Spinal Instrumentation Cost and Spinal Instrumentation Procedures Information

Spinal Instrumentation Cost and Procedure Introduction

A spinal instrumentation is a procedure to keep the spine rigid after spinal fusion. The process uses hooks, rods and wire to redistribute stress and keep the spine in proper alignment while the bones fuse. Spinal instrumentation is also performed to correct deformities of the spine. A neurosurgeon or orthopedic surgeon with experience in spinal operations will perform this operation. These procedures are conducted using general anesthesia in a hospital. 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 Instrumentation

A physical examination will be performed along with blood or other diagnostic tests, such as X-rays, MRIs, CT scans and myleograms. 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 Instrumentation

The surgery can take several hours. An intravenous line is inserted into the arm to administer a sedative and a painkiller. Your heart rate, blood pressure, respiratory rate and oxygen level will be monitored during the operation. The procedure is done while you are under general anesthesia (unconscious and pain-free). The surgeon makes a cut over the area of the spine that needs to be stabilized. The incision can be made from the front (anterior) or the back (posterior), depending on your exact situation. The surgeon will then attach the rods, wire or hooks. 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 moved to a hospital room, where you’ll be observed. You’ll gradually increase your movement before going home. 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 stable.