Most Frequently Asked Questions:
What is Spine Reconstructive Surgery?
Spine reconstructive surgery is a specialized surgical procedure used to reconstruct or repair spine deformity and significant misalignment or stabilize in one or multiple level of the spine in most cases replacing the diseased portion of the spine with artificial devices.
Spinal Reconstructive surgery can be divided into two methods- spinal fusion surgery and replacement operation for diseased disc or vertebra.
Spine Fusion Surgery
Spine Fusion Surgery is a type of surgery that involves removal of the intervertebral disc between two affected vertebras and binding them together. The fusion of the vertebras eliminates the motion and reduces the pain. The surgeon may use spinal instrumentation such as metal plates and screws within the spine to fix the vertebral bones together. The choice of instrumentation however depends on certain factors such as patient age, underlying problem being treated, and the number of levels of the spine as well as other factors.
Replacement procedures involve removal of the damaged or diseased disc followed by implantation of an artificial disc to preserve the finest range of motion. Types of implantation vary from patient to patient and mostly depend on the diagnosis and the condition of the patient.
An artificial disc is a disc prosthesis or spine arthroplasty device that can be implanted into the spine to replicate the functions of a normal disc. These devices are made up of metal or plastic or a combination of both. Artificial discs can be divided into two general types, total disc replacement and disc nucleus replacement.
Why is Spine Reconstructive Surgery Necessary?
Indications for Spine reconstructive surgery can include any injury, trauma, or infection to the spine or any degenerative disc disease, disc herniation, scoliosis, or any congenital abnormalities, presence of metastatic or primary tumors, vascular malformation or axial skeleton pain. When your doctor diagnosed you with a spine deformity or significant misalignment commonly seen in medical conditions mentioned above he could help you to decide on the best surgical conditions.
Before and After Surgery?
Days before surgery, it’s appropriate for you to see your physical therapist to alley your concern about making sure your spine reconstruction surgery heals as intended. Many patients are afraid to be active and some do not want to move at all, fearing they will risk having the fusion disengaged. In actual fact, contrary to this fear, movement and exercises are very important to foster healing done in the most appropriate form as recommended by your physiotherapist.
Meeting with a Physiotherapist before or within days after surgery is beneficial so specific directions can be given on when to begin various types of exercises. Because surgeons use different techniques and approaches during fusion, some exercises may not be appropriate for all patients. The technique used will influence what rehabilitation should be done.
Physical Rehabilitation After Spine Reconstructive Surgery?
Spine Surgery is a major operation, and rehabilitation is an important part of the processes of helping patients get the most possible benefit from their surgery.
Essentially rehabilitation can help patients recover from spine surgery as quickly and completely as possible. It can be thought of as alignment and balance for your body after surgery. If you buy new tires for your car, they won’t last long if they are not aligned and balanced and that will be a waste of money.
Your spine surgery is like a new tires, and a Physiotherapist’s role is to do the alignment, balance, and engine tuning to make sure that the effects of the surgery are as positive as possible.
Ageless Physiotherapy Clinic offer comprehensive therapy options after surgery to help you lead a healthy, pain-free life. We know through experience from treating high volumes of patients with spine issues that personalized and highly specialized physical rehabilitation programs yield the best results in spine care.
Physical Therapy Evaluation
On your first visit, our physiotherapist will want to gather some information about the history of your spine problem, your surgery, your lab tests and scans. You will be given a questionnaire that helps you tell us about the day to day activities prior to your problems and the problems you are having with your spine. The information you give will form part of an evaluation systems of measuring the progress you are making with your treatment when you start.
Once all these information have been gathered, your spine will be examined by following these parameters:
Range of Motion
Other Special Muscular Tests
Palpation of the Spine and muscles
Treatment Plans which will involve the physiotherapist formulating a highly specialized physical rehabilitation programs suitable for you and your complaints, taking into account your lifestyles, work you do, and health needs which may include:
Electrical Devices (e.g. TENS units)
Positioning in bed
Limiting exercises to short walk first day or week after surgery
Stretch exercises for Core and Abdominal Exercises
Static Stabilizations Exercises
Dynamic Stabilization Exercises
Abdominal Muscles Strengthening
Resistance Band Exercises
Exercise Ball Therapy
Gait Therapy- assessment, analysis and Training
Long-Term Rehabilitation after Surgery?
After the trauma of surgery, the muscles of the trunk, as well as your overall condition are compromised. At approximately 3 months after surgery, a comprehensive more aggressive exercise program is typically started with the guidance of a physiotherapist.
The long-term good results of a spinal surgery require that the patient participate in a long-term highly specialized physical rehabilitation programs especially in situations requiring return to work or your lifestyles.
This check list will help you prepare for your physical rehabilitation after surgery. Check each item to avoid unnecessary delays.
. Arrival time varies so check with our front desk to allow sufficient preparation time to get you ready for your treatment.
. Medical Insurance Benefits or cards should be brought with you.
. Lab Tests and Scan Results are essential to accompany you on your first visit. Please bring along all results of the lab tests, scans, and x-rays during the process of surgery.
.Wear comfortable clothing that are appropriate for your examination and treatment when coming for consultation.
.We run escort services in case you need transportation from your home or the hospitals you are admitted or from the airport to our clinic and back.
.We can accept money transfer, cheque, cash and you can as well use our POS if you desire.
We arrange a seamless follow up visit for you when you are on admission in our facility to ensure you are healing well and making progress with your rehabilitation. We can also make progress report available for you and your surgeon whenever you need one to intimate you, your family members and your surgeons with the progress you are making with your rehabilitation.