Identify a chair with a firm cushion, armrests and a seat at knee level that is easy to get out of. Many patients have trouble with constipation after surgery caused by pain medication and anesthesia. The week before surgery eat foods high in fiber including fruits, vegetables, beans and whole-grain cereals and breads.
Drink water; 8 to 10 glasses of fluid every day. Walking also helps the intestines move more rapidly and regularly. Over-the-counter fiber supplements such as Metamucil, Fibercon and Citrucel can help keep stools soft and regular.
Don't rely on laxatives, such as Correctol or Dulcolax, which cause muscle contractions in the intestines. Who will stay with me? Most patients go home 2 to 3 days after surgery. Identify someone who can be with you for the first couple days and help you move around, take care of pets, housework, cooking, and shopping.
At the hospital The nurse will check you in and show you to a room. You will be asked to remove your clothing including underwear and socks and put on a surgical gown. In addition, you should remove any contact lenses, dentures, wigs, hairpins, jewelry or artificial limbs. Please give these and other personal belongings to your visitors to hold while you are in surgery and until you are in your assigned room.
An anesthesiologist will talk with you and explain the effects of anesthesia and its risks. An intravenous IV line will be placed in your arm. You will be given antibiotics to decrease the risk of infection. You will be transported to the operating room on a stretcher. At that time, the nurse will direct your visitors to the Surgery Waiting Area. When surgery is over, your doctor will talk with your visitors there. Once in the OR you will be given anesthesia.
Your surgery will take several hours. This time frame includes the skin preparation, positioning and anesthesia time. You will wake up in the recovery area called the post-anesthesia care unit PACU. You may have a sore throat from the tube used during surgery to assist your breathing. You may feel tired, thirsty, cold, or have a dry mouth. Once awake you will be moved to a regular room. Pain Pain and anti-nausea medication will be given as needed.
Everyone feels pain differently. Only you know how to describe your pain. Your healthcare team may ask you to rate your pain on a scale of 1 to Nursing care Your blood pressure, pulse, temperature and breathing will be checked at intervals. The nurse will also examine your incision, change the dressing and check your circulation.
You will be given antibiotics through your IV after surgery. Good nutrition and keeping your incision clean and dry helps prevent infection. You will not be able to eat or drink right away. An IV will give you fluids for hydration. You may have ice chips to wet your mouth. The nurse will increase your diet once you are passing gas and there is movement in your stomach. Respiratory therapy will monitor your breathing.
You will be shown how to use a breathing aid incentive spirometer to help keep your lungs healthy after anesthesia. Breathing deeply and coughing helps clear air passages and reduces the risk of pneumonia. Mobility Being out of bed and walking several times a day is very important to your recovery. Functional improvement in things like walking, sitting and performing hobbies also had improved significantly four years after surgery. Return to work depends on the surgery?
Our study showed that a strong majority of patients not only returned to work following spine surgery, but they are able to remain at work long term. Don't fear the fusion. Fusion of one to two levels were more likely to be working full time after 4 years than patients who underwent laminectomy at 2 or more levels to relieve pressure on pinched nerves. This is most likely due to the dramatic pain relief from fusing a painful back. People feel so much better that they want to get back to work and stay at work long term.
Even people who had major spine fusions returned to work — We were surprised at how many patients undergoing major surgery for a deformed spine who required multiple levels of fusion long fusion group, 61 patients were still working 4 years after surgery.
An astounding eighty percent, or 4 out of 5 of these patients had not only returned to work but remained actively working long term. For best results, have a successful surgery the first time - Patients undergoing their first spine surgery primary fusion or primary lumbar diskectomy were far more likely to remain at work long term than patients who required revision lumbar surgery.
Even patients requiring multiple surgeries are able to work long term after revision surgery. The take home messages from this study are first, people who are working prior to needed spinal surgery are usually able to return to work and stay working long term if they want to. While most people recover from back pain through exercise and healthy lifestyles, those who require surgery can expect to return to work and "get their life back" too.
Glendale W. Scottsdale Shea N. Gantzel Rd. The vertebrae need to be held together, usually using plates, screws and rods to keep that segment of the spine immobile.
Often times, spinal fusion surgery is performed following other spinal surgeries that address different spinal problems:. This procedure is performed when someone has a herniated disc —meaning all or part of the jelly-like material between the vertebrae has been forced through a weak part of the spine. In this procedure, surgeons create more space for the nerves inside the spinal canal. They do this by removing the bone covering the spinal column as well as overgrown ligaments that are pushing on spinal nerves.
They also might remove bone spurs, disc fragments, or other arthritic tissue. The goal is to take pressure off of the nerves and relieve pain.
At Penn Medicine, a laminectomy may be performed at the same time as spinal fusion, as determined by the surgeon. The goal of spinal fusion surgery is to stabilize parts of the spine. This treatment can lead to a better quality of life for certain patients who experience chronic back pain.
It might take several months before your bones fully fuse. A rehabilitation specialist or another medical professional will teach you correct ways to move, walk, sit, and stand, so that the bone remains aligned correctly.
0コメント