Lateral Lumbar Interbody Fusion (LLIF or XLIF)
|
|
- Irma Gregory
- 8 years ago
- Views:
Transcription
1 Lateral Lumbar Interbody Fusion (LLIF or XLIF) NOTE: PLEASE DO NOT TAKE ANY NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDs like Advil, Aleve, Ibuprofen, Motrin, Naprosyn, Mobic, etc) OR ASPIRIN PRODUCTS FOR 2 WEEKS BEFORE SURGERY. These medications can increase bleeding during surgery. If you absolutely need to be on these medications until the date of surgery, check with your surgeon. Your Spine Problem: There may be two separate problems in your spine. First is spinal stenosis, a condition in which the spinal nerve roots or spinal cord is compressed by degenerated ( worn out ) portions of the spine. Bone spurs, disc degeneration/herniations, and soft tissue hypertrophy (overgrowth) may all contribute to spinal stenosis and arises from arthritis ( wear and tear or degeneration ) of the spine. The compression of the nerve roots can cause symptoms such as pain, numbness, tingling or weakness of the buttocks and legs. These symptoms are called radiculopathy, myelopathy, or neurogenic claudication, depending on the location of compression within the spinal canal. These areas of nerve compression need to be decompressed to allow maximal recovery of nerve function to improve ambulatory function, strength and balance and to relieve pain, numbness, and tingling. The second problem may be instability of one vertebra on another and further spinal degeneration, which can result in spinal deformity. This instability can make the spinal stenosis with nerve compression worse and/or cause back pain and progression of deformity. These areas may need to be fused to allow for restoration of alignment, correction of spinal deformity and resolution of back pain. This is all done to improve a patient s quality of life. Your surgery - general considerations: The surgery is designed to address all of the problems present. Not every patient has the same problems the surgery is tailored to your particular problems. If you have spinal stenosis, the surgeon will remove the portions of the lumbar spine (typically bone spurs and/or disc herniation) that are causing the compression of the nerves. This is called a decompression and in your particular case can be done in a minimally invasive fashion. The entire spine is not removed, only the areas compressing the damaged nerve roots are removed. The decompression helps to free up space for the nerve roots so that they are no longer pinched. If you have instability, a fusion may be performed. This is done using metal screws and rods to connect the problem vertebrae. The disc at the affected level will also be removed to help take pressure off the nerves, improved fusion success, restore the alignment of the diseased spinal segments, and correct the deformity to restore normal body alignment. The disc is then replaced with an implant and bone graft. Using the implants and the bone graft, a proper environment is created so that the problem segments will fuse together and heal into one bone. The entire spine is not fused! Only those segments causing the problem are fused. It can take up to one year for the fusion to completely heal. During that time, you may progressively increase your activities under our surgeon s guidance. However, you should always be careful to ensure that the fusion heals properly. You will be given information on what you can and can t do after surgery.
2 Your minimally invasive surgery (MIS) specific to you: XLIF or LLIF Fortunately because of your particular pathology and anatomy you are amenable to surgical treatment in a minimally invasive fashion. Through the use of specialized surgical instrumentation and implants, intraoperative microscope, as well as advanced intraoperative imaging techniques, your surgery can be performed through small windows using tubes for retractors as opposed to traditional spine surgery requiring large extensive surgical incisions for visualization. This allows for minimal tissue and muscle disruption, with faster recovery and less blood loss and less post-operative pain. We no longer need to strip off muscle and create extensive scar tissue surrounding the spinal nerves with a traditional large incision which involved substantially more bleeding, higher risks of spinal fluid leaking, higher infection rates, and more muscle pain with muscle scaring. Rather with a MIS approach, rehabilitation and mobilization are much quicker after surgery, recovery time and return to work is expedited, hospital stay is shortened, there is less intra-operative blood loss and less post-operative pain. In your particular case, a small incision will be made on your side to provide working windows. Through this working window, a tubular retractors will be utilized to remove disc material from a collapsed and degenerated disc. This allows for placement of a much larger implant and bone graft material to indirectly decompress the spinal nerves by distracting and restoring normal disc height and restoring a more normal alignment when abnormal to begin with. A plate and screws through the same incision or placement of screws and rods through two separate small incisions on the back will be done percutaneously, guided by real time navigation using intraoperative fluoroscopy as well as intraoperative neurological monitoring to safely monitor nerve function during the surgery. This technique allows for maximal surface area for robust fusion mass. Furthermore, it is an excellent surgical approach to indirectly decompress nerves in patients with leg pain from sciatica or difficulty walking from neurogenic claudication from nerve compression within the central spinal canal or foramen. It is also a great technique to correct spinal deformity; including scoliosis, kyphosis, and spondylolisthesis to more anatomically realign the spine. Bone graft: A bone graft is necessary to perform the fusion. Most cases local bone graft will be used in combination with a synthetic graft material or banked allograft bone material. A number of factors influence whether your own bone, banked allograft bone, synthetic bone graft substitute or some combination is appropriate for you. In some cases Bone Morphogenic Protein (BMP) will be used to supplement and encourage bone growth for a robust fusion mass. Based on these factors, you and your surgeon will discuss and decide together the type of bone graft to be used for your surgery. Incision: Usually, one incision will be made on your side and two small incisions on either side of the back will be made to access your spine. The size of the incision depends on many factors including the number of levels requiring decompression and your body weight. There will generally not be any stitches to remove. There may be a small plastic drain that comes out of your skin near the wound, depending on the type of surgery you have. Its purpose is to keep blood clots from pooling in the wound. Usually, your surgeon s team will remove the drain on day two to three after surgery.
