M.D. Insights
Setting Realistic Expectations for Spinal Fusion
Jessica Shields, MD
Neurosurgery
Setting Realistic Expectations for Spinal Fusion
When spinal fusion surgery is recommended, you may have questions about what it involves, how it may help relieve your symptoms, and what you can expect during recovery. My goal as your surgeon is to ensure you feel fully informed and comfortable as you or a loved one prepares for this procedure.
What Is Spinal Fusion?
In spinal fusion surgery, we join two or more bones in the spine to stabilize and support the affected area. By “fusing” these bones, we help reduce movement in the problem area, which helps relieve pain and restore stability to your spine. This procedure is commonly performed for conditions like fractures, degenerative disc disease, and spinal instability.
The Surgical Approach and Hospital Stay
The approach to your spinal fusion depends on your specific condition. Sometimes we access the spine from the front, back or side. This varies based on what will provide an optimal result for you. Some patients may stay in the hospital for one to two days, where our focus is on ensuring you’re comfortable, able to walk, use the bathroom independently, and manage pain before heading home.
Recovery at Home: The First Few Weeks
Once you’re home, give your body the rest it needs to heal. For the first four to six weeks, avoid heavy lifting or strenuous activities as the fusion takes hold. Most patients gradually resume their usual activities around six weeks post-surgery, under the guidance of their healthcare team.
Long-Term Outcomes: Will My Fusion Last?
Spinal fusion is generally a. Once the bones fuse successfully, they stay that way, providing stability for a lifetime. While rare, incomplete fusion or healing issues may occur, sometimes requiring additional surgery. Still, this procedure may help provide long-term relief and stable fusion over time.
Do I Really Need Back Surgery?
We don’t recommend surgery unless we believe it will provide meaningful relief. Typically, spinal fusion is suggested after other treatments, like physical therapy or pain management, haven’t been effective. If imaging and your medical history indicate that fusion could help, we’ll discuss the options so you can make an informed decision.
Is It Possible To Wait Too Long for Surgery?
It’s natural to feel cautious about spine surgery, but waiting too long may sometimes make recovery harder. Prolonged nerve compression may lead to lasting nerve damage. Even if you’re uncertain, it can be helpful to visit your doctor to discuss the potential risks of waiting.
Frequently Asked Questions
How much pain will I have after spinal fusion surgery?
You can expect some discomfort, especially in the first few days. Our team will work with you on pain management while you’re in the hospital and provide guidance for managing pain at home.
Will I need physical therapy after surgery?
may often be part of the recovery process. It helps to regain strength, flexibility and mobility. Your therapy plan will be customized based on your specific needs and progress.
Can spinal fusion limit my movement?
The surgen only in the fused section of your spine, which often doesn’t impact daily activities. You’ll still have flexibility in other parts of your back.
When can I drive again after surgery?
It’s best to wait until you’re off pain medication and can comfortably move your head and neck if driving. Always check with your doctor first.
Are there any long-term side effects?
Long-term side effects are uncommon. In some cases, the segments of the spine adjacent to the fused area may experience increased wear over time. Routine follow-ups with your doctor can help monitor your spine’s health.