Title: Best Spinal Fusion Surgery Hospitals in India
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- What Is Spinal Fusion?
- Spinal fusion is a surgical treatment during
which two or additional vertebrae are for good
joined into one solid bone with no area between
them. Vertebrae are the tiny, interlocking bones
of the spine. In spinal fusion, extra bone is
used to fill the area that sometimes exists
between the two separate vertebrae. once the bone
heals, theres no longer area between them. - Spinal fusion is also known as
- arthrodesis
- anterior spinal fusion
- posterior spinal fusion
- vertebral interbody fusion
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Uses of Spinal Fusion Spinal fusion is performed
to treat or relieve symptoms of many spinal
problems. The procedure removes mobility between
the two treated vertebrae. This may decrease
flexibility, but its useful for treating spinal
disorders that make movement painful. These
disorders include tumors spinal
stenosis herniated bulging disks degenerative
disk disease fractured vertebrae that may be
making your spinal column unstable scoliosis
(curvature of the spine) kyphosis (abnormal
rounding of the upper spine) spinal weakness or
instability due to severe arthritis, tumors, or
infections spondylolisthesis (a condition in
which one vertebra slips onto the vertebra below
it, causing severe pain)
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A spinal fusion procedure may also include a
diskectomy. When performed alone, a diskectomy
involves removing a disk due to damage or
disease. When the disk is removed, bone grafts
are placed into the empty disk space to maintain
the right height between bones. Your doctor uses
the two vertebrae on either side of the removed
disk to form a bridge (or fusion) across the bone
grafts to promote long-term stability. When
spinal fusion is performed in the cervical spine
along with a diskectomy, its called cervical
fusion. Instead of removing a vertebra, the
surgeon removes disks or bone spurs from the
cervical spine, which is in the neck. There are
seven vertebrae separated by intervertebral disks
in the cervical spine.
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Preparing for Spinal Fusion Typically, the
preparation for spinal fusion is like other
surgical procedures. It requires preoperative
laboratory testing. Before spinal fusion, you
should tell your physician about any of the
following cigarette smoking, which may reduce
your ability to heal from spinal fusion alcohol
use any illnesses you have, including colds, the
flu, or herpes any prescription or
over-the-counter medications youre taking,
including herbs and supplements
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Youll want to discuss how the medications youre
taking should be used before and after the
procedure. Your doctor may provide special
instructions if youre taking medications that
could affect blood clotting. These include
anticoagulants (blood thinners), such as
warfarin, and nonsteroidal anti-inflammatory
drugs (NSAIDs), including aspirin and
ibuprofen. Youll be given general anesthesia,
so youll need to fast for at least eight hours
before your procedure. On the day of surgery, use
only a sip of water to take any medications your
physician has recommended.
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How Is Spinal Fusion Performed? Spinal fusion is
performed in the surgical department of a
hospital. Its done using general anesthesia, so
you wont be conscious or feel any pain during
the procedure. During the procedure, youll be
lying down and have a blood pressure cuff on your
arm and heart monitor leads on your chest. This
allows your surgeon and anesthesia provider to
monitor your heartbeat and blood pressure during
surgery. The whole procedure may take several
hours. Your surgeon will prepare the bone graft
that will be used to fuse the two vertebrae. If
your own bone is being used, your surgeon will
make a cut above the pelvic bone and remove a
small section of it. The bone graft may also be a
synthetic bone or an allograft, which is a bone
from a bone bank. Depending on where the bone
will be fused, your surgeon will make an incision
for placement of the bone.
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If youre having a cervical fusion, your surgeon
will often make a small incision in the
horizontal fold of the front of your neck to
expose the cervical spine. The bone graft will be
placed between the affected vertebrae to join
them. Sometimes, the graft material is inserted
between the vertebrae in special cages. Some
techniques place the graft over the back part of
the spine. Once the bone graft is in place, your
surgeon will may use plates, screws, and rods so
that the spine wont move. This is called
internal fixation. The added stability provided
by the plates, screws, and rods helps the spine
to heal faster and with a higher rate of success.
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- Complications of Spinal Fusion
- Spinal fusion, like any surgery, carries the risk
of certain complications, such as - infection
- blood clots
- bleeding and blood loss
- respiratory problems
- heart attack or stroke during surgery
- inadequate wound healing
- reactions to medications or anesthesia
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- Spinal fusion also carries the risk of the
following rare complications - infection in the treated vertebrae or wound
- damage to a spinal nerve, which can cause
weakness, pain, and bowel or bladder problems - additional stress on the bones adjacent to the
fused vertebrae - persistent pain at the bone graft site
- blood clots in the legs that can be
life-threatening if they travel to the lungs - The most serious complications are blood clots
and infection, which are most likely to occur
during the first weeks following surgery.
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- Contact your doctor or seek emergency help if you
experience any of theses symptoms of a blood
clot - a calf, ankle, or foot that suddenly swells
- redness or tenderness above or below the knee
- calf pain
- groin pain
- shortness of breath
- Contact your physician or seek emergency help if
you experience any of the following symptoms of
infection - swelling or redness at the edges of the wound
- drainage of blood, pus, or other liquid from the
wound - fever or chills or elevated temperature over 100
degrees - shaking
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