3 Your Hospital Stay: After surgery, you will be taken to the anesthesia recovery room. When you are awake after anesthesia, usually about 1-3 hours later, you will then go to your hospital suite. In most cases, your family may be able to see you once you have suf ficiently awakened from anesthesia in the recovery room, as well as once you arrive in your suite. Diet: Initially, you will not have much of an appetite, however, you will be allowed to eat regular food whenever you feel up to it. Don t force yourself to eat. Eat only as much as you are comfortable with. It is common for your GI tract to not function normally immediately after surgery due to anesthesia, narcotics, and physical inactivity but generally resolves within a few days. On the other hand, getting off IV pain medications as soon as it is reasonable, staying well hydrated, and walking as much as possible will help with GI motility. Physical Therapy: You will participate in physical therapy as early as the day of surgery while in the hospital. This is extremely important to your overall recovery from surgery for a number of reasons. Getting out of bed is good for your lungs; it prevents blood clots from forming in your legs, and speeds your recovery. However, until your surgeon says otherwise, the only physical therapy you should do initially when discharged home is walking. No strengthening or stretching of the lower back is necessary. These may actually be harmful unless prescribed to you later at an appropriate time by your surgeon. Some people will need to use a walker during their initial recovery period, others may not. Pain Medications: You will be given a PCA pump for pain control after surgery. The PCA is a machine that allows you to push a button to receive pain medication (usually morphine) when you feel pain. You can push the button as often as you wish, however, the machine limits the amount of medication you get every hour. Use the machine to make yourself feel comfortable. However, because using the PCA for long periods of time can have side effects, it is best to switch to oral pain medicine as soon as possible. Your surgeon will do this for you in the hospital at the appropriate time (usually the day after surgery). Oral pain pills are advantageous in that they provide a more constant level of pain control than does a PCA pump Going home: Your length of stay in the hospital depends on many factors, including your general medical condition and the severity of your spine problem. Most patients who have a one-level decompression and fusion can go home in one to three days. If more levels need surgery or if you have had a previous spine surgery, your hospital stay may be longer. You can go home when: 1) you are taking oral pain pills; AND 2) you can eat and drink enough to sustain yourself (don t worry -- most people will not feel like eating and drinking too much after surgery, and that is ok); AND 3) you are able to get out of bed and walk around. The physical therapist will help in determining when you are safe to go home. Having a bowel movement is not necessary before going home. On occasion, some patients may need to go to a rehabilitation facility first before going home, depending on how large of a surgery you have and what your particular support system is at home. If rehabilitation is recommended, you will build up your strength in a more supervised setting until ready to go home. What to do when you get home: Instructions on do s and don ts once you get home are on the next page
4 WHAT TO DO AFTER YOU GET HOME LUMBAR OR THORACIC FUSION & DECOMPRESSION POST-OPERATIVE INSTRUCTIONS Wound Care:! Keep your incision clean and dry.! There are no stitches to remove, unless you have been told otherwise. All of the stitches are inside.! If the wound is dry, no further dressings are needed and the incision can be left open to air. If there is some drainage, the wound can be covered with a clean dressing as needed.! You may shower when the wound has been clean and dry for 24 hours. However, do not soak the wound in a bathtub or pool. Gently clean your wound do not scrub it vigorously until it is completed healed.! If you have them, let the Steri-strips (the tape on your incision) fall off by themselves. If some are still there by the end of two weeks, you may peel them off.! Do NOT put any ointments or antibacterial solutions over the incision or Steristrips.! If you notice any drainage, redness, swelling, or increased pain at the incision, call the office. Activities:! Walking is the best activity. Walk as much as you like. It is good for you and will help you recover more quickly.! AVOID the BLTs: Bending, Lifting, and Twisting of your lower back. However, you may exercise your arms and legs with light weights (5-10 pounds) if desired as soon as you feel like it -- as long as those activities do not cause you to perform BLTs on your lower back.! Do not try to do too much too early (e.g. heavy housework such as making beds, laundry, vacuuming). Use your common sense. Again, walking is the best activity, and we encourage you to walk.! If you have been given physical therapy visits at home, these are for safety and help with walking/ getting around, not for doing the BLTs.
