FROM OUR EXPERTS
Vertebral interbody fusion; Posterior spinal fusion; Arthrodesis; Anterior spinal fusion; Spine surgery - spinal fusion
Weinstein JN, Tosteson TD, Lurie JD, et al. Surgical versus nonsurgical therapy for lumbar spinal stenosis. N Engl J Med . 2008;358:794-810.
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In this study 208 patients were followed for two years after spinal fusion. Each one donated bone from the pelvis for the graft. Patients were asked about pain and appearance of the donor site. Pain was measured by intensity and by how long it lasted. The researchers found that one-third of the patients still had pain two years after the operation. Most of the patients (84 percent) thought the graft site looked "good" at the end of two years. About 16 percent said it looked "fair" or "poor." Other studies have reported this problem of graft site pain lasting for months to years. Many of those studies are done by reading the patients' charts (called a retrospective study ). This study was different in that the patients were contacted directly at six weeks, three, six, 12, and 24 months. The authors report it doesn't seem to matter which side (right or left) the graft comes from. Whether the graft is removed from the front of the body or from the side doesn't seem to make any difference eit...
Lumbar spinal surgery is used to correct problems with the spinal bones (vertebrae), disks, or nerves of the lower back (lumbar spine).
Spinal surgery - cervical
Lumbar spinal surgery
The spine consists of bones (vertebrae) separated by soft cushions (disks). Pressure on the nerves that branch off the spinal cord can produce pain, numbness , tingling , or weakness.
Lumbar spinal surgery is done while you are under general anesthesia (unconscious and pain-free). A surgical cut is made over the area of the problem. The bone that curves around and covers the spinal cord and the tissue that presses on the nerve or spinal cord are removed.
The hole through which the nerve passes may be widened to prevent further pressure on the nerve. Sometimes, spinal fusion is necessary to stabilize the area.
Patients with spinal pain in the neck or back are usuall...
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