Permanent Restrictions After Lumbar Spinal Fusion

No surgery. If your doctor has come to the conclusion that you need back surgery, it's more than likely that nothing else has worked to eliminate your back pain. The decision on what approach to take is only make after patient specific physical examination and diagnosis. The leaders of Utah pain management at Southwest Spine and Pain Center offer spinal cord stimulation as a treatment option for those living in chronic pain. I had a lumbar spinal fusion surgery in August 2018 at OSC with Dr. What is a Facet Block? Your facet joints are small paired joints in the back of the spine between the vertebrae. Date: 2013/03/04 Disabled World Synopsis: The Americans with Disabilities Act (ADA) makes sure an injured person is not terminated from their job based simply upon the injury they have experienced. a Back Doctor; Find a Spine. The purpose of this study is to compare postsurgical pain control following local infiltration analgesia and bupivacaine HCl with EXPAREL, versus without EXPAREL, in adult subjects undergoing open lumbar spinal fusion surgery. The main aim of the operation is to relieve your back and leg pain (if any) by fusing your spine. Scar tissue massage after back surgery can be very beneficial to patients. 1) Center for Spinal Disorders Rehabilitation Department. WebMD tells you what you can expect from each. Recovery after an operation, and getting back to where you were, is not a quick process. Spinal fusion is very successful in stopping the curve from growing. have posterior lumbar fusion? A posterior lumbar fusion is used for therapeutic purposes. In a 2003 review of the literature on Failed Lumbar Spine Surgeries, DR DIWAN & TEAM estimated that 10%-15% of patients who have undergone a Surgical Spinal Decompression Surgery and 15%-20% of patients who have had a spinal fusion procedure for DEGENERATIVE DISC DISEASE of the lumbar spine, undergo additional Spinal Surgery within 3-5 years. There can be other causes of failed spinal fusion such as the hardware coming loose or infection and poor wound healing, but pseudarthrosis accounts for almost one-fourth of all revision fusion surgeries. Click here to read all about low cost spinal fusion surgery in India. Precision Novi™ Primary Cell Spinal Cord Stimulator System The New Shape of Pain Relief Precision Novi is the smallest, thinnest high capacity primary cell spinal cord stimulator implant with a unique contoured shape. One common problem is a failure of the spinal fusion to properly heal (failure of fusion, pseudarthrosis). 5 hours, and no lifting over 20 pounds. WOUND CARE Most wounds are closed with metal staples which are usually removed by the surgeon or his staff 6-14 days following surgery. There is a risk of nerve damage in any spine surgery. Our lumbar spine consists of 5 vertebrae, with discs sitting in between each one acting as a shock absorber. New research now suggests that the long-term effects are superior to. I injured my back at work in 2004. Recurrent Stenosis After Decompression. Related questions; 7 yrs after having a spinal fusion of L5-S1, L4-L5, can the pain that's increasing in my lower back be from the h more 7 yrs after having a spinal fusion of L5-S1, L4-L5, can the pain that's increasing in my lower back be from the hardware?. For example, a typical impairment rating following a microdiskectomy back surgery is 10-15% PPI to the spine. Imaging of the Lumbar Spine after Instrumentation. The lumbar spine as the lower part of the back. The cumulative rate of revision surgery after SI joint fusion using the iFuse Implant System was 3. Lumbar spinal stenosis (LSS) is a disabling medical condition in which narrowing of the spinal canal compresses the spinal cord and nerves causing a condition called neurogenic intermittent claudication (NIC). ORIGINAL ARTICLE SPINE SURGERY AND RELATED RESEARCH Sacroiliac joint pain after multiple-segment lumbar fusion: a long-term observational study―Non-fused sacrum vs. Infection after spinal fusion should be suspected in a child who has warmth, swelling, or excessive tenderness over the surgical incision within 3 months of the operation. The overlapping themes have been identified and from this information I will be creating an 8-week yoga series for yoga with a lumbar fusion. Lumbar decompression surgery is generally effective in relieving symptoms such as leg pain and numbness. Injury and Treatment: Our client was transported to Grady Hospital. This area is less prone to the type of compression meriting a laminoplasty, as it is considerably less mobile than either the cervical spine or the lumbar spine. The various levels of physical therapy during post-operative rehabilitation. Even after your back heals, avoid exercises that involve jumping, bending over too far, or twisting of the back. I had a lamenectomy and lumbar spinal fusion done just 4 weeks ago. The employer paid nearly three years of wage differential benefits of $250. Of course, right after surgery your restrictions will be greater, but after a few months, your doctor may give you a permanent restriction of lifting more than 50 pounds occasionally and 25 pounds frequently, as well as. C Systems intended to provide immobilization and stabilization of spinal segments in the thoracic, lumbar, and sacral spine as an adjunct to fusion in the treatment of degenerative disc disease. The decision on what approach to take is only make after patient specific physical examination and diagnosis. More and more evidence indicates that the vast majority of post lumbar discectomy patients can and should be able to return back to all activities. Cheri wore her brace for six months, all the while still experiencing pain. I developed a post-op hematoma and infection of the lumbar fusion which worsened the neurogenic bowel and I needed 2 bowel operations and am left with a functioning colon but only 18 cm. I gave up and had spine surgery six months ago. There are many steps involved in recovering after your spinal surgery. Imaging of the Lumbar Spine after Instrumentation. Because you will no longer have that disk, those two vertebra won't be able to flex with respect to each other. (I had an L5-S1 spinal fusion 6 yrs. Spinal fusion, the permanent surgical immobilization of two or more adjacent bones (vertebra) of the spinal column, has become the standard of care in the United States with more than 500,000 spinal fusions performed annually on the neck and low back. Even after a "successful" spinal fusion, problems begin to develop soon after the fusion surgery. We have already discussed how a spinal cord injury can impact a person's sex life. I have had very little pain and the recovery is going great. Both types of surgery require a discectomy. It got so bad that I could only walk short distances, slowly. I had a posterior cervical fusion C4-C7 and 6 weeks later anterior cages and posterior fusion L3-S1 Lumbar area. 5 times the risk of permanent disability compared to non-surgical interventions. In fact, scar tissue after back surgery is a normal part of healing. These women were great. Burst fracture (with 2 level spinal fusion): $250,000 to $400,000; Burst fracture (with 4 level spinal fusion): $300,000 to $500,000; If You Have a Surgery to a Compression Fracture, Is Your Injury Considered Permanent? In most Florida car accident cases, the injured person needs a permanent injury to get money for pain and suffering. Log Roll to get in/out of bed at all times. Shivanand Lad Associate Professor of Neurosurgery Dr. and lift after 4-6 weeks as the pain subsides and the back muscles get stronger. Expectations. The muscles are dissected from the spine. Instructions after Anterior Lumbar Fusion. In an anterior fusion, surgery