Our Summary

This research paper discusses a recent trend in spinal surgery, known as minimally invasive spine arthrodesis (fusion). This technique has both pros and cons compared with traditional, more invasive surgery. Studies have shown that the minimally invasive method usually results in less blood loss, less post-surgery pain, and shorter hospital stays. However, it’s still unclear whether this method is better in the long run, in terms of patient satisfaction and the success of the fusion. More research is needed to determine the best technique for long-term results. Other factors such as patient safety, the risk of complications, and the cost of these techniques also need to be considered.

FAQs

  1. What is minimally invasive spine arthrodesis?
  2. What are the advantages of minimally invasive spine arthrodesis over traditional surgery?
  3. Is the minimally invasive method more successful in the long run compared to traditional surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about spinal fusion is to follow post-operative instructions carefully, including proper wound care, physical therapy, and avoiding activities that could put strain on the spine. It is important to attend all follow-up appointments and communicate any concerns or changes in symptoms to your healthcare provider. Additionally, maintaining a healthy lifestyle with regular exercise and a balanced diet can help promote healing and overall spine health.

Suitable For

Patients who are typically recommended for spinal fusion surgery include those with:

  1. Degenerative disc disease: This condition causes the discs between the vertebrae to deteriorate, leading to pain and instability in the spine.

  2. Spondylolisthesis: This is a condition where one vertebra slips forward over the one below it, causing pain and nerve compression.

  3. Spinal stenosis: This condition involves the narrowing of the spinal canal, leading to pressure on the spinal cord and nerves.

  4. Herniated disc: When the gel-like interior of a spinal disc leaks out and puts pressure on nearby nerves, surgery may be necessary to alleviate the pain.

  5. Spinal fractures: Traumatic injuries to the spine may require fusion surgery to stabilize the affected vertebrae.

  6. Spinal deformities: Conditions such as scoliosis or kyphosis may require fusion surgery to correct abnormal curvature of the spine.

Overall, patients who have not responded well to conservative treatments such as physical therapy, medications, and injections may be recommended for spinal fusion surgery to address their spinal issues and improve their quality of life.

Timeline

Before spinal fusion:

  • Patient experiences chronic back pain, weakness, numbness, or tingling in the legs
  • Patient undergoes diagnostic tests such as X-rays, MRIs, and CT scans to determine the cause of their symptoms
  • Patient may try conservative treatments such as physical therapy, medications, and injections to manage their pain
  • If conservative treatments are not effective, the patient may be recommended for spinal fusion surgery

After spinal fusion:

  • Patient undergoes minimally invasive or traditional spinal fusion surgery
  • Patient stays in the hospital for a few days to recover and receive post-operative care
  • Patient may experience pain and discomfort during the initial recovery period
  • Patient undergoes physical therapy to regain strength and mobility in the spine
  • Over time, the patient should experience a reduction in back pain and improvement in their overall quality of life

It is important for patients to follow their surgeon’s post-operative instructions and attend follow-up appointments to ensure a successful recovery from spinal fusion surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with spinal fusion surgery?
  2. How long is the recovery process after spinal fusion surgery?
  3. Will I need physical therapy or rehabilitation after the surgery?
  4. What are the success rates of spinal fusion surgery in terms of pain relief and improved function?
  5. Are there any alternative treatments or therapies that I should consider before opting for spinal fusion surgery?
  6. How will spinal fusion surgery affect my daily activities and quality of life?
  7. What is the expected outcome in terms of pain relief and improved mobility after spinal fusion surgery?
  8. How long do the results of spinal fusion surgery typically last?
  9. What is the likelihood of needing additional surgery or experiencing complications in the future?
  10. What is the expected timeline for returning to work or regular activities after spinal fusion surgery?

Reference

Authors: Lee MJ, Mok J, Patel P. Journal: J Am Acad Orthop Surg. 2018 Feb 15;26(4):124-131. doi: 10.5435/JAAOS-D-15-00756. PMID: 29337717