issues after lumbosacral fusion surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about lumbar fusion is to follow a structured rehabilitation program that includes exercises to strengthen the muscles supporting the spine, such as the hamstrings. This can help improve posture and alignment, reducing the risk of developing problems with the sacroiliac joint after surgery. It is important to work closely with a physical therapist or rehabilitation specialist to ensure proper technique and progression of exercises.

Suitable For

Patients who are typically recommended lumbar fusion surgery are those with severe back pain or leg pain that has not improved with conservative treatments such as physical therapy, medications, or injections. These patients may have conditions such as degenerative disc disease, spondylolisthesis, spinal stenosis, or a spinal fracture. Additionally, patients with instability in the spine or those who have had a previous failed back surgery may also be candidates for lumbar fusion. It is important for patients to discuss their symptoms and treatment options with their healthcare provider to determine if lumbar fusion is the best course of action for their specific condition.

Timeline

Before lumbar fusion:

  1. Patient experiences chronic lower back pain and possibly leg pain, numbness, or weakness.
  2. Patient undergoes various conservative treatments such as physical therapy, medications, injections, and lifestyle modifications.
  3. If conservative treatments fail to provide relief, patient and their healthcare provider decide that lumbar fusion surgery is necessary.

After lumbar fusion:

  1. Patient undergoes the surgical procedure to fuse together the affected vertebrae in the lower back.
  2. Patient typically stays in the hospital for a few days for monitoring and recovery.
  3. Patient undergoes physical therapy and rehabilitation to regain strength, flexibility, and range of motion in the back.
  4. Patient may experience some pain and discomfort during the initial recovery period.
  5. Over time, as the fusion heals, the patient should experience a reduction in back pain and improved overall function.
  6. Patient continues with follow-up appointments with their healthcare provider to monitor progress and address any concerns.

It is important for patients to follow their healthcare provider’s recommendations for post-operative care and rehabilitation to ensure the best possible outcome after lumbar fusion surgery.

What to Ask Your Doctor

  1. What is lumbar fusion and why is it recommended for me?
  2. What are the potential risks and complications associated with lumbar fusion?
  3. How long is the recovery process after lumbar fusion surgery?
  4. Will I need physical therapy or rehabilitation after the surgery?
  5. Are there any specific lifestyle changes or precautions I should take after the surgery?
  6. How long do the effects of lumbar fusion typically last?
  7. What are the chances of developing issues with the sacroiliac joint after lumbar fusion surgery?
  8. Are there any specific exercises or physical therapy techniques I can do to prevent SIJ problems post-surgery?
  9. How often should I follow up with you after the surgery?
  10. Are there any signs or symptoms I should watch for that may indicate a complication or issue with the surgery?

Reference

Authors: Nessim A, Cho W, Yang XA, Applebaum A, Sekerak R, Brill S, Kim SY. Journal: Spine (Phila Pa 1976). 2021 Aug 15;46(16):E888-E892. doi: 10.1097/BRS.0000000000003998. PMID: 34398136