is done through the front part of the spine, which makes it necessary for us. You can roll around in bed but do not use the trapeze handle. This rarely occurs before 6 months after the surgery. The medications to be avoided include non-steroidal anti. Jesse Butler. Keywords: Lumbar spinal stenosis, HRQoL, Quality of life, Prognosis, Surgery. Spinal fusion is an operation that creates a solid union between two or more vertebrae. Prognosis After Lumbar Spinal Fusion Surgery. But these bladder or bowel control issues can also crop up after a spine surgery. How to Care for Yourself after Lumbar Posterior Decompression What is Lumbar Posterior Decompression? Lumbar Posterior Decomposition is the removal of part of or all of the bone that covers the back of the spinal column called the lamina. Has anyone or know of anyone who was able to return to riding after Spinal Fusion with instrumentation? My DD will be having surgery soon and has not ridden in a while due to other issues then her back. The cumulative rate of revision surgery after SI joint fusion using the iFuse Implant System was 3. Quincy, IL Workers Compensation Claim: $671,571. The WC insurance company requested an IME which determined that I did not need a surgery and could return to work immediately, thus ending my WC benefits. Infection after spinal fusion should be suspected in a child who has warmth, swelling, or excessive tenderness over the surgical incision within 3 months of the operation. They're all very knowledgeable and have worked with Dr. 6% at 4 years. The EMG procedure therefore, would seem an inconclusive testing procedure for lumbar spine nerve pathway assessment, and rules out damage of the nerve pathways of the legs below the lumbar area. Awarded $466. In some of these cases, the patient will remain or become unable to work for a long period, or permanently, following laminectomy and/or discectomy. They replaced two disks with cadever bones so maybe that is how they came up with 2%. Walking and swimming are among the best exercises for your back. The non-surgical approach has far less complications for secondary permanent negative effects. Herniated Disks: Disks are the cushions between the vertebrae. Following are the LUMBAR Precautions following Spinal Fusion. Date: 2013/03/04 Disabled World Synopsis: The Americans with Disabilities Act (ADA) makes sure an injured person is not terminated from their job based simply upon the injury they have experienced. It must be abnormal bending because after surgery you are not the same person with five lumbar vertebrae moving in your back because you would have essentially four lumbar vertebrae because the fusion changes two smaller spinal bones into one larger spinal bone. You may or may not be able to stay in your line of work. The statistics speak for themselves however. It got so bad that I could only walk short distances, slowly. Qualifying for Disability Due to Herniated Disc. I went through 22 treatments of spinal decompression (that is the normal amount) and within 2 weeks my pain statred to go away. 66-year-old maintenance worker. Each disc has a soft jelly like center surrounded by a tough outer layer of fibers known as the annulus. A longer recovery is expected for a multilevel fusion of the spine and additional restrictions are placed on the patient. Of the respondents, 19%-36% discouraged collision sports. This is done because the spine is unstable because of an injury, or because the spine needs to be fixed in place because of pain. Lump sum settlement for a Local 710 bottle machine operator after undergoing a two level lumbar fusion with permanent restrictions. On July 13, 2005 appellant, then a 58-year-old custodial worker, injured her low back and right elbow when she slipped on a waxed floor while buffing it. Most industrial insurers will schedule injured workers for a second opinion before authorizing an orthopedic surgeon or a neurosurgeon’s request to do a spinal fusion. Laminoplasty involves creating space in the back of the spinal canal by opening the back of the spine and leaving it open with bone grafts or plates. Kuklo released employee on May 26, 2009, with restrictions of working half-days, no sitting or standing over 1. A laminectomy surgery for lumbar spinal stenosis (with or without spinal fusion) is estimated to yield good to excellent results in roughly 80% of patients, according to the American Academy of Orthopedic Surgeons. Lumbar Decompression Post-Operative Instructions Activity in General: If sitting, use only a straight back chair to ensure proper support not to exceed a half hour at a time. Sometimes surgeons will recommend a spinal fusion for persistent back pain after a discectomy. In 2003, the XLIF procedure was developed to access the spine for fusion with as little soft tissue disruption as possible. Transforaminal Lumbar Interbody Fusion (TLIF) is done through an incision on the low back, immobilizing the vertebral disc space(s) in question from any further movement. If you've had a spinal fusion but still can't work, you might be able to meet the requirements of Social Security's reconstructive surgery listing. The prospect of experiencing a form of injury on the job is always present for those who work in a. I had 8 lumbar epidural injections over the 4 years, 10 months of physical therapy, I saw 4 different doctors, incuding a neurologist and had an EMG done which showed nerve damage. If you've had back surgery, your doctor likely gave you restrictions of no lifting heavy objects and limited bending over. Patient Instructions: Spinal Cord Stimulator Placement Surgical Technique Spinal cord stimulators can be placed anywhere in the spine depending on the location of your pain, but the most common sites are either in the neck (cervical) or mid back (thoracic). Newer types of surgery for scoliosis do not require fusion. The way to deal with your scoliosis depends on how severe the curve of your back is. Herniated disk lower back, and in neck. After spinal fusion, the patients with PCEA have similar analgesic efficacy during the three postoperative days and a higher incidence of pruritus and paresthesia than those with PCIA. These are usually left in the body after the bone fuses together. CLINICAL POLICY Growing Rods Spine Surgery Page 5 of 14 9. In February 2009, I had my trial which lasted 2 days and the permanent done that same week. Pain, limitation of motion of the spine or motor loss are much more common symptoms. A missed lesion could result in worsened deficit and if this occurs, a full series of cervical, thoracic, and lumbar spine films should be obtained immediately. How to Care for Yourself after Lumbar Posterior Decompression What is Lumbar Posterior Decompression? Lumbar Posterior Decomposition is the removal of part of or all of the bone that covers the back of the spinal column called the lamina. Lattuga hears from patients that are going to be having a lumbar or cervical fusion is: How can I know if I have my bones have healed properly. On September 28, 2004, Dr. Fusion immobilizes a segment of your spine due to spondylolisthesis, spondylolysis and/or degenerative disc disease (DDD). For example, a typical impairment rating following a microdiskectomy back surgery is 10-15% PPI to the spine. Congenital (birth) heart defects that have not been repaired. The employee continued to work at Northern Contours for another six years after the 1996 injury. Of course, right after surgery your restrictions will be greater, but after a few months, your doctor may give you a permanent restriction of lifting more than 50 pounds occasionally and 25 pounds frequently, as well as. Depending on the extent of the area affected, patients may require fusion of the vertebrae in order to maintain stability of the spine after the laminectomy is performed. If your doctor is unable to offer SCS as a treatment option for your chronic back pain, ask for a referral to a pain management specialist. Trauma from a car crash can rupture a disk or cause it to “slip. I am starting to feel bad in my ankles as well. However, intra-operative blood loss and operating time were less and the complications rate lower in the 1-cage group. So what should workers expect from spine surgery? How long does it take to recover? How realistic is it that a person could return to work after spinal fusion?. During your recovery period you will need to strictly follow the doctor s prescribed restrictions to speed up your recovery post spinal fusion surgery and to also ensure that the fused section of the spine heals properly. PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. The main aim of the operation is to relieve your back and leg pain (if any) by fusing your spine. This correlates with the amount of time for a recovery from a deformity correction surgery, although all patients heal differently. 