Lumbar arthrodesis success rate (tips)

lumbar arthrodesis

If you are considering surgerylumbar arthrodesis, it is important to understand the success rate of the procedure.

Studies indicate that patients' pain is improved by 60-70% after a lumbar arthrodesis and that approximately 80% of patients undergoing lumbar arthrodesis are satisfied with the result of the operation.

In this article, we are going to discuss the factors that can affect the success rate of thelumbar arthrodesis and what you can do to increase your chances of success.

Indication of lumbar arthrodesis

Lumbar arthrodesis is the surgical fixation of the lumbar spine. This procedure is indicated in case of instability or deformation of the spine resulting in pain that did not respond to non-surgical treatment.

https://www.lombafit.com/arthrodese-lombaire/

THElumbar arthrodesis can be achieved using a variety of techniques and approaches (such asanterior arthrodesis or lateral) depending on the specifics of each case. The goal of this surgery is to provide stability to the spine and relieve pain.

THElumbar arthrodesis is a complex surgery and it is important to consult with an experienced spine surgeon to determine if this procedure is right for you.

What is the procedure of thelumbar arthrodesis ?

This procedure is usually only recommended when other conservative treatments, such as physical therapy and analgesics, have failed to relieve pain and/or improve function.

Unlike many other spinal operations, thelumbar arthrodesis is a fairly simple procedure that usually involves the following steps:

  • First, the surgeon will make an incision in the lower back, above the area where the fusion will take place.
  • Next, the surgeon removes any damaged or diseased tissue, as well as any bone spurs or other growths that may be present.
  • Once this operation is complete, the surgeon will place a bone graft between the vertebrae to merge. This bone graft can come from a donor or from the patient's body.

In some cases, metal rods or screws may also be used to hold the vertebrae in place while they heal. Once the bone graft is placed, the incision is closed and a recovery period begins. It is best toavoid driving for the first post-operative times.

There may be some complications and pain after surgery, which is normal. The duration of pain will depend on each individual, and will be discussed with the doctor. Among other things, there are leg pain ou at the hip. However, most patients experience significant pain relief after undergoing this procedure.

Lumbar arthrodesis success rate

If thelumbar arthrodesis can be an effective treatment option, it is not without risks. The success rate oflumbar arthrodesis varies considerably, depending on the condition being treated and on each patient. In general, the success rate of thelumbar arthrodesis varies from 50 to 100%.

Although this range may seem wide, it is important to keep in mind that the success rate varies depending on each case. In some cases, thelumbar arthrodesis may be the best treatment option available, while in others it may not be as effective.

If you're considering spinal fusion, it's important to talk with your doctor about the potential risks and benefits of the procedure.

What the scientific research says

THElumbar arthrodesis is a surgery used to treat various spinal problems, including degenerative disc disease lumbar, the spondylolisthesis lumbar and thelumbar instability.

According to several studies, the success of thelumbar arthrodesis depends on many factors, such as the type of surgerylumbar arthrodesis practiced, the experience of the surgeon and the health of the patient.

However, one of the most important factors in the success of thelumbar arthrodesis is the fusion rate. The fusion rate is the percentage of patients who successfully complete a lumbar fusion after the operation. Recently, several scientific studies have evaluated the fusion rates of lumbar arthrodesis surgery.

Electromagnetic field stimulation

In recent years, the use of pulsed electromagnetic field (PEMF) stimulation as an adjunct tolumbar arthrodesis has attracted growing interest.

PEMF has been shown to encourage bone growth and fusion, making it a potential tool to increase the success rate of spinal fusion.

One study summarized the success rates oflumbar arthrodesis reported in scientific studies. Success rates vary widely, from 50% to 100%. The overall success rate was 92,7%, with no significant difference between the different patient groups.

The results of these studies showed that the surgery oflumbar arthrodesis has a high success rate, most patients getting a lumbar fusion were successful.

On the other hand, some patients fail to achieve a successful lumbar fusion after surgery. In these cases, revision surgery may be necessary. However, more research is needed to determine which patients are most likely to benefit from this procedure.

What are the factors contributing to a good prognosis oflumbar arthrodesis ?

A number of factors can influence the success of lumbar arthrodesis, and one of the most important is the timely management of the operation.

1. Quick support

If the surgerylumbar arthrodesis performed soon after symptoms appear, it is more likely to be successful. Indeed, the faster the operation is performed, the less the surrounding tissues and structures will be damaged.

Any delay in the operation can lead to significant damage to the discs, joints and ligaments of the lumbar spine, which can make it more difficult for the bones to fuse together. Thus, rapid management of surgerylumbar arthrodesis is essential to obtain a good result.

2. A good post-operative rehabilitation

One of the most important factors is a good postoperative rehabilitation program. A physiotherapist (physiotherapist) can develop a tailor-made rehabilitation program that will help you regain the strength and flexibility of your lumbar spine after the operation.

The goal of rehabilitation is to help you return to your normal activities as quickly as possible. Additionally, following a rehabilitation program can also help prevent scar tissue from forming around the fusion site.

Therefore, starting rehabilitation early is an important factor in favor of a good prognosis after spinal arthrodesis.

3. No smoking

Smoking is a well-known risk factor for many surgical procedures, and thelumbar arthrodesis is no exception. Smoking can delay healing and increase the risk of complications after surgery.

4. Limit alcohol

Excessive alcohol consumption can delay healing and increase the risk of complications.

5. Have a healthy diet

A healthy diet is important for many reasons. It can help you maintain a healthy weight, which is important for spinal health. In addition, a balanced diet provides the nutrients needed for bone healing.

These are some of the most important factors that can influence the success of spinal fusion surgery.

References

  1. https://institutdurachis.com/traitements-rachis/chirurgie-voie-posterieure/arthrodese-posterieure/
  2. https://www.lombafit.com/arthrodese-lombaire/
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8059393/
Back to top