Lumbar Fusion is a surgical technique in which one or more of the vertebrae of the spine are united together (“fused”) so that motion no longer occurs between them.
Lumbar fusion (Arthrodesis) is a major surgery performed to permanently join together two or more bones in the spine so there is no movement between them. These bones are called vertebrae.
Indications of Surgery:
A lumbar fusion surgery is designed to stop the motion at a painful vertebral segment, which in turn should decrease pain generated from the joint.
There are many potential reasons for a surgeon to consider fusing the vertebrae.
- treatment of a fractured (broken) vertebra;
- correction of deformity (spinal curves or slippages);
- elimination of pain from painful motion;
- treatment of instability; and treatment of some cervical disc herniation.
Minimally invasive techniques are developed to perform fusions with smaller incisions.The surgeon will decide and determine the approach based on the depend on the nature and location of the disease for each patient.
All spinal fusions require bone material, called a bone graft, to aid the fusion. Generally, small pieces of bone are placed into the space between the vertebrae to be fused. this is known as bone grafting.
A decompression surgery relieves nerve pain by making more space around the spinal cord and nerve roots. A second advantage of fusion is that it reduces post-decompressed deformity. Similarly, a fusion can correct any deformity the patient had before surgery and ensure that the normal alignment of the spine is restored.
Patient must have all the physical parameters stable prior to the surgery as this is a major surgery.
Recovery following fusion surgery is generally longer than for other types of spinal surgery. Patients generally stay in the hospital for three or four days, but a longer stay after more extensive surgery is not uncommon. It also takes longer to return to a normal active lifestyle after spinal fusion than many other types of surgery. This is because you must wait until your surgeon sees evidence of bone healing.
Physical activities help muscle develop strength and bring in coordination between the mind and the body parts.