52-year-old CNA sustained injury aggravating previous lumbar spine condition necessitating lumbar fusion. Spinal fusion is a surgery that permanently joins together one or more bony vertebrae of the spine. The doctor pretty much said it should work, but it"s also to confirm the diagnosis. Adolescent athletes and their parents want to know if and when they can return to play after spine fusion surgery. I have had very little pain and the recovery is going great. The following will help you better understand your treatment options, as well as the recovery process itself. So more than likely as time passes the nerve pain should subside. History of intestinal bypass or stomach stapling. Permanent and total disability. 6% at 4 years. 36 per week for life. There is a risk of nerve damage in any spine surgery. Improved and returned to work without restrictions after 4 months of rehab. A lumbar fusion is an operation usually done for lumbago (back pain as opposed to sciatica or leg pain). I also see a chiropractor. This compares favorably with revision rates for other common orthopedic procedures, being somewhat higher than a mature orthopedic technology (total hip replacement) but less than commonly performed lumbar spine surgeries. Jesse Butler. This is the removal of the damaged disc to allow the decompression of the nerves and spinal cord to give you relief from your symptoms. Our lumbar spine consists of 5 vertebrae, with discs sitting in between each one acting as a shock absorber. By use for low back pain following spinal fusion surgery is widely debated. Depending on the extent of the area affected, patients may require fusion of the vertebrae in order to maintain stability of the spine after the laminectomy is performed. 3)You will wear the brace when you're out of bed for 3 months after surgery. Sometimes surgeons will recommend a spinal fusion for persistent back pain after a discectomy. I still get injections in my lower back every 2 months; they last for 4 weeks. This brochure is relevant for all persons undergoing spinal surgery of any type. Recovering from lumbar fusion spine surgery can be a challenging process. A laminectomy surgery for lumbar spinal stenosis (with or without spinal fusion) is estimated to yield good to excellent results in roughly 80% of patients, according to the American Academy of Orthopedic Surgeons. 56-year-old municipal worker. Remember that as with any surgery, there are no guarantees with this procedure. Following are the LUMBAR Precautions following Spinal Fusion. 5 Tips to Bend Properly After Surgery The doctors at Southeastern Spine Institute (SSI) take a conservative approach to healing back pain, so surgery is always the absolute last resort. I had a double lumbar back fusion last year and did beautifully. After surgery and reaching maximum medical improvement in 2005, Green accepted compensation for a 21% whole body permanent partial impairment (PPI). A lumbar fusion is a type of lumbar disc replacement surgery. If you've had back surgery, your doctor likely gave you restrictions of no lifting heavy objects and limited bending over. I am in pain management since my last surgery Nov, 2006 and will be in pain management for life. the knee-hip guy never took a mri of spine (after mri of hip or knee sent to PT) worked for 3 years in pain was a new RN so those 3 years are all the experience I have. Hickey BA, Towriss C, Baxter G, Yasso S, James S, Jones A, Howes J, Davies P, Ahuja S. 2) Center for Sports Medicine & Orthopaedic Rehabilitation Services. After approximately four weeks, a physical therapist will begin to help you as you learn some helpful stretching exercises. He stated there wont be much work I can perform at my level of restrictions, but stated maybe some kind of part time office work if some one was to accept me under the restrictions. Failed job search. Job Restrictions Impairment Ratings Work Guidelines Disability Certificates Chronic Pain Syndrome Ratings Do you have question's about your MRI Report, Spinal Impairment, Spinal Disability or a Disability Exam?. Article written by Larry Kurz, MD. Final Thoughts Remember to have a candid discussion with your surgeon and back pain specialist to help determine if you might have a higher chance of experiencing any of the associated risks. But these bladder or bowel control issues can also crop up after a spine surgery. It is difficult to predict how much your symptoms will. Although most lumbar problems are painful, they are usually not. Spinal Fusion Surgery Recovery Time. This is usually done through the disk space [called anterior lumbar interbody fusion (ALIF), direct lateral interbody fusion (DLIF) / extreme lateral interbody fusion (XLIF), posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF) or endoscopic lumbar interbody fusion (ELIF)] but can be […]. The goals of a TLIF are to decompress (remove the pressure from) the spinal cord and/or nerves, re-stabilize the spine, and prevent further movement and degeneration at the joints in question. Even after a "successful" spinal fusion, problems begin to develop soon after the fusion surgery. Physical therapy often starts about 6 weeks after the surgery. She injured her lower back, hips, and upper legs. I had a posterior cervical fusion C4-C7 and 6 weeks later anterior cages and posterior fusion L3-S1 Lumbar area. The medications to be avoided include non-steroidal anti. Robson released employee to return to work without any permanent restrictions, and rated a 20% permanent partial disability of the body as a whole referable to the June 2003 low back injury. very promising tool to promote regeneration and recovery after. This is the removal of the damaged disc to allow the decompression of the nerves and spinal cord to give you relief from your symptoms. I am in pain management since my last surgery Nov, 2006 and will be in pain management for life. Therefore, the spinal column above and below the fusion are more likely to be stressed when the spine moves, and may cause problems later on. spinal fusion at L4-5. As hip replacement and resurfacing surgery advances, these procedures are increasingly being performed in younger and more active patients. Are there any permanent restrictions after a spinal fusion on l4-l5? Update: I already had my spinal fusion ,it has been 2 months but my job requires a lot of heavy lifting /pulling bending climbing I don't know if I can go back to that. The employer paid nearly three years of wage differential benefits of $250. Hospital Stay after Surgery: 1. I had some visitors and my husband was with me the whole time, but I think mostly I just