What are the disadvantages of lumbar fusion fixation surgery?

Many people usually avoid talking about the defects of lumbar internal fixation surgery, but in fact, all surgeries will have certain defects, and the defects of this surgery are mainly as follows:

1. From the perspective of common sense, any technology has its scope of application, as well as its advantages and disadvantages, as a clinician, you should master good indications to use various techniques. Clause.

Second, the scientific name of the lumbar nail used now is also called "pedicle screw", and the main purpose of the nail is to increase the stability of the spine and improve the spinal fusion rate. Therefore, the main indications for transpedicle internal fixation in lumbar spine surgery include the following two aspects: lumbar instability has existed before surgery or the surgery itself may cause lumbar instability.

For example, lumbar disc removal alone will not cause spinal instability, and if there is no lumbar instability in the surgical segment before surgery, nail fixation is generally not required. In addition, with the advancement of minimally invasive spinal techniques, the disruption of lumbar spine stability by the surgery itself is also further reduced, so in some cases, minimally invasive techniques may be used to avoid internal fixation. Clause.

3. The spine has the functions of support, protection and movement, and after the spine is fused and fixed, the function of support and protection is retained, but the function of movement is lost. Therefore, although nail fixation itself increases spinal stability, it comes at the expense of motor function. Because lumbar immobilization causes a relative increase in the movement of adjacent segments, it may lead to accelerated degeneration of adjacent segments and adjacent segment lesions.

In addition, nail fixation itself has certain risks, which need to be exposed in a larger area, which will cause extensive damage to the paravertebral muscles, resulting in muscle ischemia, necrosis and denervation, and soreness and discomfort in the lower back.

Lumbar fusion fixation is a major method of lumbar spine disease, and the first thing to be clear is that there are advantages and disadvantages to all current surgical methods. In the case of lumbar fusion fixation surgery, the obvious disadvantages are that it destroys the healthy tissues of the body, causing significant trauma to the body, and requires a long recovery period after surgery. There are many patients who have had a bad reaction after this surgery, so it is recommended to be cautious.

You can choose the DST intervertebral disc regeneration** technology of the International Lumbar Spine Hospital in Japan, without surgery or hospitalization.

1. The main purpose of wearing a waist support is to reduce the load of the upper body on the fused lumbar spine, which is to strengthen the stability of the affected spine, but it can not be worn for too long, about one to two months, and the long time may cause disuse atrophy of the lumbar muscles.

2. Lumbar fusion and internal fixation is a basic surgical technique for lumbar spine diseases. Anterior, anterolateral, lateral, posterolateral, and posterior lumbar surgery is performed to implant intervertebral bone grafts, facet joints, and transverse process bone grafts, so that bony integration occurs between lumbar intervertebral joints, so as to establish and maintain lumbar stability.

3. Perform surgery under general anesthesia. Incision**, peeling the muscle to the pedicle, and placing pedicle nails in the pedicle of the relevant vertebral body. The disc that is compressing the nerve is removed, the narrow nerve root canal is enlarged to relieve the compression of the lumbar nerve root, and then an interbody fusion device (or autologous bone fragment is implanted), and a pedicle nail attachment rod is placed and tightened.

Finally, the sutures are completed (the first layer is sutured with the deep fascia, the second layer is sutured subcutaneously, and the third layer is sutured with the skin).

Summary. Not all patients with cervical spondylosis require fusion and internal fixation surgery. When cervical spondylosis causes instability in the connection between the two vertebrae, the tissue that compresses the nerves and blood vessels is surgically removed to stabilize the cervical spine, and the unstable cervical spine must be corrected by internal fixation.

If the stability of the cervical spine is relatively good, but the cervical spine is misaligned when the patient is active, it means that the cervical spine is unstable due to surgical decompression, which also requires fusion surgery.

Not all patients with cervical spondylosis require fusion and internal fixation surgery. When cervical spondylosis causes instability in the connection between the two vertebrae, the tissue that compresses the nerves and blood vessels is surgically removed to stabilize the cervical spine, and the unstable cervical spine must be corrected by internal fixation. If the stability of the cervical spine is relatively good, but the patient's poor activity is celebrated, and the cervical spine is dislocated, it means that the cervical spine is unstable caused by surgical decompression, which also requires fusion surgery.

