Day Case Lumbar Fusion Surgery
This article provides a comprehensive review of the evidence regarding postoperative rehabilitation after spine surgery. While the total number of spine surgeries is increasing, a significant percentage of patients continue to experience symptoms and functional impairments after surgery. The effectiveness of cervical spine surgery on outcomes is moderate to good, and it is generally agreed upon that patients benefit from a structured postoperative rehabilitation protocol starting 4-6 weeks after surgery. Lumbar disc surgery has shown success rates between 78% and 95% after 2 years of follow-up, and postoperative rehabilitation is widely recommended. However, the absolute indication for rehabilitation has not yet been proven. The rate of lumbar interbody fusion surgery is also increasing, with a significant number of patients remaining symptomatic. Despite the lack of a standardized rehabilitation program, cognitive-behavioral physical therapy starting immediately after surgery, along with psychological intervention, patient education, and gradual mobilization, has shown benefits. Formal spine rehabilitation is typically initiated at 2-3 months postoperatively. While rehabilitation has positive effects on recovery after spine surgery, further research is needed to establish a standardized approach
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most experienced spinal facility in UK
Published article
The total number of spine surgeries is increasing, with a variable percentage of patients remaining symptomatic and functionally impaired after surgery. Rehabilitation has been widely recommended, although its effects remain unclear due to lack of research on this matter. The aim of this comprehensive review is to resume the most recent evidence regarding postoperative rehabilitation after spine surgery and make recommendations. The effectiveness of cervical spine surgery on the outcomes is…
Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
EFORT Open Rev. 2023 Aug 1;8(8):626-638. doi: 10.1530/EOR-23-0015.ABSTRACTThe total number of spine surgeries is increasing, with a variable percentage of patients remaining symptomatic and functionally impaired after surgery. Rehabilitation has been widely recommended, although its effects remain unclear due to lack of research on this matter. The aim of this comprehensive review is to resume,
EFORT Open Rev. 2023 Aug 1;8(8):626-638. doi: 10.1530/EOR-23-0015.
ABSTRACT
The total number of spine surgeries is increasing, with a variable percentage of patients remaining symptomatic and functionally impaired after surgery. Rehabilitation has been widely recommended, although its effects remain unclear due to lack of research on this matter. The aim of this comprehensive review is to resume the most recent evidence regarding postoperative rehabilitation after spine surgery and make recommendations. The effectiveness of cervical spine surgery on the outcomes is moderate to good, so most physiatrists and surgeons agree that patients benefit from a structured postoperative rehabilitation protocol and despite best timing to start rehabilitation is still unknown, most programs start 4-6 weeks after surgery. Lumbar disc surgery has shown success rates between 78% and 95% after 2 years of follow-up. Postoperative rehabilitation is widely recommended, although its absolute indication has not yet been proven. Patients should be educated to start their own postoperative rehabilitation immediately after surgery until they enroll on a rehabilitation program usually 4-6 weeks post-intervention. The rate of lumbar interbody fusion surgery is increasing, particularly in patients over 60 years, although studies report that 25-45% of patients remain symptomatic. Despite no standardized rehabilitation program has been defined, patients benefit from a cognitive-behavioral physical therapy starting immediately after surgery with psychological intervention, patient education and gradual mobilization. Formal spine rehabilitation should begin at 2-3 months postoperatively. Rehabilitation has benefits on the recovery of patients after spine surgery, but further investigation is needed to achieve a standardized rehabilitation approach.
PMID:37526242 | DOI:10.1530/EOR-23-0015
The London Spine Unit : most experienced spinal facility in UK
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Rehabilitation after cervical and lumbar spine surgery