slept a lot. I was a nervous wreck leading up to the surgery but she was becoming so incredibly uncomfortable in most positions and she was living on Motrin so it was beyond clear we couldn't put it off any longer even if we wanted to. Minimally invasive spinal fusion techniques were first introduced to minimize morbidities associated with invasive surgical treatments. I went through 22 treatments of spinal decompression (that is the normal amount) and within 2 weeks my pain statred to go away. Spinal fusion surgery fuse two or more bones into a single solid bone. This should be worn at all. Spinal fusion, also called spondylodesis or spondylosyndesis, is a neurosurgical or orthopedic surgical technique that joins two or more vertebrae. (front and side planks) at 10-12 weeks Cardiovascular training, treadmill, UBE, stationary bike Address other mechanical restrictions as needed Modalities for symptom modulation if needed Criteria for progression: 1. Mikelis imposed several functional restrictions, including not lifting/carrying or pushing/pulling more than ten pounds occasionally, and sitting, standing, climbing, kneeling, bending and driving only occasionally. Over a period of decades chiropractors have utilized spinal manipulation under anesthesia (SMUA) to treat chronic back and neck pain. Depending on the extent of the area affected, patients may require fusion of the vertebrae in order to maintain stability of the spine after the laminectomy is performed. Permanent and total disability. The EMG procedure therefore, would seem an inconclusive testing procedure for lumbar spine nerve pathway assessment, and rules out damage of the nerve pathways of the legs below the lumbar area. History of intestinal bypass or stomach stapling. Lumbar decompression surgery is generally effective in relieving symptoms such as leg pain and numbness. The IDET procedure is usually performed on an. 6 weeks ago I had a spinal fusion with pedicle screws of the above vertebrae, laminectomy and decompression with facet joints removed. Are there any permanent restrictions after a spinal fusion on l4-l5? Update: I already had my spinal fusion ,it has been 2 months but my job requires a lot of heavy lifting /pulling bending climbing I don't know if I can go back to that. There are things you should stop doing if you have back pain in general, but lumbar spinal stenosis is a special condition. I still get injections in my lower back every 2 months; they last for 4 weeks. This minimally-invasive procedure is designed to alleviate the effects of low back pain caused by disc disease or small disc herniations. WOUND CARE Most wounds are closed with metal staples which are usually removed by the surgeon or his staff 6-14 days following surgery. The data, which examined the relationship between open versus minimally invasive lumbar fusion and the number of levels fused, were presented by Virginie Lafage (Hospital for Special Surgery, New York, USA) at the North American Spine Society (NASS) annual meeting (24–29 September, Los Angeles, USA). The decision on what approach to take is only make after patient specific physical examination and diagnosis. This is a decision reached by you and your surgeon after careful consideration. Cigarette smoking is detrimental to your spinal fusion, and prevents its formation. Smoking should be started only after the fusion is solid, which can take up to 6 months following ACDF. This procedure may assist in strengthening and stabilizing the spine and may thereby help to alleviate severe and chronic neck pain. The transition to light or sedentary work can be extremely difficult. Restrictions after lumbar back fusion Permanent restrictions after lumbar fusion All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. Nandan Lad is a neurosurgeon, scientist, and entrepreneur and currently an Associate Professor at Duke University Medical Center with a focus in Neuromodulation and Neurorestoration. Transforaminal Lumbar Interbody Fusion (TLIF) is done through an incision on the low back, immobilizing the vertebral disc space(s) in question from any further movement. Doctors give unbiased, helpful information on indications, contra-indications, benefits, and complications: Dr. After a spine fusion surgery, it takes 3 to 12 months to return to most normal daily activities, and the success. It is not a procedure to improve chronic back pain where the cause has not been established. A herniated lumbar disc can press on the nerves in the spine and may cause pain, numbness, tingling or weakness of the leg called 'sciatica. ORIGINAL ARTICLE SPINE SURGERY AND RELATED RESEARCH Sacroiliac joint pain after multiple-segment lumbar fusion: a long-term observational study―Non-fused sacrum vs. After your child is administered general anesthesia, surgeons will access the spine from the back. Future spine problems are possible after spine surgery. Incision: The incision will be made in a vertical fashion in the center of your back. The medications to be avoided include non-steroidal anti. This rarely occurs before 6 months after the surgery. A lumbar fusion is an operation usually done for lumbago (back pain as opposed to sciatica or leg pain). Date: 2013/03/04 Disabled World Synopsis: The Americans with Disabilities Act (ADA) makes sure an injured person is not terminated from their job based simply upon the injury they have experienced. 13 per week for life. There are things you should stop doing if you have back pain in general, but lumbar spinal stenosis is a special condition. Right after the surgery, the patient can experience pain for a few days. permanent work restrictions after two level ACDF surgery a two level fusion what were your permanent weight restrictions if any. Armstrong on restrictions after lumbar fusion: Most people need pain meds for 2 weeks to 3 months. So more than likely as time passes the nerve pain should subside. CLINICAL POLICY Growing Rods Spine Surgery Page 5 of 14 9. Spinal fusion is a major surgery and decision that you and your orthopedic physician will need to make. I asked for permanent restrictions for my back without having the surgery. After they have a spinal fusion and are seen in the office and have more pain somewhere else, I tell them that they’re now getting bit by those fleas. 2 level bone fusion and laminectomy. Said it felt like she never took a break from riding. Spinal instrumentation, such as rods, plates, wires, or screws, may be put in the back at the same time as the spinal fusion to keep the spine from moving while it heals. While a burr hole drainage procedure is relatively common and much less invasive than open forms of brain surgery, it does still pose a number of risks. However, intra-operative blood loss and operating time were less and the complications rate lower in the 1-cage group. Keywords: Lumbar spinal stenosis, HRQoL, Quality of life, Prognosis, Surgery. 