Spinal fusion is done most commonly in the lumbar region of the spine, but it is also used to treat cervical and thoracic problems. The indications for lumbar spinal fusion are controversial. People rarely have problems with the thoracic spine because there is little normal motion in the thoracic spine. Spinal fusion in the thoracic region is most often associated with spinal deformities, such as scoliosis and kyphosis.
Cervical spinal fusion can be performed for several reasons. Following injury, this surgery can help stabilize the neck and prevent damage to the spinal cord. Additionally, cervical spinal fusion can be used to remove or reduce pressure on nerve roots caused by bone ingrowth osteophytes or herniated intervertebral disks.
Patients who require spinal fusion have either neurological deficits or severe pain that hasn’t responded to conservative treatment. Spinal fusion surgeries are also common in patients who suffer from moderate to severe back deformities that require reconstructive surgery.
When performing spinal fusion, the surgeon usually performs two procedures:
1.Implant screws, cages, plates or other stabilizing mechanical constructs to prevent motion between the fused vertebrae
2.Implant bone or bone-inducing products to encourage the patient’s natural bone osteoblasts to unite the fused vertabrae, similar to the way a bone fracture heals.
Conditions where spinal fusion may be considered include the following:
degenerative disc disease
spinal disc herniation
kyphosis (e. g., Scheuermann’s disease)
posterior rami syndrome
other degenerative spinal conditions
any condition that causes instability of the spine