5 Medications:! PLEASE DO NOT TAKE ANY NON-STEROIDAL ANTI- INFLAMMATORY DRUGS (NSAIDs like Advil, Aleve, Naprosyn, Ibuprofen, Motrin, Mobic, etc) FOR 3 MONTHS AFTER SURGERY. These medications can adversely affect fusion. If you absolutely need to be on these medications sooner, please check with your surgeon first.! If you were on a baby aspirin prior to surgery, you may generally resume that after surgery.! If you were on a blood thinner (like Coumadin/ Lovenox/ Heparin products/ or Plavix), check with your surgeon as to when that may be resumed after surgery.! You may have been given prescriptions for several different pain medications, or your surgeon may have provided you with one type of pain medication. Take the narcotics for moderate to severe pain. Try to take the appropriate medication for the level of pain you are having. Take the pain medicine only when you need to.! Pain medications are helpful around the time of surgery, but they can cause problems if taken for too long. The goal is to try to get you off of the medications by 4-6 weeks or earlier, if possible. Some people may need medications for longer than 4-6 weeks, and that s ok. But try to wean yourself off of them if you can.! If you find that your pain is really mild, try taking plain extra strength Tylenol instead.! The pain medicines may tend to make you somewhat constipated. You should drink plenty of water and drink prune juice if needed. You may take Colace to keep your bowels regular. Feel free to take any over the counter laxatives if you need to. Diet:! Eat whatever you like. You may not feel like eating too much for a few days, and that s ok. Foods high in fiber (fruits, vegetables) are good in that they can help reduce constipation.! Drink plenty of fluids. Follow up:! If you have not already been given a postop follow up appointment, call the office within the first few days after you get home. Tell the office staff that you had surgery and need a two-week follow up appointment. Questions:! Feel free to call the office with any questions.! If you are having an urgent concern, call the office immediately. During business hours, you will be connected to your surgeon s medical assistant, who reports urgent concerns to your surgeon. After business hours, you will be connected to the surgeon on call who can help you. If it is an emergency, call 911 or go to the ER for evaluation.
6
Lumbar or Thoracic Fusion +/- Decompression
Lumbar or Thoracic Fusion +/- Decompression PLEASE DO NOT TAKE ANY NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDs like Advil, Celebrex, Ibuprofen, Motrin, Vioxx, Naprosyn, Aleve, etc) OR ASPIRIN PRODUCTS
More informationLumbar or Thoracic Decompression and Fusion
Lumbar or Thoracic Decompression and Fusion DO NOT TAKE ANY ASPIRIN PRODUCTS OR NON-STEROIDAL ANTI- INFLAMMATORY DRUGS (ie NSAIDs, Advil, Celebrex, Ibuprofen, Motrin, Naprosyn, Aleve, etc) FOR 2 WEEKS
More informationANTERIOR CERVICAL DECOMPRESSION AND FUSION
ANTERIOR CERVICAL DECOMPRESSION AND FUSION NOTE: PLEASE DO NOT TAKE ANY NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDs like Advil, Celebrex, Ibuprofen, Motrin, Vioxx, etc) OR ASPIRIN PRODUCTS FOR 2 WEEKS
More informationAnterior Cervical Decompression and Fusion or Anterior Cervical Corpectomy and Fusion
Anterior Cervical Decompression and Fusion or Anterior Cervical Corpectomy and Fusion DO NOT TAKE ANY ASPIRIN PRODUCTS OR NON-STEROIDAL ANTI- INFLAMMATORY DRUGS (ie NSAIDs, Advil, Celebrex, Ibuprofen,
More informationLow Back Surgery. Remember to bring this handout to the hospital with you.
Remember to bring this handout to the hospital with you. Table of contents Page Why do I need low back surgery?... 1 What kinds of low back surgeries are there?... 2 Before your surgery... 3 After your
More informationOrthopaedic Spine Center. Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs
Orthopaedic Spine Center Graham Calvert MD James Woodall MD PhD Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs The cervical spine consists of the bony vertebrae, discs, nerves and other structures.
More informationvisualized. The correct level is then identified again. With the use of a microscope and
SURGERY FOR SPINAL STENOSIS Laminectomy A one inch (or longer for extensive stenosis) incision is made in the middle of the back over the effected region of the spine. The muscles over the bone are moved
More informationLumbar Decompression Surgery Guide
Lumbar Decompression Surgery Guide TABLE OF CONTENTS: Page 3: Page 5: Page 7: Page 8: Page 9: Page 10: Page 11: Page 12: The Lumbar Spine Lumbar Surgery Before Surgery Medications Day of Surgery Evening
More informationNeck Surgery (Cervical spine surgery) Remember to bring this handout to the hospital with you.
