Spinal Fusion Surgery

What is it?
A spinal fusion is simply the uniting of two bony segments, whether a fracture or a vertebral
joint. The reason for instrumentation with rods and screws is to act as and 'internal cast' to
stabilize the vertebra until the fusion, or bony re-growth, can occur.
Why is it done?
Historically spinal fusions have been used to correct degenerative spondylolisthesis. However,
there are many indications for a spinal fusion and it is not the only procedure preformed to treat
those various conditions. You should talk to your doctor about what procedure is best for you.
The Operation
Incision
The patient is positioned on the operating table in a prone position.
The incision is made over the anatomic position of the spinous
process.
Bone is Removed
When indicated, soft tissue and bony decompression are performed to relieve neurological
compression.
Screw Placement
For a degenerative spondylolisthesis case, a blunt probe is inserted
through the pedicle and into the vertebral body. Once the pedicle canals
are prepared and the screw length determined, the screws are
sequentially inserted.

Bone Graft
The facet joint capsules are removed and cancellous bone graft is placed into
each facet joint. The transverse processes, sacral alae, and the lateral walls of
the facet joints are decorticated with high-speed burs and curettes.
Corticocancellous bone graft taken from the iliac crest, along with any
fragments of bone taken during decompression are firmly pressed into the bone
fusion bed.

Compression
Once the construct has been assembled, segmental distraction and
compression may be carved out.
 Tightening
Then a final tightening is performed.
Closing the Incision
The incision is closed in the traditional fashion.

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It is important that you discuss the potential risks, complications, and benefits of spinal surgery
with your doctor prior to receiving treatment, and that you rely on your physician's judgment.
Only your doctor can determine whether you are a suitable candidate for this treatment.
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you read on this Web site cannot replace the relationship that you have with your health care
professional. We do not practice medicine or provide medical services or advice as a part of this
Web site. You should always talk to your health care professional for diagnosis and treatment.