23 August 2016 | 4:26 pm. The data, which examined the relationship between open versus minimally invasive lumbar fusion and the number of levels fused, were presented by Virginie Lafage (Hospital for Special Surgery, New York, USA) at the North American Spine Society (NASS) annual meeting (24–29 September, Los Angeles, USA). This minimally-invasive procedure is designed to alleviate the effects of low back pain caused by disc disease or small disc herniations. You will not be able to return to activities as quickly. Hello, Just wanted to add some comments in response to yours. Kuklo released employee on May 26, 2009, with restrictions of working half-days, no sitting or standing over 1. However, this does not mean that the person may become permanently disabled, but there may be some permanent. Spinal fusion is a surgery that permanently joins together one or more bony vertebrae of the spine. The prospect of experiencing a form of injury on the job is always present for those who work in a. Anterior lumbar interbody fusion is a surgery to treat disc problems in the low back. A lumbar spinal fusion is most commonly recommended in circumstances where a patient has an unstable spine, either by means of years of degeneration or by traumatic fracture, that puts the patient at risk of neurological damage. Anterior lumbar interbody fusion (ALIF) is a type of spinal fusion that utilizes an. I want you to do some walking exercises in the afternoon and evening of surgery. After permanent work restrictions are determined by the. Minimally invasive spinal fusion techniques were first introduced to minimize morbidities associated with invasive surgical treatments. Compression or squeezing on the nerves in the spinal cord or nerve roots may be causing many of the different types of symptoms that you may be experiencing. I went back in today and they suggested an injection in my sacroiliac joint to calm the inflammation. You will be fitted with a brace during your stay. It was very successful, with little pain afterward and I was back to a normal life. For the first 6 weeks after the sacroiliitis surgery, the use of crutches or a walker is recommended to protect weight bearing on the side of the spine on which the procedure was performed. The statistics speak for themselves however. That is not the intent of the surgery. If your doctor has come to the conclusion that you need back surgery, it's more than likely that nothing else has worked to eliminate your back pain. May 3, 2016. ORIGINAL ARTICLE SPINE SURGERY AND RELATED RESEARCH Sacroiliac joint pain after multiple-segment lumbar fusion: a long-term observational study―Non-fused sacrum vs. Infection after spinal fusion should be suspected in a child who has warmth, swelling, or excessive tenderness over the surgical incision within 3 months of the operation. permanent work restrictions after two level ACDF surgery a two level fusion what were your permanent weight restrictions if any. It is hard to walk, feels like pins and needles. Patient Instructions: Spinal Cord Stimulator Placement Surgical Technique Spinal cord stimulators can be placed anywhere in the spine depending on the location of your pain, but the most common sites are either in the neck (cervical) or mid back (thoracic). Walking and swimming are among the best exercises for your back. What is spinal fusion? Spinal fusion is a surgical procedure which is performed to correct problems related to. Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Most people are not disabled for life simply because they are given permanent restrictions. Compression or squeezing on the nerves in the spinal cord or nerve roots may be causing many of the different types of symptoms that you may be experiencing. 5 hours, and no lifting over 20 pounds. Spinal Decompression Surgery. Mikelis imposed several functional restrictions, including not lifting/carrying or pushing/pulling more than ten pounds occasionally, and sitting, standing, climbing, kneeling, bending and driving only occasionally. , but I have been. Spinal instrumentation, such as rods, plates, wires, or screws, may be put in the back at the same time as the spinal fusion to keep the spine from moving while it heals. After showing no improvement in all that time, she decided that surgery could be necessary. I had a spinal back surgery 6 months ago. Instead, the surgeries use implants to control the growth of the spine. Spinal Fusion Surgery Recovery Time. 13 per week for life. Signs and Symptoms. This happens when your primary doctor decides your medical condition is stable and won’t improve with further treatment. Transforaminal Lumbar Interbody Fusion (TLIF) is done through an incision on the low back, immobilizing the vertebral disc space(s) in question from any further movement. After a spine fusion surgery, it takes 3 to 12 months to return to most normal daily activities, and the success. Expectations. You may lie on your back or side, but not on your abdomen. They’re all very knowledgeable and have worked with Dr. Permanent Restrictions After Spinal Fusion Surgery. The leaders of Utah pain management at Southwest Spine and Pain Center offer spinal cord stimulation as a treatment option for those living in chronic pain. A metal, plastic. Employee experienced some intermittent low back pain, but mostly. During scoliosis surgery, the surgeon will use special equipment to keep an eye on the nerves that come from the spine to make sure they are not. Larger cohorts are required to delineate the clinical outcomes in patients with midline synovial and ganglion cysts. Social Security Disability Benefits for Spinal Fusion If you have suffered from a spinal disorder that has resulted in you undergoing spinal fusion, but you are still unable to work, you may be eligible to qualify for Social Security disability benefits. Permanent restrictions from a spinal fusion at L4-L5, L5-S1. Lump sum settlement for a Local 710 bottle machine operator after undergoing a two level lumbar fusion with permanent restrictions. How long will I be in the hospital?. 5 days later spinal fluid began leaking from my back. Many minimally invasive spine procedures are used to correct this issue and return control to the patient. The night of surgery will be roughest. 50 for a teacher who fell down stairs while working and suffered a nasal fracture and herniated discs in her lumbar spine requiring surgery. The way that my doctor explained it to me was that the body has to adjust to the “new gear” and the brain gets confused sometimes. Learn vocabulary, terms, and more with flashcards, games, and other study tools. What, if any, permanent restrictions will be required after my complete recovery, i. All restrictions will be lifted before one year. Spinal Fusion, greater than two vertebral spaces, congenital or surgical involving any number of vertebrae, by any method. 00 for a truck driver with a back injury (case settled after a successful ruling on causation at trial). Current drug and/or alcohol abuse or diagnosed substance dependence. Anterior lumbar interbody fusion (ALIF) is a type of spinal fusion that utilizes an. This surgery involves an incision in the midline of the back (posterior). It was reported that this procedure would result in a loss of cervical range of motion. Here's why:. Spinal Fusion: Anterior Lumbar Interbody Fusion (ALIF) Overview. After approximately four weeks, a physical therapist will begin to help you as you learn some helpful stretching exercises. Spinal fusion surgery fuse two or more bones into a single solid bone. Restrictions after lumbar back fusion Permanent restrictions after lumbar fusion All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. The AMA Guides is a work in progress. I had continued pain after a discectomy and spinal fusion L5-S1. I'm sorry to rain on your parade, but my experience with spinal fusion was absolutely NOT a successful one. The overall rate of re-operation within 2 years for all fusions is approximately 23%. Restrictions are certainly placed on a patient during recovery from fusion surgery. The way to deal with your scoliosis depends on how severe the curve of your back is. Recovery after Surgery for Low Back Pain or Leg Pain. The most common cause of lumbar spinal stenosis is the “wear and tear” that occurs with natural aging effects on the lower spine. This can occur in the neck (cervical) as well as the lower back (lumbar) and on rare occasion, in the central (thoracic) spine. Most people have to wear a brace after surgery for 1 to 3 months, but it depends on the type of fusion and