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Spinal fusion Description:
While the child is deep asleep and pain-free (using general anesthesia), an incision is made over the spinal area to be treated. The lower spinal vertebrae are repaired through an incision directly over the spine (posterior lumbar approach). The upper spinal vertebrae are repaired through an incision in the front or side of the neck (anterior cervical spine). The middle spinal vertebrae are repaired through an incision made in the chest and abdomen ( anterior thoracic spine). The abnormal or injured vertebrae are repaired and stabilized with bone grafts , metal rods, or both.
Indications:
Spinal fusion may be recommended for: - abnormal curvature of the spine: ( scoliosis or kyphosis )
- injury to the spinal vertebrae
- protrusion of the cushioning disc between vertebrae (slipped disc, herniated nucleus pulposus )
- weak or unstable spine caused by infections or tumors
What to Expect After:
The outcome from this surgery is usually very successful today with the many available techniques and instruments.
Convalescence:
The patient will be hospitalized for several days after surgery. The repaired spine should be kept in proper position (alignment).
The patient will be taught how to move properly, how to reposition, sit, stand and walk. While in bed, turn frequently using a
Risks:
Risks for any anesthesia are: Risks for any surgery are: Additional risks include: - urinary difficulties (urinary retention)
- temporary decreased or absent intestinal function ( paralytic ileus )
Cost:
The costs of any surgery varies significantly between surgeons, medical facilities, and regions of the country. Patients who are younger, sicker, or need more extensive surgery will require more intensive and expensive treatment.
Surgery costs can be separated into five parts: 1) the surgeon's fee, 2) the anesthesiologist's fee, 3) the hospital charges, which includes nursing care and the operating room, 4) the medications, and 5) additional charges.
1. Surgeon's fee: averages $1,500 to $2,500
2. Anesthesiologist's fee: averages $350 to $400 per hour
3. Hospital charges: basic rate averages $1,500 to $1,800 per day (more for the intensive care unit (ICU) or private rooms)
4. Medication charges: $200 to $400
5. Additional charges: assisting surgeon, treatment of complications, diagnostic procedures (such as blood or X-ray exams), medical supplies, or equipment use.
Insurance coverage for surgery expenses depends on many factors and should be explored for each individual instance.
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