Arthrodesis
Vertebral Stability
Spinal fusion is a complex surgical procedure that aims to stabilize the spine by fusing two or more vertebrae. It is indicated in cases of severe vertebral instability (such as advanced spondylolisthesis), unstable fractures, deformities like scoliosis or kyphosis, and debilitating pain that does not improve with other treatments.
During surgery, the doctor uses screws, rods, and bone grafts (synthetic or from the patient's own body) to join the affected vertebrae. Over time, definitive bone fusion occurs, transforming several vertebrae into a single solid structure. The procedure eliminates painful movement between them, providing stability and pain relief.
Although it is a major procedure, arthrodesis remains a definitive solution in severe cases. However, it should not be indicated indiscriminately, and it is essential to consider the associated risks and the possibility of persistent pain in some cases after surgery.
Inpatient treatment: 3–7 days in hospital.
Weeks 1–6: Relative rest, use of a brace in some cases, light walks, and gentle physiotherapy to prevent stiffness.
Weeks 6–12: Intensified physiotherapy, focusing on muscle strengthening and postural readjustment.
Months 3–6: Gradual return to professional activities, depending on physical demands.
6–12 months: Complete consolidation of bone fusion. The patient can resume light sports, but high-impact activities are restricted.
Does the spine lose mobility after spinal fusion?
Loss of mobility occurs only in the treated segment, but the impact on daily life is usually minimal. This can vary depending on the number of levels involved and the location of the surgery.
How long does recovery take?
Bone consolidation takes 3 to 6 months.
Do I need physical therapy afterwards?
Yes, it is essential for regaining strength, improving posture, and improving mobility.
Can it be done in a minimally invasive way?
In many cases, yes.
Does arthrodesis completely eliminate pain?
In most cases it reduces the reduction significantly, but each patient responds differently.