Our Summary

Spinal surgery is a complex procedure used to fix issues in the spine. Part of this surgery involves closing the wound properly to prevent infections and ensure the best healing process. Recent advancements in a technology called barbed sutures, specifically a type called STRATAFIX™ Symmetric, are showing promising improvements in how these surgeries are performed.

A study by Steven R. Glener and his team compared this new type of suture to the traditional type used in spinal surgeries. Their results showed that while the time it took to close the wound was not significantly different, the newer sutures were more effective in closing the wound and required fewer stitches. This not only reduces the amount of materials used in surgery, but also lowers the risk of accidental injuries from the needle.

Despite these advantages, these new sutures are not being used as much as they could be in neurosurgery. Research suggests that they could greatly decrease the time it takes to close wounds in complex spinal surgeries, without reducing the quality of patient outcomes.

The findings suggest that using these newer sutures could improve the efficiency of spinal surgeries and patient care. However, more research is needed, with larger groups of patients and across multiple medical centers, to confirm these benefits and improve surgical methods, ultimately leading to better results for patients.

FAQs

  1. What is the purpose of spinal surgery?
  2. How does STRATAFIX™ Symmetric compare to traditional braided absorbable sutures in spinal surgery?
  3. What are the potential benefits of using barbed suture technology like STRATAFIX™ Symmetric in spinal surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about spinal surgery is to follow all post-operative care instructions carefully to ensure proper healing and reduce the risk of complications. This may include restrictions on activities, proper wound care, and attending follow-up appointments as scheduled. It is also important to communicate any concerns or changes in symptoms to your healthcare provider promptly.

Suitable For

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

  1. Degenerative disc disease
  2. Herniated discs
  3. Spinal stenosis
  4. Scoliosis
  5. Spinal fractures
  6. Infections or tumors in the spine
  7. Spinal instability or deformities

These conditions can cause severe pain, weakness, numbness, and other neurological symptoms that may not respond to conservative treatments such as physical therapy or medication. In such cases, spinal surgery may be recommended to alleviate symptoms, improve mobility, and prevent further damage to the spine.

Timeline

Before spinal surgery:

  • Patients typically undergo a series of diagnostic tests, such as X-rays, MRIs, and CT scans, to determine the extent of the spinal issue.
  • They may receive conservative treatments such as physical therapy, medications, or injections to manage symptoms.
  • Patients will meet with their surgeon to discuss the procedure, potential risks and benefits, and post-operative care.
  • Pre-operative preparations may include blood tests, imaging, and other assessments to ensure the patient is fit for surgery.

After spinal surgery:

  • Patients will be closely monitored in the recovery room before being transferred to a regular hospital room.
  • They will receive pain management medications and be encouraged to start moving and walking as soon as possible.
  • Physical therapy and rehabilitation may be initiated to help regain strength and mobility.
  • Follow-up appointments with the surgeon will be scheduled to monitor the healing process and address any concerns.
  • It may take several weeks to months for patients to fully recover and return to their normal activities, depending on the type of surgery performed.

What to Ask Your Doctor

  1. What specific type of spinal surgery do I need and why?

  2. What are the potential risks and complications associated with this surgery?

  3. What is the expected recovery time and rehabilitation process after the surgery?

  4. How experienced are you in performing this type of spinal surgery?

  5. What alternative treatment options are available and how do they compare to surgery?

  6. Will I need to undergo any additional tests or evaluations before the surgery?

  7. What type of anesthesia will be used during the surgery and what are the potential side effects?

  8. How long will the surgery take and what can I expect during the procedure?

  9. What type of post-operative care and follow-up appointments will be necessary?

  10. Are there any specific restrictions or precautions I should follow after the surgery?

Reference

Authors: Aiman U, Shahzad UB. Journal: Neurosurg Rev. 2024 Aug 22;47(1):457. doi: 10.1007/s10143-024-02733-1. PMID: 39168924