Neck Surgery (Cervical spine surgery) Remember to bring this handout to the hospital with you. 1 Neck Surgery (cervical spine surgery) Table of contents Page Why do I need neck surgery?... 2 What kinds
More informationLumbar Laminectomy and Interspinous Process Fusion
Lumbar Laminectomy and Interspinous Process Fusion Introduction Low back and leg pain caused by pinched nerves in the back is a common condition that limits your ability to move, walk, and work. This condition
More informationDoes the pain radiating down your legs, buttocks or lower back prevent you from walking long distances?
Does the pain radiating down your legs, buttocks or lower back prevent you from walking long distances? Do you experience weakness, tingling, numbness, stiffness, or cramping in your legs, buttocks or
More informationHerniated Lumbar Disc
Herniated Lumbar Disc North American Spine Society Public Education Series What Is a Herniated Disc? The spine is made up of a series of connected bones called vertebrae. The disc is a combination of strong
More informationLumbar Spine Surgery What to Expect
Lumbar Spine Surgery What to Expect You have been scheduled for lumbar spine surgery and are probably wondering what to expect with your surgical journey. We will discuss pre- operative tasks, the day
More informationBRYAN. Cervical Disc System. Patient Information
BRYAN Cervical Disc System Patient Information 3 BRYAN Cervical Disc System PATIENT INFORMATION BRYAN Cervical Disc System PATIENT INFORMATION 1 BRYAN Cervical Disc System This patient information brochure
More informationLumbar Spinal Stenosis
Lumbar Spinal Stenosis North American Spine Society Public Education Series What Is Lumbar Spinal Stenosis? The vertebrae are the bones that make up the lumbar spine (low back). The spinal canal runs through
More informationPatient Guide to Lower Back Surgery
The following is a sampling of products offered by Zimmer Spine for use in Open Lumbar Fusion procedures. Patient Guide to Lower Back Surgery Open Lumbar Fusion Dynesys The Dynesys Dynamic Stabilization
More informationLumbar Spinal Stenosis
Copyright 2009 American Academy of Orthopaedic Surgeons Lumbar Spinal Stenosis Almost everyone will experience low back pain at some point in their lives. A common cause of low back pain is lumbar spinal
More informationPosterior Cervical Decompression
Posterior Cervical Decompression Spinal Unit Tel: 01473 702032 or 702097 Issue 2: January 2009 Following your recent MRI scan and consultation with your spinal surgeon, you have been diagnosed with a
More informationHerniated Disk. This reference summary explains herniated disks. It discusses symptoms and causes of the condition, as well as treatment options.
Herniated Disk Introduction Your backbone, or spine, has 24 moveable vertebrae made of bone. Between the bones are soft disks filled with a jelly-like substance. These disks cushion the vertebrae and keep
More informationConsent for Lumbar Spine Surgery and Fusion at
STEPHEN MARANO, M.D. JAMES COOK PA-C Consent for Lumbar Spine Surgery and Fusion at Patient Name: Patient Diagnosis: Lumbar Spinal Stenosis (Narrowing of the canal where the spinal cord and nerves are
More informationSPINAL STENOSIS Information for Patients WHAT IS SPINAL STENOSIS?
SPINAL STENOSIS Information for Patients WHAT IS SPINAL STENOSIS? The spinal canal is best imagined as a bony tube through which nerve fibres pass. The tube is interrupted between each pair of adjacent
More informationSPINAL FUSION. North American Spine Society Public Education Series
SPINAL FUSION North American Spine Society Public Education Series WHAT IS SPINAL FUSION? The spine is made up of a series of bones called vertebrae ; between each vertebra are strong connective tissues
More informationPatient Information. Posterior Cervical Surgery. Here to help. Respond Deliver & Enable
Here to help Our Health Information Centre (HIC) provides advice and information on a wide range of health-related topics. We also offer: Services for people with disabilities. Information in large print,
More informationHow to Care for Yourself after Lumbar Posterior Decompression
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
More informationTotal Knee Replacement
Total Knee Replacement Contents Introduction Total Knee Replacement Preparing for surgery Pre-op visit Day of surgery After surgery (In Hospital) After surgery (In Rehab) Exercise Program and Physical
More informationTotal Hip Replacement Surgery Home Care Instructions
Total Hip Replacement Surgery Home Care Instructions Surgery: Date: Doctor: This handout will review the care you need to follow once you are home. If you have any questions or concerns, please ask your
More informationAnterior Cervical Discectomy and Fusion
A Patient s Guide to Anterior Cervical Discectomy and Fusion 651 Old Country Road Plainview, NY 11803 Phone: 5166818822 Fax: 5166813332 p.lettieri@aol.com DISCLAIMER: The information in this booklet is
More informationPosterior Cervical Decompression Surgery Guide
Posterior Cervical Decompression Surgery Guide 1 TABLE OF CONTENTS: Page 3: Page 4: Page 6: Page 8: Page 9: Page 10: Page 11: Page 12: Page 13: Page 15: Frequently Asked Questions The Cervical Spine Cervical
More informationPatient Guide to Neck Surgery
The following is a sampling of products offered by Zimmer Spine for use in Anterior Cervical Fusion procedures. Patient Guide to Neck Surgery Anterior Cervical Fusion Trinica Select With the Trinica and
More informationPatient Information for Lumbar Spinal Fusion. What is a lumbar spinal fusion? Page 1 of 5
Patient Information for Lumbar Spinal Fusion What is a lumbar spinal fusion? You have been offered surgery to the lumbar region of your spine, your lower back. The operation is called a lumbar spinal fusion.
