Lumbar Fusion Surgery

Lumbar fusion surgery is a procedure designed to join two or more vertebrae in the lower back (lumbar spine) to stabilize the spine and reduce pain. This surgery is one in which Mr. Irfan Malik has expertise in and is often recommended for patients suffering from conditions such as degenerative disc disease, spinal instability, or severe back pain that has not responded to conservative treatments.

Lumbar Fusion Surgery

Quick Facts

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Common Conditions Treated:

Degenerative disc disease, spondylolisthesis, spinal stenosis

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Types of Fusion:

May involve techniques such as anterior lumbar interbody fusion (ALIF), posterior lumbar fusion (PLF), or transforaminal lumbar interbody fusion (TLIF).

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Duration:

The surgery typically lasts 2 to 6 hours, depending on complexity

Overview Key Benefits Indications Procedure Risks

Overview

During lumbar fusion surgery, the surgeon removes the damaged disc or bone and uses bone grafts (either from the patient or a donor) to fuse the adjacent vertebrae together. Metal hardware may be used to provide additional stability while the fusion heals. This procedure aims to alleviate pain, improve spinal stability, and restore function

Key Benefits

  1. Pain Relief: Reduces or eliminates back pain caused by nerve compression or instability.
  2. Improved Stability: Stabilizes the spine, preventing abnormal movement between vertebrae.
  3. Enhanced Mobility: Many patients experience improved ability to perform daily activities.
Key Benefits of Lumbar Fusion Surgery

Indications

  1. Chronic Back Pain: Persistent back pain not relieved by conservative treatments.
  2. Spinal Instability: Conditions such as spondylolisthesis or severe degenerative disc disease.
  3. Nerve Compression: Symptoms like numbness, tingling, or weakness in the legs due to nerve impingement.

 

Pre-Procedure

  1. Medical Evaluation: Comprehensive assessment, including imaging studies (MRI, X-rays) to determine the condition of the spine.
  2. Medication Review: Discontinuation of certain medications (e.g., blood thinners) prior to surgery.
  3. Fasting: Patients are instructed to avoid food and drink for several hours before surgery.
  4. Preoperative Instructions: Guidelines for pre-surgery hygiene and arrangements for post-operative care.

Procedure

  1. Anesthesia: General anesthesia is administered for patient comfort.
  2. Incision: A surgical incision is made in the lower back to access the spine.
  3. Bone Graft Placement: The damaged disc or bone is removed, and bone grafts are placed between the vertebrae to promote fusion.
  4. Stabilization: Metal rods or screws may be used to secure the vertebrae during the healing process.
  5. Closure: The incision is closed with sutures or staples.

Post-Procedure

  1. Recovery Monitoring: Patients are observed for vital signs and complications in a recovery area.
  2. Pain Management: Pain relief medications are provided to manage discomfort.
  3. Physical Therapy: Rehabilitation may begin soon after to promote mobility and strength.
  4. Follow-Up Care: Scheduled appointments to check the surgical site and monitor recovery progress.
  5. Activity Restrictions: Patients are advised to avoid heavy lifting and strenuous activities during the initial healing phase.
Risks of Lumbar Fusion Surgery

Risks

  1. Infection: Risk of infection at the surgical site.
  2. Nerve Damage: Potential injury to surrounding nerves, leading to pain or loss of function.
  3. Bleeding: Possible excessive bleeding during or after surgery.
  4. Failed Fusion: Risk that the vertebrae may not fuse properly, necessitating further surgery.
  5. Chronic Pain: Some patients may continue to experience pain after the procedure.

 

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