What is Spinal Fusion?
The operation of spinal fusion is performed to correct issues related to the little bones of the spine. The fusion is primarily in deep trouble eliminating the pain that has been caused by abnormal motion of the vertebrae. spinal fusion is essentially performed within the body part region of the spine and is additionally wont to treat pectoral and cervical issues. fusion relieves symptoms of many back issues that includes –
• Degenerative disk disease
• Spinal stenosis
The basic role of spinal fusion with Instrumentation & Stabilization is to produce further spinal stability whereas setting-up associate surroundings for fusion. numerous types of medical instrumentation devices are developed to assist successful spinal fusion as bones tend to fuse effectively during a stabilised atmosphere with very little motion. Instrumentation may be a style of ingrained medical device that helps fusion set-up by limiting motion at the united phase. Sometimes manufactured from titanium or stainless steel, instrumentation devices usually are available in several shapes & sizes to suit specific set-ups.
Types of Spinal Fusion Surgery:-
Lumbar spinal fusion can be divided into two categories.
• Posterolateral Fusion : In the back of the spine, the bone graft is placed in amid the transverse processes. With the help of wires and screws, the vertebrae is carefully fixed throughout the particles of every vertebrae. A rod is made up of metal which is attached on the side of vertebrae.
• Interbody Fusion : In this, the graft of the bone is placed in between the vertebrae and the area is generally engaged by the intervertebral disc. The disc is entirely removed in preparing for the spinal fusion. In order to maintain the disc height and spine alignment, a device can be placed in between the vertebrae. This device (intervertebral device) can either be prepared from titanium or plastic.
Then the fusion starts in between the vertebrae’s endplates. Interbody fusion is of 3 types-
o Posterior Lumbar Interbody Fusion (PLIF)
o Transforaminal Lumbar Interbody Fusion (TLIF)
o Anterior Lumbar Interbody Fusion (ALIF)
o Transpsoas Interbody Fusion (XLIF or DLIF)
Posterior Lumbar Interbody Fusion (PLIF)
In Posterior lumbar interbody fusion, the spinal fusion is achieved through a surgical incision made on the posterior (back) aspect of spine. It aims at fusion of two adjacent vertebrae in cases of spinal instability and associated back pain. It is a popular procedure as it gives excellent results. The procedure provides almost complete relief of symptoms in 90-95% of the cases and the patients are able to return to their daily activities within a few weeks. The patients can also return to most of their recreational activities.
Who can perform my spinal surgery?
Both neurosurgeons and orthopedists are trained in spinal surgery and that they each perform the surgery. it’s vital that your doctor has experience in performing arts this sort of surgery.
Procedure for Posterior Lumbar Interbody Fusion (PLIF)
PLIF surgery aims at achieving spinal stability through bony fusion.
The Open PLIF is the traditional technique which is performed using general anesthesia. The patient is made to lie down on his front side on the table with the low back exposed. A 3-6 inch long incision is made on the skin overlying the affected vertebrae. The skin and the fascia are cut open. The underlying muscles are retracted and the affected vertebrae are identified. Fluoroscopic X-ray is used to confirm the exact location of the affected vertebrae. Then a complete laminectomy (removal of the lamina of the vertebrae) followed by bilateral foraminotomy (enlargement of the foramen by removing the bony spurs) and/or discectomy (removal of offending disc) are performed.
This relieves the compression off the spinal nerves, allowing them to come to their normal size and shape. The area is checked for any remaining bony outgrowth or disc fragments that may compress the nerves. Autogenic bone grafts or Metal or plastic implants are fitted in the empty disc space for initiating bone growth.
What should I do when the surgery?
Resume our low-impact activities as shortly as possible, beginning with walking. Walk a trifle farther daily. Once your staples are removed, you’ll swim, that is a wonderful variety of exercise for patients with back issues.
Could I be paralyzed?
The probabilities of such injury are terribly low and also the chance of fatal injuries like paralysis, impotence or loss of bladder management is very unlikely.
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