More informationHerniated Cervical Disc
Herniated Cervical Disc North American Spine Society Public Education Series What Is a Herniated Disc? The backbone, or spine, is composed of a series of connected bones called vertebrae. The vertebrae
More informationLumbar Micro-Discectomy
Lumbar Micro-Discectomy David M. Montgomery, M.D. Orthopaedic Spine Surgeon Lisa A. Olds, RN, BSN, ONC Spine Nurse Clinician Oakland Orthopaedic Surgeons, PLLC 30575 Woodward Avenue, Suite 100 Royal Oak,
More informationSPINE AND NECK SURGERY: MAKING A DECISION THAT S RIGHT FOR YOU
1. GET THE FACTS: Back and neck pain affects 8 out of 10 people at some point in their life. Acute back and neck pain comes on suddenly and usually lasts from a few days to a few weeks. Chronic back and
More informationLaparoscopic Colectomy. What do I need to know about my laparoscopic colorectal surgery?
Laparoscopic Colectomy What do I need to know about my laparoscopic colorectal surgery? Traditionally, colon & rectal surgery requires a large, abdominal and/or pelvic incision, which often requires a
More informationPatient Information. Lateral Lumbar Interbody Fusion Surgery (LLIF).
Patient Information. Lateral Lumbar Interbody Fusion Surgery (LLIF). Understanding your spine Disc Between each pair of vertebrae there is a disc that acts as a cushion to protect the vertebra, allows
More information.org. Herniated Disk in the Lower Back. Anatomy. Description
Herniated Disk in the Lower Back Page ( 1 ) Sometimes called a slipped or ruptured disk, a herniated disk most often occurs in your lower back. It is one of the most common causes of low back pain, as
More informationMinimally Invasive Spine Surgery For Your Patients
Minimally Invasive Spine Surgery For Your Patients Lukas P. Zebala, M.D. Assistant Professor Orthopaedic and Neurological Spine Surgery Department of Orthopaedic Surgery Washington University School of
More informationInformation for the Patient About Surgical
Information for the Patient About Surgical Decompression and Stabilization of the Spine Aging and the Spine Daily wear and tear, along with disc degeneration due to aging and injury, are common causes
More information.org. Cervical Radiculopathy (Pinched Nerve) Anatomy. Cause
Cervical Radiculopathy (Pinched Nerve) Page ( 1 ) Cervical radiculopathy, commonly called a pinched nerve occurs when a nerve in the neck is compressed or irritated where it branches away from the spinal
More informationSelective Nerve Root Block
Selective Nerve Root Block What is a selective nerve root block? Selective nerve root blocks is similar to epidural injections, as the preparation and approach is identical. Epidural refers to the space
More informationX Stop Spinal Stenosis Decompression
X Stop Spinal Stenosis Decompression Am I a candidate for X Stop spinal surgery? You may be a candidate for the X Stop spinal surgery if you have primarily leg pain rather than mostly back pain and your
More informationOpen Discectomy. North American Spine Society Public Education Series
Open Discectomy North American Spine Society Public Education Series What Is Open Discectomy? Open discectomy is the most common surgical treatment for ruptured or herniated discs of the lumbar spine.
More informationA Healthy Lumbar Spine... 2. A Problem Lumbar Spine... 3. Understanding Your Surgery... 4. Preparing for Surgery... 5. Day of Surgery...
Table of Contents A Healthy Lumbar Spine................. 2 A Problem Lumbar Spine................. 3 Understanding Your Surgery.............. 4 Preparing for Surgery.................... 5 Day of Surgery.........................
More informationSpinal Decompression: Laminectomy & Laminotomy
Spinal Decompression: Laminectomy & Laminotomy Overview Narrowing of the spinal canal, a condition called spinal stenosis can cause chronic pain, numbness, and muscle weakness in your arms or legs (Fig.
More informationConsent for Anterior Cervical Discectomy With Fusion and a Metal Plate at
STEPHEN MARANO, M.D. JAMES COOK PA-C Consent for Anterior Cervical Discectomy With Fusion and a Metal Plate at Patient Name: Patient Diagnosis: Cervical Degenerative Disc Disease (wear and tear on the
More informationAbdominal Wall (Ventral, Incisional, Umbilical) Hernia Repair Postoperative Instructions
Abdominal Wall (Ventral, Incisional, Umbilical) Hernia Repair Postoperative Instructions No lifting greater than 10 15 lbs for the first three weeks following your surgery. Walking around the house, office
More informationYou will be having surgery to remove a tumour(s) from your liver.
