Spinal Fusion Cost and Spinal Fusion Procedures Information

Spinal Fusion Cost and Procedure Introduction

A spinal fusion is a procedure during which two or more vertebrae are joined (fused). Spinal fusions are performed to alleviate a number of problems: spinal stenosis, fractures, herniated discs, injuries, infection and tumors. Spinal fusions can be done using a bone from your pelvis or a bone bank. It can also be done with a metal implant, which will hold the vertebrae together until new bone can grow. These procedures are conducted using general anesthesia. Patients spend a few days in the hospital afterward for observation. You will need to follow a physical rehabilitation program after you get home.

Patient Preparation for Spinal Fusion

A physical examination will be performed along with blood or other diagnostic tests, such as X-rays and MRIs. It is particularly important to inform the physician of all medications or vitamins taken regularly or if you are pregnant (or think you might be pregnant). Also, let your doctor know if you have heart, lung or other medical conditions that may need special attention. And finally, tell your doctor if you have a history of bleeding disorders or if you are taking any anticoagulant (blood-thinning) medications, aspirin or other medications that affect blood clotting. You will be given instructions in advance that will outline what you should and should not do in preparation for the surgery; be sure to read and follow those instructions. You will be asked to fast for eight hours before the procedure, generally after midnight. It is also important to prepare your home for when you get home from the hospital and during recovery. Move necessary items to areas which will not require you to bend or reach. You will need to make arrangements for transportation after the surgery is complete. If you are given a prescription for pain medication, have it filled prior to surgery.

What to Expect During and After Spinal Fusion

The surgery can take several hours. After arriving at the hospital, an intravenous line is inserted into the arm to administer a sedative and a painkiller. Also, your heart rate, blood pressure, respiratory rate and oxygen level will be monitored during the procedure. The procedure is done while you are under general anesthesia (unconscious and pain-free). The surgeon will make a cut over the vertebrae that need to be fused. After preparing the bone graft, the surgeon will place it between the vertebrae. Metal plates, rods or screws may be used to hold the vertebrae in place while the bone graft heals. Sometimes, the surgeon will use a synthetic substance to aid in bone growth and speed the fusion. Finally, the incision will be closed with stitches or staples.

After surgery, you will be taken to the recovery room for observation. Once your blood pressure, pulse and breathing are stable and you are alert, you will be taken to a hospital room. Before being discharged, you will be given instructions about care for your incisions, limits on activities and what you should do to aid your recovery. If you notice any of the following, call the number the hospital gave you: Fever, excessive sweating, difficulty urinating, redness, bleeding or worsening pain. It usually takes several months for the bones to fuse, and you’ll need to wear a brace until your spine is aligned correctly.