SpineCare of NY, affiliated with the prestigious Hospital for Special Surgery (HSS), offers state-of-the-art treatment for complex spinal conditions, including posterior lumbar decompression and fusion with instrumentation (PLDFI) techniques. Our renowned physicians’ cutting-edge research and world-class expertise back up the personalized care each of our patients receives. With a focus on minimally invasive approaches and optimal patient outcomes, our team of specialists employs the latest advancements in spinal surgery to help restore function, alleviate pain, and improve quality of life.
What Is Posterior Lumbar Decompression and Fusion with Instrumentation?
PLDFI is a surgical procedure designed to reduce pressure, alleviate pain, and stabilize the bones in the lumbar region of the spine, commonly referred to as the lower back. This procedure relies on using a decompression technique combined with a chosen fusion technique to address symptoms of spinal conditions in the lower back, providing long-term relief and preventing further spine degradation.
Who is a candidate for PLDFI?
A candidate for posterior lumbar decompression and fusion with instrumentation is typically a patient suffering from chronic, debilitating lower back pain and/or leg pain caused by conditions such as lumbar spinal stenosis, spondylolisthesis, degenerative disc disease, or spinal instability. This surgical procedure is generally considered when non-surgical treatments like physical therapy, medications, and injections have failed to provide adequate relief. Ideal candidates are those experiencing persistent pain, neurological symptoms like numbness or weakness in the legs, and a reduced quality of life due to their spinal condition.
The PLDFI Procedure
Posterior lumbar decompression and fusion is performed under general anesthesia to ensure your comfort throughout the duration of the procedure. A SpineCare of NY surgeon will access the spine through a midline back incision. Next, they will remove part of the lamina (laminectomy) and extract the damaged disc material. Bone graft material is then placed in the disc space to complete the decompression portion of the surgery. Fusion is then done with specialized implants like rods and screws, which are inserted into the affected vertebrae to maintain stability. The procedure aims to decompress nerves, stabilize the spine, and promote vertebral fusion, typically taking several hours depending on the case complexity and number of vertebral levels treated. This surgery’s ultimate goal is to reduce pain and improve function for the patient.
PLDFI Recovery and Results
The results and recovery from posterior lumbar decompression and fusion with instrumentation (PLDFI) are generally favorable. Studies have shown good to excellent outcomes in 90-96% of cases, with significant improvements in back pain and return to normal activities for most patients. Recovery typically begins with a hospital stay of 1-3 days. Patients usually require pain medication for 2 weeks post-surgery and can often return to work and start driving within 2-4 weeks. It can take a year or more to see the full benefits of the surgery, but the acute post-operative recovery period ranges from 6 to 12 weeks, with more rigorous activities resuming after about 3 months. However, individual healing processes and the number of vertebrae fused can affect recovery time. While complications are uncommon, potential risks include nonunion, persistent pain, infection, and hardware-related issues.
Schedule a Consultation
To learn more about PLDFI and if this is the best procedure to help you experience relief, schedule a consultation with one of the expert physicians at SpineCare of NY. Head to our website to fill out an online contact form and get in touch with our team today.
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Dr. Hughes is a genius! Though I’m still not 100%, I’m 99%. I have recommended him to several people for surgery. I don’t know if they contacted his office but if they haven’t more the fool them. He is the only surgeon for my back.
Loretta F.
Dr. Hughes is an amazing spinal surgeon. He does a great physical examination along with understanding the imaging. My operation for spinal stenosis went well and I started walking the next morning and came home the day after. The office is very responsive even though VERY busy. I went from a wreck to a mobile oldster in a vet short time.
David R.
You can’t find a better surgical facility than the Hospital for Special Surgery (HSS) in NYC. It is state of the art for medical procedures combined with top notch doctors employing cutting edge technologies. Dr. Frank Cammisa is the best spinal surgeon in the country and a terrific and compassionate physician who takes the time to meet with you and analyze and discuss your particular situation. I can’t say enough about HSS and Dr. Cammisa and his staff.
Rudy M.
SpineCare of NY is located at 523 East 72nd Street, 3rd Floor, New York, NY 10021.
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