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Patients contemplating spinal fusion should be fully informed about the evidence base for their particular problem, including the relative potential benefits and harms of fusion compared with non-operative treatments. Better evidence is required to determine more accurately the effectiveness of spine fusion surgery for all indications. Surgical intervention for metastatic carcinoma of the spine associated with spinal cord compromise improves mobility and neurological outcome (based on a single trial).
#Spine fusion trial
Benefits of spine fusion compared to non-operative treatment for isthmic spondylolisthesis are unclear (one trial at high risk of bias). The indications for this include symptomatic instability or back pain that has been diagnosed to occur from a specific motion segment. This is usually done with screws, rods, and spacers that help provide stability. The available evidence does not support a clinical benefit from spine fusion compared to non-operative treatment or stabilisation without fusion for thoracolumbar burst fractures. Spinal fusion surgery strengthens the spine by joining two or more vertebrae together with bone and instrumentation. The available evidence does not support a benefit from spine fusion compared to non-operative alternatives for back pain associated with degeneration. We found no high-quality systematic reviews and the risk of bias of the randomised controlled trials in the reviews was generally high. We aimed to summarise systematic reviews on the effectiveness of lumbar spine fusion for most diagnoses. It is the surgeon’s job to explain each patient’s options and guide him or her to the best possible treatment option.Lumbar spine fusion is a common procedure associated with a high cost burden and risk of serious complications.
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It would be disingenuous to recommend spine fusion surgery to every patient with a degenerating spinal disc. Choosing the Best Treatment for YouĮvery patient is different. This operation involves spinal instrumentation to stabilize the affected area. This procedure works by stabilizing surrounding structures including muscles and ligaments, as well as reducing motion between bones of your spine. Others are perfect candidates but may find it difficult to make such a big decision. Spinal fusion is a surgical procedure that is used to correct problems occurring within the vertebrae of your spine. Some patients are not good candidates for a spinal fusion (more on what makes a good candidate here) and thus have the decision narrowed down for them automatically. The toughest part is deciding which treatment option is best for your situation. These methods are typically not as successful at reducing pain in the long term when compared to surgery. For patients who want to avoid surgery, conservative treatments like cortisone injections, chiropractic, and pain medications may help relieve pain. This procedure involves more potential risks than a fusion, however.
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This procedure aims to accomplish the same goal as a fusion (take pressure off spinal nerves and discs) while also preserving motion in the spine. In this procedure, a spinal disc is removed completely and replaced by an artificial disc. For those patients there are various alternative options, such as: This is a common procedure with a high success rate, but fusions are not a good fit for every patient. Spine FusionĪ spinal fusion is a minimally invasive spinal surgery in which two or more vertebrae are joined together with hardware to prevent movement. For an anterior cervical discectomy and fusion, the procedure is performed through a small incision on the front of the. For those patients there are various alternative options, such as: Total Disc Replacement. Spinal fusion may be recommended when the natural disc space has decreased or the spine is unstable. A spinal fusion is a minimally invasive spinal surgery in which two or more vertebrae are joined together with hardware to prevent movement. The goal of a cervical fusion is to create a solid bridge of bone between two or more vertebrae. Call today to schedule your in-office or telehealth consultation. In this post we will go through a number of alternatives to spinal fusion surgery and offer a few tips for making the best decision for your treatment. Spinal fusion is a technique used to stabilize the spinal bones or vertebrae. If you are looking for a Minimally Invasive Spinal Fusion procedure in Clifton, NJ Oasis Orthopedic & Spine can help. It is always good to survey your options before deciding to undergo surgery. 3 Alternatives to a Spinal Fusion Category: Minimally Invasive Surgery | Author: Stefano Sinicropi | Date: November 3, 2014