instrumentation surgery, number of levels fused and the reason for fusion. After a year of Physical Therapy and other treatment my doctor recommended an L5-S1 spinal fusion. You can ride a stationary bike. An operation has been recommended to you that is called a LUMBAR FUSION. Anterior cervical decompression and fusion (ACDF) procedures are successful in treating multilevel cervical radiculopathy and cervical myelopathy. Your return to work after spine surgery may be less stressful if you take some precautions. After spinal fusion, the patients with PCEA have similar analgesic efficacy during the three postoperative days and a higher incidence of pruritus and paresthesia than those with PCIA. She used to sleep on a board, the floor, not at all. During the three to six months following spinal fusion surgery, the lumbar fusion bone mass starts becoming established. Preparing for lumbar spinal fusion Overview. Expectations. NON-SURGICAL OPTIONS Surgery is not always necessary. these effects are not likely related directly to the lumbar fusion procedure per se, but to inadequacy of pain relief or to worsening of pain following fusion: 1. The fluid had been draining out of the top of the incision but now is trapped under the skin. Your spine team will go to great lengths to ensure that this is the right operation for you. A laminectomy surgery for lumbar spinal stenosis (with or without spinal fusion) is estimated to yield good to excellent results in roughly 80% of patients, according to the American Academy of Orthopedic Surgeons. 5 times the risk of permanent disability compared to non-surgical interventions. This compares favorably with revision rates for other common orthopedic procedures, being somewhat higher than a mature orthopedic technology (total hip replacement) but less than commonly performed lumbar spine surgeries. Laminoplasty involves creating space in the back of the spinal canal by opening the back of the spine and leaving it open with bone grafts or plates. Mikelis imposed several functional restrictions, including not lifting/carrying or pushing/pulling more than ten pounds occasionally, and sitting, standing, climbing, kneeling, bending and driving only occasionally. Looking for a minimally invasive surgery for spinal stenosis?. , but I have been. Recovering from lumbar fusion spine surgery can be a challenging process. Lump sum settlement for a Local 710 bottle machine operator after undergoing a two level lumbar fusion with permanent restrictions. Spinal Fusion. Illustration of lumbar spine to sacrum. Rockford Orthopedic Spine Care. After permanent work restrictions are determined by the. How long will I be in the hospital?. Imaging of the Lumbar Spine after Instrumentation. Understanding Rehabilitation and Care Following Posterior Lumbar Fusion. Herniated Disks: Disks are the cushions between the vertebrae. I had a lamenectomy and lumbar spinal fusion done just 4 weeks ago. Constitutional signs and symptoms of infection can be present and include fever, leukocytosis, and elevated inflammatory markers. Jamie Swale and Victoria Skay. Most of them see their patient only once or twice in the weeks after surgery and never know how many of them go on to suffer from permanent pain. Early experience of MAGEC magnetic growing rods in the treatment of early onset scoliosis. After surgery and reaching maximum medical improvement in 2005, Green accepted compensation for a 21% whole body permanent partial impairment (PPI). Assess for complications of surgery, including worsening of motor or sensory function at or above the site of surgery. Many fusions do not hold properly, requiring additional operations. I went through 22 treatments of spinal decompression (that is the normal amount) and within 2 weeks my pain statred to go away. The muscles are dissected from the spine. Congenital (birth) heart defects that have not been repaired. Alcorn also submitted Dr. Physical therapy often starts about 6 weeks after the surgery. Recurrent symptoms can be caused by a weakened spine, another slipped disc. stagnant to steadily active after spinal fusion at Norton Leatherman Spine Center restrictions. Years after a laminectomy, spinal stenosis can come back (the bone can grow back and narrow the spinal canal) at the same level, or a new level, causing back or leg pain. He has permanent spinal cord damage and the doctor said the feeling in his right side will not come back due to the nerve damage. Permanent work restrictions issued. The main goal of the spinal fusion (also known as arthrodesis) is to prevent movement of the vertebrae to help stop mechanical pain. I haven't been in any pain since but have had problems with constant, major pressure on the lower back (this is different for me than pain) I had PT daily while in a Rehab Center, three times a week in my home and now have water therapy twice a week. Able to do most ADL but complains of back pain with heavy activity. Minimally Invasive Spinal Stenosis Surgery: Interspinous Process Spacer. The main aim of the operation is to relieve your back and leg pain (if any) by fusing your spine. If you've had a spinal fusion but still can't work, you might be able to meet the requirements of Social Security's reconstructive surgery listing. The way that my doctor explained it to me was that the body has to adjust to the "new gear" and the brain gets confused sometimes. Our client's injuries included neck and back injuries, a lumbar disc herniation, and a shoulder injury. 3)You will wear the brace when you're out of bed for 3 months after surgery. You will have a bladder catheter to catch urine. Flatback syndrome is a problem that develops in some patients treated with Harrington rod instrumentation, where the rod extends down into lower part of the lumbar spine. At CCSI, we do not believe that permanent restrictions should be placed on a patient after spine fusion surgery. If you have experienced little to no results after six months of conservative back or spinal therapies and you fit the criteria for stimulation, talk with your doctor. After surgery, will I be able to use the stairs? Usually, walking up and down the stairs after surgery is not a problem. In 2003, the XLIF procedure was developed to access the spine for fusion with as little soft tissue disruption as possible. To do this, usually a small window of bone (laminotomy) is drilled over the area. Spinal fusion is very successful in stopping the curve from growing. Once they're fused, they no longer move. 23 August 2016 | 4:26 pm. I’ve had two buddies that have had spinal fusion due to disc herniation. The news is increasingly — but not always — what they're hoping to hear. Herniated Disks: Disks are the cushions between the vertebrae. as far as the spinal fusion and staying in alot of it is going to be based on your current condition, ROM, ability to do your duties, etc. If the five lumbar spinal bones move a total of 50° to 75° (5 X 10° to 15° each. Controversy over return to play involves collision sport participation after spinal fusion surgery. As a disc degenerates it loses tension or ‘turgor’ which allows the disc to bulge and permits increasing movements to take place between the vertebrae. 6 months tele floor GN to RN had a flare up of pain - had no insurance at the timelet go. Frankly, it sounds tough to me. In some cases, physicians make a “whole person” rating, but the Commission will convert that rating to the spine. Or it can cause back and leg (or arm) pain, depending on whether the fusion is at the cervical (neck) or lumbar (low back) level. C6, C7, & C8 Vertebrae Spinal Cord Injury | SpinalCord. The following lumbar fusion protocol has been synthesized from a variety of rehab and surgical protocols used in major hospitals and spinal centers in the US. More than 50% of workers who received lumbar fusion through the Washington workers' compensation program felt that both pain and functional recovery were no better or were worse after lumbar fusion. Current Symptoms: No pain at rest or numbness in the lower extremities 8 months after injury. 