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March 25, 2019

Spinal fusion

spinal fusion surgery

Spinal Fusion in Iran

Spinal Fusion definition

Spinal fusion in Iran is a surgical procedure used to correct problems with the small bones in the spine (vertebrae). It is essentially a "welding" process. The basic idea is to fuse together two or more vertebrae so that they heal into a single, solid bone. This is done to eliminate painful motion or to restore stability to the spine.

Spine surgery in Iran is usually recommended only when your doctor can pinpoint the source of your pain. To do this, your doctor may use imaging tests, such as x-rays, computerized tomography (CT) scans, and magnetic resonance imaging (MRI) scans.

Spinal fusion in Iran permanently connects two or more vertebrae in your spine to improve stability, correct a deformity or reduce pain.

The surgery can take several hours.

Why you need this surgery

Spinal fusion in Iran will be performed to treat:

. Deformities of the spine. Spinal fusion can help correct spinal deformities, such as a sideways curvature of the spine (scoliosis).

. Spinal weakness or instability. Your spine may become unstable if there's abnormal or excessive motion between two vertebrae. This is a common side effect of severe arthritis in the spine. Spinal fusion can be used to restore spinal stability in such cases.

. Herniated disk. Spinal fusion may be used to stabilize the spine after removal of a damaged (herniated) disk.

Spinal fusion may also help relieve symptoms of many back problems, including:

. Degenerative disk disease (the space between disks narrows; sometimes they rub together spaces).

. Spondylolisthesis (forward shifting of a spinal disk)

. Spinal stenosis (narrowing of the spinal canal)

. Fractured vertebra (broken spinal bone)

. Spine Infection

. Tumors

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As with any surgery, there are risks associated with spinal fusion. Your doctor will discuss each of the risks with you before your procedure and will take specific measures to help avoid potential complications.

Potential risks and complication of spinal fusion include:

. Infection. Antibiotics are regularly given to the patient before, during, and often after surgery to lessen the risk of infections.

. Bleeding. A certain amount of bleeding is expected, but this is not typically significant. It is not usually necessary to donate blood before spinal fusion. 

. Pain at graft site. A small percentage of patients will experience persistent pain at the bone graft site.

. Recurring symptoms. Some patients may experience a recurrence of their original symptoms. There are various causes for this. If your original symptoms recur, inform your doctor so that he or she can determine what is causing your symptoms.

. Pseudarthrosis. This is a condition in which there is not enough bone formation. Patients who smoke are more likely to develop a pseudarthrosis. Other causes include diabetes and older age. Moving too soon—before the bone is able to start fusing—may also result in a pseudarthrosis. If this occurs, a second surgery may be needed in order to obtain a solid fusion.

. Nerve damage. It is possible that nerves or blood vessels may be injured during these operations. These complications are very rare.

. Blood clots. Another uncommon complication is the formation of blood clots in the legs. These pose significant danger if they break off and travel to the lungs.

. Donor bone graft complications like infection or tissue rejection.

How you prepare for spinal fusion surgery

Preparation before surgery may involve trimming hair over the surgical site and cleaning the area with a special soap or antiseptic. Additionally, the surgical team may order monitoring of any unhealthy bacteria in your nose by taking a swab sample. Tell your doctor about any medications you are taking. You may be asked to stop taking some medications before the surgery.

During spinal fusion

Surgeons perform spinal fusion while you're under general anesthesia so you're unconscious during the procedure. Surgeons have developed a variety of techniques for performing spinal fusion surgery. The technique your surgeon uses depends on the location of the vertebrae to be fused, the reason for the spinal fusion, and in some instances, your general health and body shape.

Different stages involved in the spinal fusion procedure

Generally, the procedure involves the following:

. Incision. To gain access to the vertebrae being fused, the surgeon makes an incision in one of three locations: in your neck or back directly over your spine, on either side of your spine, or in your abdomen or throat so that your surgeon can access the spine from the front.

