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A Spinal Fusion is a technique where two or more vertebrae are fused. It is also known as Spondylodesis or Spondylosyndesis. These types of surgeries are carried out by orthopaedic or neurosurgeons. With this technique, movement between the fused vertebrae is prevented, and it can be done at any level of the spine (cervical, thoracic, lumbar, or sacral). There are numerous forms of Spinal Fusion, and all of them entail the use of bone grafting to promote the healing of the patient's bones (autograft), donor bone (allograft), or synthetic bone replacements. When the graft connects the two vertebrae, additional hardware, such as cages, screws, or plates, is frequently used to hold the bones in place. Hardware placement can be guided by robotics, navigation systems, or fluoroscopy.
Manipal Hospitals has a team of skilled specialists for spinal fusion treatment in Bhubaneswar providing better treatment outcomes by using advanced surgical interventions.
A Spinal Fusion joins two or more vertebrae together to improve stability, correct an issue, or reduce pain. Using Spinal Fusion, one can:
Reshape the spine: Spinal Fusion can assist in addressing issues related to the morphology of the spine. One illustration would be scoliosis, or the sideways curvature of the spine.
Instability or weakening of the spine: An excessive amount of movement between two vertebrae can cause instability. This is a usual consequence of severe arthritis in the spine. The spine may become more stable after Spinal Fusion.
Damaged disc: After a damaged disc is removed, the spine may be stabilised by Spinal Fusion.
Spinal Fusion surgery is often needed for various disorders affecting the lumbar, cervical, and thoracic levels of the spine. This procedure is typically performed to stabilise and decompress the spine. While the evidence for spinal stenosis is less robust, the greatest benefit of Spinal Fusion appears to be for spondylolisthesis.
One week before your surgery, if you haven't had a recent spinal X-ray, you may need to undergo some blood tests. Your medical team will go through the specifics of your surgery with you. The surgeon wants you to be ready. Here are some things to consider in the days preceding your procedure.
Follow a diet plan guided by an expert team before undergoing surgery.
Under anaesthesia, surgeons carry out Spinal Fusion procedures. Spinal Fusion surgery can be performed in a variety of ways. The surgeon's technique is determined by several factors, including the patient's body type and general health, the placement of the fused bones in the spine, and the aim of the Spinal Fusion. The process often entails the following:
Getting the spine: The surgeon makes one of three incisions to access the bones that are going to be joined. These cuts are made from the back, either on one side of the spine, in the neck, or directly above the spine. The surgeon makes incisions in the oesophagus or stomach to reach the spine from the front.
Preparing for a bone graft: Bone grafts can be obtained from a bone bank or the patient's own body, typically from the pelvis. Surgeons may substitute synthetic materials for bone transplants. The surgeon makes a small incision close to the pelvic bone, takes a portion of it, and then closes the incision.
Fusion: In order to fuse spinal bones, the surgeon places a bone graft between two bones. Metal plates, screws, and rods are used to hold bone grafts and aid in healing.
It can take four to six weeks to resume routine tasks like basic housework. Your back may take up to six months to one year to heal or recover. While your back heals, you might need to wear a back brace.
Risks associated with Spinal Fusion surgery include but are not limited to, discomfort at the graft site. A small percentage of patients experience chronic pain or discomfort at the location of the bone graft, which is uncommon but possible. Also, the possibility of infection at the surgical site.
Spinal Fusion has several drawbacks, including:
Enhanced strain on neighbouring spinal segments may accelerate deterioration.
The possibility of pseudoarthrosis, or non-union, in which the mended bones do not heal completely.
The possibility of a hardware malfunction or side effects, including infection or nerve damage.
Extended recovery and rehabilitation periods in contrast to non-fusion methods.
Although results from Spinal Fusion surgery can vary from person to person, they can last for years. How long this operation can be beneficial will depend on several factors. Years after their initial fusion surgery, some patients require a second procedure to correct alterations that occurred over time or to re-fuse their vertebrae.
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