Spinal fusion

Alternative names:

anterior spinal fusion; arthrodesis; Harrington rod insertion; Luque rod insertion; posterior spinal fusion; spinal fusion with instrumentation

Expectations after surgery:

The outcome from this surgery is usually very successful today with the many available techniques and instruments.

Convalescence:

The patient will be hospitalized for several days after surgery. The repaired spine should be kept in proper position (alignment).

The patient will be taught how to move properly, how to reposition, sit, stand and walk. While in bed, turn frequently using a "log-rolling" technique, meaning that the entire body is moved as a unit, not twisting the spine.

There is usually considerable pain for the first few days after surgery and pain medication will be given regularly, perhaps by a patient-controlled analgesia (PCA). The patient will probably have a urinary catheter. Because of the risk of temporary decreased or absent intestinal function (paralytic ileus) after spinal surgery, the patient may not be able to eat for two to three days and will be fed intravenously.

The patient may be discharged with a back brace or cast and the family will be taught how to care for this at home.