What is Posterior Thoracic Decompression and Fusion with Instrumentation?
Posterior thoracic decompression and fusion with instrumentation is a complex surgical procedure aimed at alleviating pressure on the spinal cord and nerves within the thoracic region of the spine. This operation involves the removal of bone, ligament, or disc material that is compressing the spinal cord or nerve roots, a process known as decompression. Following decompression, the surgeon performs spinal fusion, which involves joining two or more vertebrae to stabilize the spine. This is achieved using bone grafts and specialized hardware such as rods and screws—referred to as instrumentation—to ensure the vertebrae remain in proper alignment as they heal and fuse together.
Who is a Candidate for Posterior Thoracic Decompression and Fusion with Instrumentation?
Candidates for posterior thoracic decompression and fusion with instrumentation typically include individuals suffering from chronic or intolerable thoracic spine pain that has not responded to nonsurgical treatments. Conditions such as thoracic disc herniation, spinal stenosis, scoliosis, compression fractures, and kyphosis may require this procedure in order to experience relief. Patients who have experienced a significant loss of function or have severe symptoms that impact their daily activities may also be considered. A thorough physical examination and imaging studies, such as MRI, are essential to determine the suitability of the patient for this surgery, ensuring that decompression is necessary to alleviate nerve compression and stabilize the spine.
The Posterior Thoracic Decompression and Fusion with Instrumentation Procedure
During a posterior thoracic decompression and fusion with instrumentation, an expert surgeon at SpineCare of NY begins by making an incision along the back to access the thoracic spine. Retractors are used to hold back the muscles and soft tissues. The decompression phase involves removing the spinous process and lamina, a process known as laminectomy, to relieve pressure on the spinal cord and nerves. Next, the fusion phase involves placing screws through the pedicles of the vertebrae and connecting them with rods to stabilize the spine. Bone grafts, often from the patient’s own spinous processes, are used to promote the fusion of the vertebrae. Finally, the muscle and soft tissues are sutured back together. Sometimes a drain is placed to prevent blood pooling, which is removed a day or two post-surgery.
Posterior Thoracic Decompression and Fusion with Instrumentation Results and Recovery
Recovery from posterior thoracic decompression and fusion with instrumentation is typically a gradual process that requires patience and adherence to post-op instruction provided by SpineCare of NY. Most patients experience significant pain relief and improvement in neurological symptoms within the first few weeks post-surgery. However, full recovery can take several months to a year. Initially, patients may need to stay in the hospital for 2-3 days and are usually advised to limit their activities for 6-12 weeks. Physical therapy plays a crucial role in recovery, helping patients regain strength and mobility. The fusion process itself can take up to a year to fully consolidate. Regular follow-up appointments are essential for optimal outcomes and to monitor the fusion progress.
Schedule a Consultation
To learn more about posterior thoracic decompression and fusion with instrumentation, schedule a consultation with a renowned physician at SpineCare of NY. Head to our website to fill out an online contact form and get started today.
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