I had a long talk with about 4 physical therapists that have been in the business a long time (20+ years) and we got to talking about procedures today vs years ago. we spoke about failed fusions, donor bone not fusing as well, back braces and hard collars.
To the tee, all of them agreed that many of the new procedures/practices do not take into account in what the patient will ACTUAL do post op. They really believe that a good percentage of people returning for additional surgery can be traced back to their previous surgery, and the treatment that was given for 8 to 10 weeks.
1- Hard Collars for Cervical surgeries - A MUST. What happens if you take a fall.
2- Back Braces after lumbar surgery. Just to keep you back
stable and not create new problems.
3- Donar vs Your own bone. Records there indicated that folks with donor bones for fusion have a higher rate of failure than those using their own bone.
This really got me thinking. Our we rushing patients out too soon before they are ready due to insurance reasons. Why are not there more standards for braces, hard collars after Cervical and/or Lumbar surgery. There should at least be one standard to go on. And before surgery, shouldnt a patient be given the facts regarding success rates in Real and Donor bone grafts used for surgery.
And probably most importantly, the patient should be warned about what NOT to do for x amount of weeks
Ron DiLauro Spine-Health System Administrator I am not a medical professional. I comment on personal experiences