. Bone graft preparation. The bone grafts that actually fuse two vertebrae together may come from a bone bank or from your own body, usually from your pelvis or hip. If your own bone is used, the surgeon makes an incision above your pelvic bone, removes a small portion of it and then closes the incision. Bone from another person is called a donor graft.

. Fusion. To fuse the vertebrae together permanently, the surgeon places the bone graft material between the vertebrae. Metal plates, screws or rods may be used to help hold the vertebrae together while the bone graft heals.

In selected cases, some surgeons use a synthetic substance instead of bone grafts. These synthetic substances help promote bone growth and speed the fusion of the vertebrae.

Recovery After spinal fusion surgery

A hospital stay of two to three days is usually required following spinal fusion. Depending on the location and extent of your surgery, you may experience some pain and discomfort but the pain can usually be controlled well with medications.

After you go home, contact your doctor if you exhibit signs of infection, such as:

. Redness, tenderness or swelling

. Wound drainage

. Shaking chills

. Fever higher than 100.4 F (38 C)

It may take several months for the affected bones in your spine to heal and fuse together. Your doctor may recommend that you wear a brace for a time to keep your spine aligned correctly. Physical therapy can teach you how to move, sit, stand and walk in a manner that keeps your spine properly aligned.

After surgery, you will feel some pain. This is a natural part of the healing process. Your doctor and nurses will work to reduce your pain, which can help you recover from surgery faster.

Medications are often prescribed for short-term pain relief after surgery. Many types of medicines are available to help manage pain, including opioids, nonsteroidal anti-inflammatory drugs (NSAIDs), and local anesthetics. Your doctor may use a combination of these medications to improve pain relief, as well as minimizing the need for opioids.

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The fusion process takes time. It may be several months before the bone is solid, although your comfort level will often improve much faster. During this healing time, the fused spine must be kept in proper alignment. You will be taught how to move properly, reposition, sit, stand, and walk.

Your symptoms will gradually improve, as will your activity level. Right after your operation, your doctor may recommend only light activity, like walking. As you regain strength, you will be able to slowly increase your activity level. Physical therapy is typically started from 6 weeks to 3 months after surgery. Your surgeon will talk with you about whether physical therapy is needed in your situation.

Maintaining a healthy lifestyle and following your doctor's instructions will greatly increase your chances for a successful outcome.

10 common question about spinal fusion

1Can you bend after spinal fusion surgery?
In general, climbing ladders, bending at the waist, twisting, squatting, or stooping should be avoided. Climbing stairs, one at a time, are usually permitted, if the patient has practiced at least one time with supervision. These restrictions usually apply from 6 weeks to 3 months after surgery.
2What is the recovery time for spinal fusion surgery?
Spinal fusion surgery recovery typically takes anywhere from three to six months, and this time frame includes the various types of physical therapy that each patient must undergo.
3Is a spinal fusion major surgery?
What is Spinal Fusion Surgery? Spinal fusion is a major surgery and medical procedure used to treat back injuries. The surgery includes using rods and screws, and bone grafts to stabilize the spine.
4What is the success rate of spinal fusion surgery?
Success Rates for TLIF Back Surgery Studies indicate that the patient's pain is improved 60% to 70% after TLIF spinal fusion surgery and approximately 80% of patients undergoing TLIF spinal fusion surgery are satisfied with the surgical result.
5Can I cross my legs after spinal fusion?
Driving is not permitted after back surgery for the first three to four weeks. This is due to the lack of spinal control while sitting. ... to get into the car, back onto the seat first and then bring in one leg at a time, turning on your tail. avoid excessive twisting or bending of the spine.
6Can you weight lift after spinal fusion?
Below are some ways for you to lift properly, but remember lifting objects greater than 5 lbs for the first 6 weeks after surgery is not recommended.
7Is Spinal fusion painful?
Spinal fusion is generally a safe procedure. But as with any surgery, spinal fusion carries the potential risk of complications. ... Injury to blood vessels or nerves in and around the spine. Pain at the site from which the bone graft is taken.
8How painful is spinal fusion recovery?
Your Recovery After surgery, you can expect your back to feel stiff and sore. You may have trouble sitting or standing in one position for very long and may need pain medicine in the weeks after your surgery. It may take 4 to 6 weeks to get back to doing simple activities, such as light housework.
9Can you have a baby after spinal fusion?
Even women who have had spinal fusion surgery can get pregnant. “Women who have been successfully treated for scoliosis have only minor or no additional risks at all for complications during pregnancy and delivery,” says the University of Maryland Medical Center.
10Can you damage a spinal fusion?
All spine fusion surgeries have the potential for complications. ... Another potential complication of spine fusion surgery in the low back includes any type of nerve damage. Although major loss of the strength and sensation to the legs or loss of bowel or bladder control can occur, it is rare.