Car accident cervical vertebra fracture dislocation decompression fusion intervertebral disc removal.

Car accident cervical vertebra fracture dislocation decompression one month surgery, steel plate removed can the joint move.

The steel plate after cervical spine surgery is usually not taken, it may be local inflammation, edema, it is recommended to go to the radiograph for reexamination, generally re-examination once a month in 3 months after the operation, okay, don't worry for the time being, you can apply local hot compresses, pay attention not to swallow too violently in your diet, avoid the neck violently and slowly digging and moving, I wish you good health.

I suggest that it is better for you to relieve the symptoms non-invasively, this disease will not be ** by any means, mainly depends on how to control the symptoms after they improve**. This requires you to exercise consistently.

Nursing precautions for lumbar disc herniation are as follows:

One: Sleep on a hard bed. Sleeping on a rigid bed can reduce the pressure on the intervertebral discs.

2: Pay attention to the warmth of the waist and try not to get cold. Avoid colds and gluttony of raw and cold things, and do not stay in the air conditioner for a long time, which is not good for the waist! Strengthen the protection of the lower back .

Three: Wear a waist circumference (belt belt) on the waist during the day, which is conducive to the recovery of the lumbar spine.

Four: Don't bend over and force (such as mopping the floor...)Pay attention to the working posture and avoid bending over for a long time and excessive weight-bearing, so as not to accelerate the lesion of the intervertebral disc.

5. Try to stay in bed during the acute attack, and after the pain is relieved. Take proper rest and don't overexert yourself. so as not to aggravate the pain .

Six: In the usual diet, eat more foods with high calcium content, such as milk, dairy products, shrimp skin, kelp, sesame paste, and soy products are also rich in calcium.

Fusion internal fixation is a common method of lumbar spondylolisthesis, this surgical method works very well, and can improve the patient's condition after talking, patients who undergo fusion internal fixation surgery can wear a waist circumference to get up and move three to seven days after surgery, but should avoid premature strenuous physical labor, generally six weeks after surgery, you can drive, and you can ride a bicycle after three months

Light physical activities such as laundry, but avoid heavy physical activities such as carrying burdens and objects.

Suggestion: When walking backwards, it can force the center of gravity of the human body to move back to the heel, correct the anterior tilt of the pelvis, slow down the lumbar lordosis, straighten the spine, correct the unreasonable posture, exercise the lower back muscles, promote blood circulation in the lower back, relieve pain, and have a good effect on the spondylolisthesis of the lumbar spondylolisthesis.

Wear flat shoes when walking backwards, walk slowly with small steps, the amount of exercise is appropriate to the waist not to feel tired, you can exercise a small amount of times, too much exercise will aggravate low back pain, you can gradually increase the amount of exercise with the reduction of the number of pains and the reduction of pain, do what you can, pay attention to safety.

If it is inconvenient to walk backwards, you can also exercise at home: barefoot or wearing flat shoes, step on the forefoot on a book with a thickness of about 20 mm, and insist on standing upright, the longer you hold on, the better, and feel whether the lower back pain is relieved. Don't lean forward, feel your weight shift to your heels.

You can also stand more firmly with your back against the wall and your forefoot on a book with a thickness of about 20 mm. This has the same effect as walking backwards, which is safer and conducive to persistence.

You can also wear a pair of negative heels with high front and low back, wearing normal walking and backward walking is the same, which can correct unreasonable posture, exercise lower back muscles, relieve pain, and have the best effect on lumbar spondylolisthesis. Usually pay attention to maintain a good posture, do not stand for a long time and sit for a long time to maintain a fixed posture, do not overwork, try to avoid or reduce bending, do not do strenuous exercise.

1. Eat a reasonable diet, exercise regularly, and control your weight. 2. Exercise the lower back muscles, such as delphinium and swimming.