When is fusion recommended?
- Spondylolisthesis and spinal instability
- Spinal stenosis requiring extensive decompression
- Spinal deformity and scoliosis
- Fractures and dislocations
- Cervical myelopathy and cervical radiculopathy (ACDF)
- Selected cases of degenerative disc disease and recurrent disc herniation
Approaches
Fusion can be performed from the back (posterior), the front (anterior), or the side (lateral), and through open or minimally invasive techniques. Common procedures include TLIF, PLIF, posterolateral fusion, and in the neck, anterior cervical discectomy and fusion (ACDF). Bone graft and an interbody cage stimulate healing, while screws and rods hold the spine in position as the fusion matures.
What to expect
Hospital stays range from one to a few days depending on the extent of surgery. Walking begins right away. Most patients return to light work in four to eight weeks, with gradual return to full activity over three to six months as the fusion solidifies.
Improving your chances of a successful fusion
- Stop all nicotine use well before and after surgery; it significantly impairs bone healing
- Optimize diabetes control and bone health
- Avoid NSAIDs after surgery unless Dr. Ferachi approves
- Walk daily and follow your activity restrictions
Common questions
Will a fusion limit my movement?
Fusing one or two lumbar levels typically has little noticeable effect on overall flexibility, because most bending comes from the hips and other spinal segments.
What is adjacent segment disease?
Over time, levels next to a fusion can take on extra stress and degenerate. It's a known long-term risk that Dr. Ferachi will discuss when weighing whether fusion is right for you.