  1. Avatar pirman says:

    Excuse me,What is meant by spinal instability or spondylolisthesis?

    • Iranian Surgery Adviser Iranian Surgery Adviser says:

      Spinal instability refers to excessive movement between two vertebrae resulting in a misalignment of the vertebrae. This misalignment is called spondylolisthesis and may cause spinal stenosis and pinched nerves

  2. Avatar Horst says:

    What nerves do c5 c6 affect and what is the common level of cervical disk???

    • Iranian Surgery Adviser Iranian Surgery Adviser says:

      C5-C6 (C6 nerve root): A C5-C6 disc herniation can cause weakness in the biceps (muscles in the front of the upper arms) and wrist extensor muscles. Numbness and tingling along with pain can radiate to the thumb side of the hand. This is one of the most common levels for a cervical disc herniation to occur

  3. Avatar MEHMET says:

    Excuse me,Is Spinal fusion permanent or I can not get rid of this for all the time?

    • Iranian Surgery Adviser Iranian Surgery Adviser says:

      Spinal fusion is a surgical procedure in which two or more vertebrae are permanently joined into one solid bone with no space between them. Vertebrae are the small, interlocking bones of the spine. … Anterior spinal fusion. Posterior spinal fusion.

  4. Avatar roman says:

    Hi Doctor. One of our relatives went to the doctor and with a 3-D scan of their spine showed severe bending inside, causing the chest to become fully raised and protruding, so I wanted to see what her treatment would be. (I’m too short now)

  5. Avatar caihong says:

    What to do with back pain and leg,tingling and swelling after platinum lumbar surgery?

    • Iranian Surgery Adviser Iranian Surgery Adviser says:

      Pain at the site of surgery is expected up to a few weeks after surgery, and you should not worry if your leg pain is decreased or improved and your legs feel stronger when walking, meaning your surgery has been successful. Pain at the surgical site will gradually improve, but alternating legs that may appear preoperative or postoperative may take more than a couple of months to recover.
      A portion of this swelling and drowsiness may be related to this, which may not be completely resolved.

  6. Avatar dalal says:

    What medications will I take after surgery?

    • Iranian Surgery Adviser Iranian Surgery Adviser says:

      This varies from patient to patient. It depends on the patient’s allergies and what you are on prior to surgery. All patients will be sent home on antibiotics for 5 days to prevent infection. Most patients receive a script for hydrocodone after surgery for pain. If you are on stronger pain medications prior to surgery usually we make arrangements with the doctor prescribing them to you to continue the medications and adjust them as needed.

  7. Avatar OSCAR says:

    What is the success rate of spinal fusion surgery?

    • Iranian Surgery Adviser Iranian Surgery Adviser says:

      Success Rates for TLIF Back Surgery
      Studies indicate that the patient’s pain is improved 60% to 70% after TLIF spinal fusion surgery and approximately 80% of patients undergoing TLIF spinal fusion surgery are satisfied with the surgical result.

  8. Avatar Xavier says:

    What is Spine Platinum?

    • Iranian Surgery Adviser Iranian Surgery Adviser says:

      Platinum is a very high-strength, yet lightweight, that can be used anywhere in the body skeleton that needs reinforcement.

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