Liver surgery You will be having surgery to remove a tumour(s) from your liver. This handout will help you learn about the surgery, how to prepare for surgery and your care after surgery. Surgery can be
More informationColon Cancer Surgery and Recovery. A Guide for Patients and Families
Colon Cancer Surgery and Recovery A Guide for Patients and Families This Booklet You are receiving this booklet because you will be having surgery shortly. This booklet tells you what to do before, during,
More informationNeck Pain Frequently Asked Questions. Moe R. Lim, MD UNC Orthopaedics (919-96B-ONES) UNC Spine Center (919-957-6789)
Neck Pain Frequently Asked Questions Moe R. Lim, MD UNC Orthopaedics (919-96B-ONES) UNC Spine Center (919-957-6789) Neck Pain Human Spine 25 bones Cervical (7) Thoracic (12) Lumbar (5) Sacrum Human Spine
More informationCervical Spondylosis (Arthritis of the Neck)
Copyright 2009 American Academy of Orthopaedic Surgeons Cervical Spondylosis (Arthritis of the Neck) Neck pain is extremely common. It can be caused by many things, and is most often related to getting
More informationMinimally Invasive Spine Surgery What is it and how will it benefit patients?
Minimally Invasive Spine Surgery What is it and how will it benefit patients? Dr Raoul Pope MBChB, FRACS, Neurosurgeon and Minimally Invasive Spine Surgeon Concord Hospital and Mater Private Hospital Sydney
More informationBalloon Kyphoplasty. Balloon Kyphoplasty is a minimally invasive procedure to treat vertebral body compression fractures.
Balloon Kyphoplasty Overview Balloon Kyphoplasty is a minimally invasive procedure to treat vertebral body compression fractures. The technique is designed to: Reduce and stabilise the fracture in a controlled
More informationTemple Physical Therapy
Temple Physical Therapy A General Overview of Common Neck Injuries For current information on Temple Physical Therapy related news and for a healthy and safe return to work, sport and recreation Like Us
More informationPosterior Lumbar Decompression for Spinal Stenosis
Posterior Lumbar Decompression for Spinal Stenosis Spinal Unit Tel: 01473 702032 or 702097 Issue 5: August 2014 Review date: July 2017 Following your recent MRI scan and consultation with your spinal surgeon
More informationX-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary
X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary Introduction Severe arthritis in the hip can lead to severe pain and inability to walk. To relieve the pain and improve
More informationDisc Degeneration, Nerve Impingement, and Stenosis in the Cervical Spine
Disc Degeneration, Nerve Impingement, and Stenosis in the Cervical Spine Nerve impingement is a condition in which abnormal pressure is placed on the nerves in the cervical spine [neck] and is often related
More informationPatient Guide. Sacroiliac Joint Pain
Patient Guide Sacroiliac Joint Pain Anatomy Where is the Sacroiliac Joint? The sacroiliac joint (SIJ) is located at the bottom end of your spine, where the "tailbone" (sacrum) joins the pelvis (ilium).
More informationPatient Information. Anterior Cervical Surgery. Here to help. Respond Deliver & Enable
Here to help Our Health Information Centre (HIC) provides advice and information on a wide range of health-related topics. We also offer: Services for people with disabilities. Information in large print,
More informationAdvances In Spine Care. James D. Bruffey M.D. Scripps Clinic Division of Orthopaedic Surgery Section of Spinal Surgery
Advances In Spine Care James D. Bruffey M.D. Scripps Clinic Division of Orthopaedic Surgery Section of Spinal Surgery Introduction The Spine - A common source of problems Back pain is the #2 presenting
More informationPatients with pain in the neck, arm, low back, or leg (sciatica) may benefit from ESI. Specifically, those with the following conditions:
Overview An epidural steroid injection (ESI) is a minimally invasive procedure that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves. ESI may be performed to relieve pain
More informationPatient information for cervical spinal fusion.