5 times the risk of permanent disability compared to non-surgical interventions. Each disc has a soft jelly like center surrounded by a tough outer layer of fibers known as the annulus. I have some questions regarding spinal fusion - Answered by a verified Health Professional We use cookies to give you the best possible experience on our website. Failed two level lumbar fusion. With the latest techniques, we are now able to get people back to work and back to life after spine surgery very reliably. New research now suggests that the long-term effects are superior to. After spinal fusion, the patients with PCEA have similar analgesic efficacy during the three postoperative days and a higher incidence of pruritus and paresthesia than those with PCIA. Over a period of decades chiropractors have utilized spinal manipulation under anesthesia (SMUA) to treat chronic back and neck pain. A new study published in Spine examines adjacent segment disease risk factors for patients 10 years or more after posterior lumbar interbody fusion. AMA Guides, 5 th Edition "Philosophy, Purpose and Appropriate Use of the Guides" and "Practical Application of the Guides. Differential wage loss benefits might be owed if your pay is substantially. I am wondering if anyone has had a spinal fusion and were able to continue at their physical job? I was told I would be able to return to my line of work as a building engineer at about 6 months post. Start studying nclex- laminectomy and spinal cord injury. This is usually done through the disk space [called anterior lumbar interbody fusion (ALIF), direct lateral interbody fusion (DLIF) / extreme lateral interbody fusion (XLIF), posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF) or endoscopic lumbar interbody fusion (ELIF)] but can be […]. bending, lifting and stooping. Walking and swimming are among the best exercises for your back. There is no guarantee against spinal fusion surgery risks, but the benefits far outweigh the possibility of complications for your future quality of life. Are there permanent restrictions after a spinal fusion? Past the six-month healing period, most spinal fusion patients aren’t specifically restricted by doctors from any particular activities as a result of having had surgery. The cause of death, accounting for 21% of all deaths and 31% of all potential. Spinal Fusion. More and more evidence indicates that the vast majority of post lumbar discectomy patients can and should be able to return back to all activities. I had the fusion done with cage inserted at L5 (disc was detereorating). After 20 years of back pain, surgery gives woman her life back. Any time an injury or disorder affects the lumbar area of the spine, a doctor may have to perform surgery to relieve pain and other symptoms. Lie only on a firm mattress, no couches or recliner chairs. I have had the mentioned lower back surgery almost three weeks ago and. Since some of you have gone through this I have a question I continue to have a lot of fluid build up. Spinal fusion usually requires a hospital stay of several days. "The Sacroiliac Joint: a Potential Cause of Pain After Lumbar Fusion to the Sacrum. The overlapping themes have been identified and from this information I will be creating an 8-week yoga series for yoga with a lumbar fusion. PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. This is a debatable decision. Deciding to Have Surgery. Both types of surgery require a discectomy. He has permanent spinal cord damage and the doctor said the feeling in his right side will not come back due to the nerve damage. CLINICAL POLICY Growing Rods Spine Surgery Page 5 of 14 9. Spinal stenosis is a fairly common problem caused by constriction of the spinal cord or nerves exiting from the spinal cord. Cervical Fusion Protocol. Understanding Rehabilitation and Care Following Posterior Lumbar Fusion. A detailed examination is a key to identification of the problem and it should follow with plain radiographs. Katz, Victor, Jerome Schofferman, and James Reynolds. There is a risk of nerve damage in any spine surgery. Navigate to learn more about post-operative spine rehab lumbar fusion treatment guidelines. I had a spinal back surgery 6 months ago. Spinal Fusion Surgery. Medications: Certain medications affect the spinal fusion process and should be avoided for at least 6 months after the surgery and should be given only when absolutely necessary. This procedure can be performed at any level in the spine (cervical, thoracic, or lumbar) and prevents any movement between the fused vertebrae. In other words, you probably won't be told you can't ride a bike, climb a mountain, go swimming, or do anything else. (front and side planks) at 10-12 weeks Cardiovascular training, treadmill, UBE, stationary bike Address other mechanical restrictions as needed Modalities for symptom modulation if needed Criteria for progression: 1. Fusion immobilizes a segment of your spine due to spondylolisthesis, spondylolysis and/or degenerative disc disease (DDD). Premia Spine’s TOPS System has been demonstrated to provide better outcomes than lumbar spinal fusion surgery in clinical studies conducted around the globe since 2005. Stenosis causes compression of the nerve roots (in lumbar stenosis) or spinal cord (in cervical stenosis), with the latter being particularly dangerous. The cause of death, accounting for 21% of all deaths and 31% of all potential. If you had spinal fusion, you will probably be off work for 4 to 6 weeks if you are young and healthy and your job is not very strenuous. Katz, Victor, Jerome Schofferman, and James Reynolds. Worst surgery I've ever had. A missed lesion could result in worsened deficit and if this occurs, a full series of cervical, thoracic, and lumbar spine films should be obtained immediately. Most industrial insurers will schedule injured workers for a second opinion before authorizing an orthopedic surgeon or a neurosurgeon’s request to do a spinal fusion. Typically, a person with this condition complains of severe pain in the legs, calves or lower back when standing or walking. Cigarette smoking is detrimental to your spinal fusion, and prevents its formation. In 2010, following increased back pain, Green underwent additional surgery to his lumbar spine, for which he again received medical and temporary total disability (TTD) benefits. As time goes on, it’s becoming increasingly clear that, for the spinal fusion patient, your first surgery is not likely to be your last. The procedure will not fully “fix” your back or provide complete pain relief, but it will prevent. Spinal Cord Damage May Be Fixed with New Therapies it significantly increased the number of nerve fibers that grew back. Final Thoughts Remember to have a candid discussion with your surgeon and back pain specialist to help determine if you might have a higher chance of experiencing any of the associated risks. Jesse Butler. Acadiana Neurosurgery Blog 5 Myths and Facts About Spinal Fusion Tweet When it comes to your spine, you're right to be cautious about having any work done on it. Lie only on a firm mattress, no couches or recliner chairs. Decompression and Coflex interlaminar stabilization compared with decompression and instrumented spinal fusion for spinal stenosis and low-grade degenerative spondylolisthesis: two-year results from the prospective, randomized, multicenter, Food and Drug Administration Investigational Device Exemption trial. I haven't been in any pain since but have had problems with constant, major pressure on the lower back (this is different for me than pain) I had PT daily while in a Rehab Center, three times a week in my home and now have water therapy twice a week. I have not encountered three generations of spinal leakers, but I do not include people with family members who have symptoms suggestive of a CSF leak but there is no documentation. Improved and returned to work without restrictions after 4 months of rehab. Are there any permanent restrictions after a spinal fusion on l4-l5? Update: I already had my spinal fusion ,it has been 2 months but my job requires a lot of heavy lifting /pulling bending climbing I don't know if I can go back to that. He has permanent spinal cord damage and the doctor said the feeling in his right side will not come back due to the nerve damage. This brochure is relevant for all persons undergoing spinal surgery of any type. " The AMA Guides is a book used by doctors to assign percentage ratings to those who have suffered injuries. 