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Posterior lumbar fusion surgery
مقاله تخصصی

Posterior lumbar fusion surgery

3 months ago
135 بازدید
Dr. Mahmoud Yazdan Panahi

Dr. Mahmoud Yazdan Panahi

Tehran

Neurosurgeon and spine and disc surgeon

What is posterior lumbar fusion surgery?.. Posterior lumbar intervertebral fusion surgery is one of the effective methods for treating chronic pain and instability in the lower back. can be... This surgery is designed with the aim of reducing pain, improving spinal stability and preventing nerve damage... Benefits of posterior lumbar fusion surgery Posterior lumbar intervertebral fusion surgery (PLIF) is one of the effective and well-known methods for treating chronic spine problems, especially in the back and leg area. This surgery is recommended when the patient is facing persistent and limiting pain and non-surgical treatments such as drugs, physiotherapy or injections have not been able to improve significantly. It makes.. - Effective reduction of chronic back and leg pains - Increasing the stability of the spine and preventing the movement of unstable vertebrae - Improving the quality of life and increasing the ability to perform daily activities - It is effective in treating problems such as slipped vertebrae or disc degeneration - The use of stabilizing tools in posterior intervertebral fusion surgery of the back, which leads to high success of the operation... - Reducing the pressure on the nerve roots and preventing possible injuries - Suitable for patients who have not responded to non-surgical treatments - Can be used with minimally invasive methods and with a shorter recovery period than old open surgeries Complications of PLIF surgery (posterior intervertebral fusion surgery) Although posterior lumbar intervertebral fusion surgery can bring favorable results for many patients, it is associated with risks like any other surgical procedure... Knowing the possible complications of this surgery is very important for making an informed decision and preparing the patient to face the post-operative conditions. Below are the most important possible complications of this surgery: 1.... surgical site infection; One of the most common side effects that may require the use of antibiotics or re-surgery. 2... severe bleeding; During or after the operation, significant bleeding may occur, which in some cases requires a blood transfusion. Sometimes the bones don't fuse well and the patient needs re-surgery.. 5... Blood clot formation.. Immobility after the operation may lead to blood clot formation in the legs (venous thrombosis)... Due to reduced mobility in the fused area, the range of motion of the spine decreases... 7... Involvement of adjacent vertebrae; After several vertebrae are fixed, more pressure is applied to the lateral vertebrae which may cause their destruction... What happens before PLIF surgery?... Before PLAY surgery, the patient undergoes a thorough examination to ensure that the conditions are suitable for the operation... The doctor first talks with the patient, reviews the medical and medication records, and evaluates the results of the MRI or CT scan. The goal of this stage is complete physical preparation and the patient's mind is to prepare for the fusion between the posterior lumbar vertebrae before the operation and to reduce the risk of fusion between the lumbar vertebrae during the week after the operation and to reduce the risk of fusion between the lumbar vertebrae during the week after the operation. Fusion surgery, the patient should refrain from taking blood thinners such as aspirin, warfarin or ibuprofen with the coordination of the doctor... following a light diet, drinking enough fluids And it is highly recommended to avoid smoking during this period.... If the patient suffers from a certain disease such as diabetes or blood pressure, it is necessary to adjust the medicines under the supervision of a special doctor or the need to monitor some special patients.. ### The day of posterior lumbar fusion surgery On the day of the posterior lumbar fusion operation, the patient must go to the hospital fasting, usually he has not eaten or drank since the night before. Then he is transferred to the pre-operative department, and after complete preparation, the anesthetist or injection specialist meets the patient. He is transferred to the operating room. The surgical team consisting of spine surgeons, assistants and specialist nurses will be ready to perform posterior lumbar intervertebral fusion surgery... The process of posterior lumbar intervertebral fusion surgery In this surgery, the doctor first makes an incision in the back of the back to access the lumbar vertebrae. After removing the muscles and tissues, the damaged disc between the two vertebrae is removed. Then, in the empty space created, a bone graft (often from the patient's hip or artificial material) is placed to weld the vertebrae and connect the vertebrae. The vertebrae... finally... the tissues return to their original state and the skin is sutured... Intervertebral fusion Posterior lumbar fusion is performed with high precision and its purpose is to stabilize the spine and reduce chronic pain... ### How long does posterior lumbar fusion surgery take?... The duration of PLAY surgery is usually between 2 and 4 hours depending on the extent of damage and the number of vertebrae that need to be fused... It is observed that the state of full consciousness is maintained in the recovery department.. Care after posterior lumbar intervertebral fusion (PLIF) surgery Follow-up care of posterior lumbar intervertebral fusion surgery Care after surgery is important because in order to obtain the best results from surgery, the care recommended by the doctor must be implemented and followed up so that the operated part returns to its original state in ideal conditions. In the table below, you can check some of the most important follow-up care of posterior lumbar intervertebral fusion surgery. this time The patient should limit his activities and adhere to the recommendations of the doctor and physiotherapist.. recovery may take a little longer.. from the complications... choosing an expert and experienced doctor is one of the key factors in the success of posterior lumbar fusion surgery.... This type of surgery requires high precision, technical skill and correct decision-making in choosing the right method for each patient... An experienced doctor can reduce the risks of surgery and accelerate the recovery process by using modern techniques, advanced tools and complete knowledge of spine anatomy.
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