Patient information for cervical spinal fusion. Introduction This booklet has been compiled to help you understand spinal cervical fusion surgery and postoperative rehabilitation. Anatomy The cervical
More informationWe ve got your back. Physical Therapy After Lumbar Fusion Surgery
We ve got your back Physical Therapy After Lumbar Fusion Surgery Physical therapy is an extremely important part of you recovery after spinal surgery. This booklet, prepared by the therapists who specialize
More informationDepartment of Surgery
Thoracic Surgery After Your Lung Surgery Patient Education Discharge Information You have just had lung surgery. The following are definitions of terms you may hear in connection with your surgery: THORACOTOMY
More informationPosterior Lumbar Decompression for Spinal Stenosis
Posterior Lumbar Decompression for Spinal Stenosis Issue 6: March 2016 Review date: February 2019 Following your recent MRI scan and consultation with your spinal surgeon you have been diagnosed with
More informationHerniated Disk in the Lower Back
Nader M. Hebela, MD Fellow of the American Academy of Orthopaedic Surgeons http://orthodoc.aaos.org/hebela Cleveland Clinic Abu Dhabi Cleveland Clinic Abu Dhabi Neurological Institute Al Maryah Island
More informationAfter Your Abdominal Surgery
UW MEDICINE PATIENT EDUCATION After Your Abdominal Surgery Self-care and follow-up You recently had abdominal surgery. This handout explains what to expect during your recovery. Please read these instructions
More informationMy Spinal Surgery: Going Home
My Spinal Surgery: Going Home The Spinal Surgery Team has prepared this insert containing information to help prepare you and your family for going home after your spinal surgery. Please visit the UHN
More informationSpinal Injections. North American Spine Society Public Education Series
Spinal Injections North American Spine Society Public Education Series What Is a Spinal Injection? Your doctor has suggested that you have a spinal injection to help reduce pain and improve function. This
More informationGreenLight Laser Therapy for Treating Benign Prostatic Hyperplasia (BPH)
GreenLight Laser Therapy for Treating Benign Prostatic Hyperplasia (BPH) To learn about this procedure it helps to know these words: The prostate is the sexual gland that makes a fluid which helps sperm
More informationA Patient s Guide to PAIN MANAGEMENT. After Surgery
A Patient s Guide to PAIN MANAGEMENT After Surgery C o m p a s s i o n a n d C o m m i t m e n t A Patient s Guide to Pain Management After Surgery If you re facing an upcoming surgery, it s natural to
More informationAfter Bladder Surgery (TUR-TransUrethral Resection) Discharge Information
After Bladder Surgery (TUR-TransUrethral Resection) Discharge Information General Information (for either procedure) TUR (Transurethral Resection) Bladder Neck may be done to remove scar tissue blocking
More information.org. Fractures of the Thoracic and Lumbar Spine. Cause. Description
Fractures of the Thoracic and Lumbar Spine Page ( 1 ) Spinal fractures can vary widely in severity. While some fractures are very serious injuries that require emergency treatment, other fractures can
More informationOverview Anatomy of the spinal canal What is spinal stenosis? > 1
Spinal Stenosis Overview Spinal stenosis is the narrowing of your spinal canal and nerve root canal along with the enlargement of your facet joints. Most commonly it is caused by osteoarthritis and your
More informationSPINE SURGERY - LUMBAR DECOMPRESSION
SPINE SURGERY - LUMBAR DECOMPRESSION Information Leaflet Your Health. Our Priority. Page 2 of 7 Introduction This booklet has been compiled by the physiotherapy department to help you understand lumbar
More informationPREOPERATIVE SURGERY EDUCATION
PREOPERATIVE SURGERY EDUCATION SURGERY NAME: INTERLAMINAR LUMBAR INSTRUMENTED FUSION (ILIF) PROCEDURE OVERVIEW: Lumbar Spinal Stenosis is the most common reason for back surgery in patients over 50 in
More informationLower Back Pain. Introduction. Anatomy
Lower Back Pain Introduction Back pain is the number one problem facing the workforce in the United States today. To illustrate just how big a problem low back pain is, consider these facts: Low back pain
More informationCervical Stenosis & Myelopathy
Cervical Stenosis & Myelopathy North American Spine Society Public Education Series What Are Cervical Stenosis and Myelopathy? The cervical spine (neck) is made up of a series of connected bones called
More informationBefore Surgery You will likely be asked to see your family physician or an internal medicine doctor for a thorough medical evaluation.
Anterior Hip Replacement - Before and After Surgery Your Hip Evaluation An orthopaedic surgeon specializes in problems affecting bones and joints. The surgeon will ask you many questions about your hip
More informationInguinal Hernia (Female)
Inguinal Hernia (Female) WHAT IS AN INGUINAL HERNIA? 2 WHAT CAUSES AN INGUINAL HERNIA? 2 WHAT DOES TREATMENT / MANAGEMENT INVOLVE? 3 DAY SURGERY MANAGEMENT 3 SURGICAL REPAIR 4 WHAT ARE THE RISKS/COMPLICATIONS
More informationSurgery for cervical disc prolapse or cervical osteophyte
Mr Paul S. D Urso MBBS(Hons), PhD, FRACS Neurosurgeon Provider Nº: 081161DY Epworth Centre Suite 6.1 32 Erin Street Richmond 3121 Tel: 03 9421 5844 Fax: 03 9421 4186 AH: 03 9483 4040 email: paul@pauldurso.com
More informationCervical Disk Surgery
Cervical Disk Surgery Relieving Symptoms with Decompression and Fusion CONSIDER CERVICAL DISK SURGERY Do you suffer from nagging neck and arm pain or weakness caused by a disk problem in your upper (cervical)
More informationTotal Abdominal Hysterectomy
What is a total abdominal hysterectomy? Is the removal of the uterus and cervix through an abdominal incision (either an up and down or bikini cut). Removal of the ovaries and tubes depends on the patient.