2 1/2 years in LTC/sub acute hell. After 20 years of back pain, surgery gives woman her life back. Scoliosis symptoms include back pain, leaning body, uneven shoulder blades, uneven hips, uneven waistline, off-center head, spine appears to be growing sideways and developing into an S or C shape, tingling sensations or acute numbness, loss balance, accelerated aging of spinal discs, decreased lung volume, and psychological distress and anxiety. Spinal fusion is a surgical procedure in which two or more vertebrae are permanently joined into one solid bone with no space between them. Permanent restrictions. A lumbar spinal fusion is most commonly recommended in circumstances where a patient has an unstable spine, either by means of years of degeneration or by traumatic fracture, that puts the patient at risk of neurological damage. Social Security Disability Benefits for Spinal Fusion If you have suffered from a spinal disorder that has resulted in you undergoing spinal fusion, but you are still unable to work, you may be eligible to qualify for Social Security disability benefits. A fusion for my back is out of the question as I have severe spinal stenosis and arthritis of the spine but I would not have done it if I could. Controversy over return to play involves collision sport participation after spinal fusion surgery. The main goal of the spinal fusion (also known as arthrodesis) is to prevent movement of the vertebrae to help stop mechanical pain. Frankly, it sounds tough to me. We have already discussed how a spinal cord injury can impact a person's sex life. Permanent work restrictions issued. Laminectomy is a surgery that relieves pressure on your spinal cord and nerves. This area is less prone to the type of compression meriting a laminoplasty, as it is considerably less mobile than either the cervical spine or the lumbar spine. After the surgery, his pain did not subside and the city of Chicago sent him for a $12 Independent Medical Evaluation on January 14, 2013 with Dr. 5 Tips to Bend Properly After Surgery The doctors at Southeastern Spine Institute (SSI) take a conservative approach to healing back pain, so surgery is always the absolute last resort. bending, lifting and stooping. Acadiana Neurosurgery Blog 5 Myths and Facts About Spinal Fusion Tweet When it comes to your spine, you're right to be cautious about having any work done on it. Full recovery after this surgery can take six months to a year. Typically, a person with this condition complains of severe pain in the legs, calves or lower back when standing or walking. Incision: The incision will be made in a vertical fashion in the center of your back. So what should workers expect from spine surgery? How long does it take to recover? How realistic is it that a person could return to work after spinal fusion?. Work, Sex and Exercise After Hip Replacement 94% of patients returned to their job without any restrictions after surgery. The cord ends in the upper portion of the lumbar spine which allows access for certain types of lumbar surgery without the need for a fusion. The EMG procedure therefore, would seem an inconclusive testing procedure for lumbar spine nerve pathway assessment, and rules out damage of the nerve pathways of the legs below the lumbar area. Improved and returned to work without restrictions after 4 months of rehab. I just had this spinal cord stimulator implanted yesterday. Back surgeries and spinal fusions can needed for many different reasons. After a year of Physical Therapy and other treatment my doctor recommended an L5-S1 spinal fusion. Pain, limitation of motion of the spine or motor loss are much more common symptoms. The local physicians gave me very little hope with the prognosis after the traditional fusion surgery that would have limited my neck and back movements. Remember that as with any surgery, there are no guarantees with this procedure. Therefore, the spinal column above and below the fusion are more likely to be stressed when the spine moves, and may cause problems later on. Final Thoughts Remember to have a candid discussion with your surgeon and back pain specialist to help determine if you might have a higher chance of experiencing any of the associated risks. These symptoms may include headaches in the back of the head, pain in the neck, shoulder, upper back, arm,. Immediately after surgery, my pain was gone. If these symptoms persist after a year, it is most likely permanent nerve damage and is unlikely to get better. The main difference between the surgical approach for the cervical spine as compared to that of the lumbar spine is the proximity of the spinal cord. I had the fusion done with cage inserted at L5 (disc was detereorating). The decision on what approach to take is only make after patient specific physical examination and diagnosis. If this isn't possible, assistive devices like back braces and lumbar-support pillows for work that involves sitting for long. The cord ends in the upper portion of the lumbar spine which allows access for certain types of lumbar surgery without the need for a fusion. I had a lumbar fusion on L4-L5 (5-6-08) after a a failed microdecompression surgery on 8-16-07. I had 8 lumbar epidural injections over the 4 years, 10 months of physical therapy, I saw 4 different doctors, incuding a neurologist and had an EMG done which showed nerve damage. A lumbar spinal fusion is most commonly recommended in circumstances where a patient has an unstable spine, either by means of years of degeneration or by traumatic fracture, that puts the patient at risk of neurological damage. This is after around 20 years of back problems and being told there was nothing wrong me, to a surgeon getting all excited and deciding surgery was the only answer. Fusion is a surgical technique in which one or more of the vertebrae of the spine are united together ("fused") so that motion no longer occurs between them. The cumulative rate of revision surgery after SI joint fusion using the iFuse Implant System was 3. They're all very knowledgeable and have worked with Dr. If you've had back surgery, your doctor likely gave you restrictions of no lifting heavy objects and limited bending over. After permanent work restrictions are determined by the. Restrictions after lumbar back fusion Permanent restrictions after lumbar fusion All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. Lumbar fusions may involve conditions such as posterior lumbar interbody fusion (PLIF), variable spinal plating (VSP), internal fixation, posterior lateral fusion, and any or all of the above in any combination. Permanent Restrictions After Lumbar Spinal Fusion.