Our Summary

This research paper looks into the connection between the length of a spinal surgery and the likelihood of complications or negative side effects. The study analyzed data from 336 patients who had spinal surgery because of cancer or degenerative diseases at a single medical center. The researchers found that out of these patients, 105 had complications related to surgery, with a significant number occurring in the early post-operative period (after surgery). They found out that the longer the surgery took, the higher the risk of complications during surgery, and in the early and late post-operative periods. Therefore, this study suggests that doctors should aim to reduce the length of spinal surgeries to lower the risk of complications, while still ensuring the safety of the patient and the success of the procedure.

FAQs

  1. What is the connection between the length of spinal surgery and the likelihood of complications?
  2. Does the risk of complications increase if the spinal surgery takes longer?
  3. How can doctors reduce the risk of complications during and after spinal surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about spinal surgery is to follow all pre-operative instructions given by the medical team, such as stopping certain medications or fasting before surgery. Additionally, it is important to maintain a healthy lifestyle leading up to the surgery, including proper nutrition and exercise, to optimize healing and recovery. Finally, post-operative care and rehabilitation are crucial for a successful outcome, so be sure to follow all instructions provided by your healthcare team.

Suitable For

Patients who are typically recommended spinal surgery include those with:

  1. Degenerative disc disease
  2. Herniated discs
  3. Spinal stenosis
  4. Scoliosis
  5. Spinal fractures
  6. Spinal tumors
  7. Spinal infections

These conditions can cause significant pain, weakness, numbness, or other neurological symptoms that can impact a person’s quality of life. In some cases, conservative treatments such as physical therapy, medication, or injections may not provide sufficient relief, and surgery may be recommended to address the underlying issue.

It is important for patients to discuss the risks and benefits of spinal surgery with their healthcare provider to determine if it is the best course of action for their specific condition. Spinal surgery is typically recommended when conservative treatments have been exhausted, and the potential benefits of surgery outweigh the risks.

Timeline

Before spinal surgery:

  1. Consultation with a spine specialist to discuss treatment options and determine if surgery is necessary.
  2. Pre-operative testing such as imaging, blood work, and physical exams to assess the patient’s overall health and the condition of their spine.
  3. Preparing for surgery by following pre-operative instructions such as fasting and stopping certain medications.
  4. Signing consent forms and discussing potential risks and benefits of the surgery with the surgeon.

After spinal surgery:

  1. Immediate post-operative period in the recovery room where the patient is monitored closely for any complications.
  2. Transfer to a hospital room for further monitoring and pain management.
  3. Physical therapy and rehabilitation to help the patient regain strength and mobility.
  4. Follow-up appointments with the surgeon to monitor healing progress and address any concerns or complications.
  5. Long-term follow-up to assess the success of the surgery and monitor for any potential complications or recurrence of symptoms.

What to Ask Your Doctor

  1. What specific type of spinal surgery do you recommend for my condition?
  2. What are the potential risks and complications associated with this type of spinal surgery?
  3. How long will the surgery take to complete?
  4. What is the recovery process like after spinal surgery?
  5. Will I need any physical therapy or rehabilitation after the surgery?
  6. What are the success rates for this type of spinal surgery?
  7. Are there any alternative treatment options to consider before undergoing surgery?
  8. How many times have you performed this type of spinal surgery, and what is your success rate?
  9. What can I do to prepare for the surgery and improve my chances of a successful outcome?
  10. What should I expect in terms of pain management and medication after the surgery?

Reference

Authors: Monetta A, Griffoni C, Falzetti L, Evangelisti G, Noli LE, Tedesco G, Cavallari C, Bandiera S, Terzi S, Ghermandi R, Girolami M, Pipola V, Gasbarrini A, Brodano GB. Journal: J Orthop Surg Res. 2024 Sep 14;19(1):567. doi: 10.1186/s13018-024-05066-3. PMID: 39272113