More informationGOING HOME AFTER YOUR TAVR PROCEDURE
GOING HOME AFTER YOUR TAVR PROCEDURE HENRY FORD HOSPITAL CENTER FOR STRUCTURAL HEART DISEASE GOING HOME After your TAVR procedure, you will need help when you go home. It is hard to predict how much help
More informationPOSTOPERATIVE INSTRUCTION FOR ANTERIOR/POSTERIOR LUMBAR SPINE FUSION
www.southerarizonaspine.com POSTOPERATIVE INSTRUCTION FOR ANTERIOR/POSTERIOR LUMBAR SPINE FUSION This handout will review the care you need to follow once you are home. If you have any questions or concerns,
More informationLumbar Decompression and Stabilisation for Degenerative Spondylolisthesis
Lumbar Decompression and Stabilisation for Degenerative Spondylolisthesis Spinal Unit Tel: 01473 702032 or 702097 Issue 5: August 2014 Review date: July 2017 Following your recent investigations and consultation
More informationNeck Injuries and Disorders
Neck Injuries and Disorders Introduction Any part of your neck can be affected by neck problems. These affect the muscles, bones, joints, tendons, ligaments or nerves in the neck. There are many common
More informationPreventing & Treating Low Back Pain
Preventing & Treating Low Back Pain An Introduction to Low Back Pain Low back pain is the number two reason that Americans see a health care practitioner second only to colds and flu. While most people
More informationYou and your doctor will talk about your condition and the treatment that is best for you.
PATIENT EDUCATION patienteducation.osumc.edu It is normal to have questions about your surgery. This handout gives you information about what will happen to you before, during and after your surgery. If
More informationPain Management after Surgery Patient Information Booklet
Pain Management after Surgery Patient Information Booklet PATS 509-15-05 Your Health Care Be Involved Be involved in your healthcare. Speak up if you have questions or concerns about your care. Tell a
More informationPrimary and revision lumbar discectomy. (nerve root decompression)
Primary and revision lumbar discectomy (nerve root decompression) The aim of this leaflet is to help answer some of the questions you may have about having a lumbar discectomy. It explains the benefits,
More informationPosterior Lumbar Discectomy
Posterior Lumbar Discectomy Overview Posterior lumbar discectomy is a surgical procedure performed to remove a herniated or degenerative disc in the lower spine. The surgeon approaches the spine from posterior,
More informationOrthopaedic Surgery Center of Joint Preservation and Replacement After Total Hip Replacement Discharge Instructions
Congratulations on your new hip! You are going home after a successful total hip replacement. Although there is still much work to do, we have already achieved a lot. So, when you get home, take a deep
More informationAfter Your Gastric Bypass Surgery
After Your Gastric Bypass Surgery UHN Information for patients and families Read this information to learn: what problems to look out for how to care for yourself at home about your follow-up appointment
More informationExcision of Vaginal Mesh
What is excision of vaginal mesh? This procedure is done to remove mesh from the vagina. When is this surgery used? If mesh has eroded into the vagina, bladder, urethra, or bowel If there is pain associated
More informationSO, YOU ARE HAVING DBS SURGERY?
SO, YOU ARE HAVING DBS SURGERY? This resource is for Awake Deep Brain Stimulation (DBS) patients. Welcome to Brigham and Women s Hospital and the Deep Brain Stimulation (DBS) Program Serving patients in
More informationA Patient s Guide to Artificial Cervical Disc Replacement
A Patient s Guide to Artificial Cervical Disc Replacement Each year, hundreds of thousands of adults are diagnosed with Cervical Disc Degeneration, an upper spine condition that can cause pain and numbness
More informationOptions for Cervical Disc Degeneration A Guide to the Fusion Arm of the M6 -C Artificial Disc Study
Options for Cervical Disc Degeneration A Guide to the Fusion Arm of the M6 -C Artificial Disc Study Each year, hundreds of thousands of adults are diagnosed with Cervical Disc Degeneration, an upper spine
More informationFemoral Hernia Repair
Femoral Hernia Repair WHAT IS A FEMORAL HERNIA REPAIR? 2 WHAT CAUSES A FEMORAL HERNIA? 2 WHAT DOES TREATMENT/ MANAGEMENT INVOLVE? 3 DAY SURGERY MANAGEMENT 3 SURGICAL REPAIR 4 WHAT ARE THE RISKS/COMPLICATIONS
More informationAfter your gastric banding
After your gastric banding Exceptional healthcare, personally delivered 2 Please call J Ward at Southmead Hospital on 0117 323 5132 if you have any questions or concerns soon after discharge. You may be
More informationPERIACETABULAR OSTEOTOMY SURGERY
1 PERIACETABULAR OSTEOTOMY SURGERY It is important to us that all of our patients know what to expect before surgery, during their hospitalization and after surgery. Office Visits Planning begins with
More information