Our Summary

This study investigates the trend in the rate and cost of spinal fusion surgeries in Italy’s Lombardy Region, from 2001 to 2010. The researchers found that there was a significant increase in both the number of surgeries and the costs associated with them during this period. Most of the patients who underwent this surgery had a degenerative disease in the lower part of their spine. The study also found that the average age of patients having this surgery increased, while the length of their hospital stays decreased over the decade. The information from this study can be used to better plan for the resources needed for these surgeries in the future.

FAQs

  1. What was the trend in the rate and cost of spinal fusion surgeries in Lombardy Region, Italy, from 2001 to 2010?
  2. What was the most common reason for patients to undergo spinal fusion surgery in this study?
  3. How did the average age of patients and length of hospital stays change over the decade in relation to spinal fusion surgeries?

Doctor’s Tip

A doctor may advise a patient undergoing spinal fusion surgery to follow a strict post-operative rehabilitation plan, including physical therapy and exercises to help strengthen the muscles supporting the spine. It is important for the patient to follow their surgeon’s instructions carefully and to avoid activities that could put strain on the spine during the healing process. Additionally, maintaining a healthy weight and lifestyle can help improve the long-term success of the surgery.

Suitable For

Patients who are typically recommended spinal fusion surgery are those who have degenerative disc disease, spinal stenosis, spondylolisthesis, scoliosis, fractures, tumors, infections, or failed previous spinal surgeries. These conditions can cause chronic back pain, nerve compression, spinal instability, and other debilitating symptoms that may not respond to conservative treatments such as physical therapy, medications, and injections. The decision to undergo spinal fusion surgery is usually made after other treatment options have been exhausted and the patient’s symptoms significantly impact their quality of life.

Timeline

Before spinal fusion:

  • Patient experiences chronic back pain, weakness, numbness, and/or tingling in the legs
  • Patient undergoes diagnostic tests such as X-rays, MRI, and CT scans to determine the cause of their symptoms
  • Patient may try conservative treatments such as physical therapy, medication, and injections to alleviate their symptoms
  • If conservative treatments are unsuccessful, patient and their healthcare provider may decide that spinal fusion surgery is necessary

After spinal fusion:

  • Patient undergoes pre-operative testing and preparation for surgery
  • Patient undergoes spinal fusion surgery, where the damaged vertebrae are fused together to stabilize the spine
  • Patient stays in the hospital for a few days for recovery and monitoring
  • Patient undergoes post-operative physical therapy and rehabilitation to regain strength and mobility
  • Patient may experience some pain and discomfort during the recovery period
  • Over time, patient should experience improvement in their symptoms and be able to return to their normal activities with reduced pain and improved function

What to Ask Your Doctor

  1. What specific condition or injury is causing my need for spinal fusion surgery?
  2. What are the benefits and risks of undergoing spinal fusion surgery?
  3. Are there alternative treatments or procedures that could be considered before opting for spinal fusion?
  4. What is the success rate of spinal fusion surgery for my particular condition?
  5. What is the expected recovery time and rehabilitation process after spinal fusion surgery?
  6. Will I need to modify my lifestyle or activities after undergoing spinal fusion surgery?
  7. What are the potential complications or long-term effects of spinal fusion surgery?
  8. How many spinal fusion surgeries have you performed, and what is your success rate?
  9. What type of anesthesia will be used during the surgery, and what are the potential risks associated with it?
  10. Are there any specific pre-operative or post-operative instructions I should follow to optimize the outcome of my spinal fusion surgery?

Reference

Authors: Cortesi PA, Assietti R, Cuzzocrea F, Prestamburgo D, Pluderi M, Cozzolino P, Tito P, Vanelli R, Cecconi D, Borsa S, Cesana G, Mantovani LG. Journal: Spine (Phila Pa 1976). 2017 Sep 15;42(18):1398-1404. doi: 10.1097/BRS.0000000000002118. PMID: 28187074