Our Summary

This research paper discusses the role of an RN circulator, a type of nurse, in a specific type of back surgery called minimally invasive spinal fusion. The job of the RN circulator is to make sure that all the necessary tools and people are present for the procedure and to keep the operation room safe and clean. This type of surgery is better for patients as it leads to less blood loss, shorter hospital stays, and lower costs compared to traditional back surgery. The success rate and improvement in patients’ quality of life are the same for both surgical methods. Additionally, the use of navigation, or guidance tools, during the procedure lowers the risk of exposure to harmful radiation for both the patient and the medical team. It also ensures that screws used in the surgery are placed more accurately.

FAQs

  1. What is the role of an RN circulator in minimally invasive spinal fusion surgery?
  2. What are the benefits of minimally invasive spinal fusion compared to traditional back surgery?
  3. How does the use of navigation or guidance tools during the procedure improve safety and accuracy?

Doctor’s Tip

A doctor might tell a patient undergoing spinal fusion surgery to make sure to follow all post-operative instructions carefully, including proper wound care, physical therapy exercises, and avoiding heavy lifting or strenuous activities. It is important to attend all follow-up appointments to monitor the healing process and address any concerns promptly. Additionally, maintaining a healthy lifestyle, including regular exercise and a balanced diet, can help support the recovery process and improve overall outcomes.

Suitable For

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

  1. Degenerative disc disease: This condition occurs when the discs between the vertebrae in the spine start to break down, leading to pain and discomfort. Spinal fusion can help stabilize the spine and reduce symptoms.

  2. Spondylolisthesis: This is a condition where one vertebra slips forward over the one beneath it, causing spinal instability and nerve compression. Spinal fusion can help realign the vertebrae and relieve pressure on the nerves.

  3. Spinal stenosis: This is a narrowing of the spinal canal that can compress the spinal cord and nerves, leading to pain, weakness, and numbness. Spinal fusion can help decompress the spinal canal and alleviate symptoms.

  4. Spinal fractures: Fractures in the vertebrae due to trauma or osteoporosis can cause instability and pain. Spinal fusion can help stabilize the spine and promote healing of the fracture.

  5. Scoliosis: This is a curvature of the spine that can cause pain and deformity. Spinal fusion can help straighten the spine and improve symptoms.

  6. Failed back surgery syndrome: Some patients may continue to experience pain and disability after previous back surgeries. Spinal fusion may be recommended to address persistent symptoms and improve function.

It is important for patients to undergo a thorough evaluation by a spine specialist to determine if they are suitable candidates for spinal fusion surgery. Factors such as overall health, severity of symptoms, and response to conservative treatments will be taken into consideration before recommending surgery.

Timeline

Before the spinal fusion surgery, a patient will typically undergo a series of diagnostic tests such as X-rays, MRIs, and CT scans to determine the extent of their spinal condition. They will also meet with their surgeon to discuss the procedure, risks, and expected outcomes. The patient may also need to undergo physical therapy or other treatments to prepare for surgery.

During the spinal fusion surgery, the patient will be under general anesthesia and the surgeon will make small incisions in the back to access the spine. The surgeon will then insert screws, rods, or plates to stabilize the spine and promote fusion of the vertebrae. The surgery can take several hours to complete.

After the spinal fusion surgery, the patient will typically stay in the hospital for a few days for monitoring and pain management. They will gradually start physical therapy to regain strength and mobility in the spine. It can take several weeks to months for the patient to fully recover and see the full benefits of the surgery. Follow-up appointments with the surgeon will be scheduled to monitor the healing process and address any concerns.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with spinal fusion surgery?
  2. How long is the recovery period after spinal fusion surgery?
  3. Will I need physical therapy or rehabilitation after the surgery?
  4. What type of anesthesia will be used during the procedure?
  5. How many spinal fusion surgeries have you performed, and what is your success rate?
  6. What is the expected outcome and improvement in my quality of life after the surgery?
  7. Will I need to restrict my activities or make any lifestyle changes after the surgery?
  8. Are there any alternative treatments to spinal fusion that I should consider?
  9. How long will I need to stay in the hospital after the surgery?
  10. What type of follow-up care will be necessary after the surgery?

Reference

Authors: Jordan RS. Journal: AORN J. 2018 Sep;108(3):275-284. doi: 10.1002/aorn.12345. PMID: 30156717