PROCEDURES EXPLAINEDRevision Spine Surgery
Revision spine surgery refers to any procedure performed to correct a prior surgery with suboptimal results. Most spinal surgeries go very well, but sometimes new pain or problems may develop despite operation. Some of these potential problems include pseudoarthrosis, adjacent segment degeneration, implant migration, crankshaft phenomenon, and other spine conditions.
What to Expect
- You will have an IV placed in your arm or hand for the delivery of anesthetic to put you into a deep sleep and prevent pain during your surgery.
- Your surgical team will usually consist of a vascular surgeon as well as an orthopedic or neurosurgeon. You may be lying on your front, side, or back, depending on the requirements of your surgical plan.
- Your surgeon will perform the procedures discussed for your condition.
- You will then be taken to a recovery area for close monitoring until you awaken. You will still have your IV, and may have a catheter to help facilitate urination while you recover. You may also have a sore throat from intubation. When you are fully alert and awake, you will then be returned to your hospital room.
Experiencing Symptoms of Revision Spine Surgery?
Common Risks and/or Frequently Asked Questions
Bleeding
Blood clots
Nerve damage
Return of symptoms
Infection
Post Procedural Instructions
- Activity Restriction
- Pain Management
- Incision Care
- Call if
- Desk jobs may be returned to in about 2 weeks, but others may require 4 weeks or more
- Do not drive or operate heavy machinery while taking narcotics
- Do not try to lift more than 10 pounds
- Do not smoke
- Walk as often as is comfortable on non-slippery surfaces
- Be mindful of body motion practices, as discussed with your physical therapist
- Post-procedural pain may last days to weeks as the inflammation subsides
- Do NOT take NSAIDs in the first few months following surgery, as they can interfere with the bone healing process
- Take your prescribed pain medication as recommended, and inform your care team if relief is inadequate. It is normal to feel some degree of pain during the recovery process, but it should not be excruciating.
- Unless otherwise stated, your incisions are most likely sutured from the inside.
- Dressings may be removed about 48 hours after surgery, and incisions should be washed with soap and water
- Do NOT soak the incision site, baths, hot tubs, and pools should be avoided for 2-3 weeks until the wounds have fully healed
- Sunblock with SPF 30 or greater may be used to protect healing skin from discoloration, as new skin will lack the sun protectant pigment melanin
- Fever of 101.5 F or greater
- Redness, swelling, warmth around the incision site
- New neurological symptoms, such as weakness or loss of sensation that was not present before
- Loss of bowel or bladder control that is new
- Severe Pain
- Difficulty swallowing or speaking
- Severe Headaches
- Calf Swelling, as this may be a sign of thrombosis
- Chest pain, difficulty breathing, or cough
Common
Recovery Timeline
Most patients are discharged from the hospital within the first few days of surgery.
The first week requires plenty of rest. Even so, you may be standing as early as the first day after surgery. By the end of the first week, tasks that do not require you to bend or lift should be manageable.
During the first few weeks, you will need help with daily chores such as cooking and cleaning from friends and family while you focus on letting your body heal from operation.
As you approach the month mark from the day of surgery, most patients are feeling more energetic. Adults start returning to work, while children and adolescents begin returning to school. Pain medications will usually be unnecessary by this point.
Despite feeling better, patients must still be careful to avoid overexertion.
At 6 weeks, your condition will be evaluated during a follow-up visit to evaluate if you can take on more strenuous activities.
By 12 weeks, x-rays will be taken to check on progress. If everything is as it should be, most patients are able to resume most normal activities, with the exception of a few potentially damaging activities requiring much spinal flexibility.
A final check-in will be made typically between 6 and 12 months of surgery, at which point patients can resume all activities once permitted by their surgeon.
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