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360 Fusion on Monday!

AnonymousUserAAnonymousUser Posts: 49,578
edited 06/11/2012 - 7:24 AM in Back Surgery and Neck Surgery
I think I am as ready as I can be. A little nervous, ok a lot nervous and anxious. My fusion, ALIF/PLIF at L4/L5. What am I forgetting to do before Monday? What will I do for the first week? I hope things go well and I can come home the next day. Thanks in advance everyone.


  • Your doctor told you there was a possibility you could go home the day after surgery???????
  • I had the anterior surgery on a Monday, posterior on Wednesday and went home on Friday afternoon - two days before I expected to. Will your surgery be all at once or in 2 separate surgeries?

    For the first week after surgery I think I mostly slept and watched a bit of TV, with a little walking (shuffling around really) around the house. Maybe most people do more but in retrospective I was pretty out of it.

    Good luck on Monday! I hope you get to come home quickly.
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  • Does it sound crazy to have both the same time. I saw the vascular surgeon today and he was positive about it. He cuts the anterior horizontally. Then the surgeon inserts the artificial titanium replacement. They flip me over, I hope carefully! Insert my screws,rods etc... My surgeon told me I would be going home the next day unless something unforseen happens. The surgeon I have is co-founder of this website and invented the titanium disc replacement(FDA approved and patented). I feel confident with him as well as his team. I know this sounds much different than what I read here but I guess this is the norm for him.
    Thanks for the well wishes, I will try to calm down and wait for Monday, I have to be there at 5:30 am, surgery 7:30. I will post after surgery if all goes well. Wish me luck and I hope everyone is doing well and keeps improving.
  • You guys might not want to hear this, but often the reason why surgeons separate out the procedure is if they do the anterior and posterior on the same day, the get paid 50-75% less for a "multiple procedure" on the same day, postpone it and they get 100% for both. I would be interested in hearing what some of you had been told as to why you needed to have them done on separate days. For those of you that had them on the same day - thank your doctor for putting you under less anesthesia risk and taking a significant (we're talking 5-15K cut out of his billable charges) pay cut to help you out.
  • Pika, are they doing your surgery minimally invasive? I was in for 5 nights just for PLIF. Wow, can't imagine going home that early. I was on a PCA for 3 days. Good-luck, I am sure you have seen the post-op must-haves list for what you might be forgetting. Take-care, Cali-Sue
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  • to do much in the first week or so. Rest, walk, rest, walk. I hope you have someone at home to look after you.
    If you can stay in an extra night and the hospital is OK then take it!
    Wishing you all the best
    Blessings Sara O:)
  • Minimally invasive procedures dont do alot of tissue nerve and muscle damage, so its possible to have a same day surgery and leave that day. But only if the individual is physically able to.
  • JGrillot, It's not really easy or common to do a minimally invasive anterior surgery... They need enough room to move the organs and nerves and get to the spine... My anterior incision is 6 inches long, vertically. And the stay wasn't based on pain levels, it was based on the fact that when they shift all of your organs around, your digestive system is really, really, really messed up. I spent 4 days in the hospital after my 360... Clear liquid diet the entire 4 days. Your stomach also fills up with gas and it's VERY hard to get your body to rid itself of it... Unbelievably hard. That almost caused me to stay a 5th day.

    My surgeon and the vascular surgeon did it all in one 6 hour surgery. They said there is more risk to your health to be putting you under anesthesia twice in a short period of time. I would be opposed to having it done two separate surgeries. It was actually my first question after being told my last option was a fusion and she explained what she was going to do... I said, are you going to do it all at once? She said yes, as soon as you wake up it will all be over with all done. Phew. Lol.
  • My fusion is a big one and it will be all in one day. I know it seems unreal to go home the net day but that's what they keep telling me. I will let you know what really happens later. I guess the anterior opening will be horizontal and not vertical to allow for less muscle cutting. The vascular surgeon examined me and showed me approximately where the incision will be give or take an inch. They do this surgery frequently so I have to believe their right. I am also happy the surgeon will do both at once. They never mentioned doing them at different times. I am as ready as I can be, still walking a mile a day until surgery. My 4 dogs like the walk so they keep me going and if I fall down they help me up. They are German Shepherds and protect me:) Thanks for the kind words and I will let you know what happens.
    Good Luck and speedy healing to all fellow surgery patients.
  • If you are having "the big fusion", a 360, the total time on the operating table could be 12 hours or even more. I had mine in two different surgeries, both 6 hours long. I can't imagine going home the next day but your situation is perhaps different with age and your health. Good luck on Monday.

    Emergency surgery in March of 2006 for spinal infection of L 2 and L 3. During surgery, discovered I had Cauda Equina Syndrome. Spine became unstable after surgery and had 360 fusion with 10 pedicle screws, plates and rods in April of 2007.
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