In the medical field, a wide variety of techniques are available that can make a big difference in the lives of many people. However, it is crucial to have the experience and knowledge of specialized professionals to obtain the best results, especially in surgical procedures such as those related to the spine where precision and dedication are essential.
What is arthrodesis?
Arthrodesis is a surgical procedure in which two or more bones are fused to form a joint. It is used to treat joint problems and its main purpose is to provide stability to a damaged or unstable joint.
When is arthrodesis necessary?
This surgical procedure is necessary in various situations where the joint is severely damaged, unstable or damaged. Some cases in which arthrodesis is considered necessary are:
- Degenerative diseases: arthrodesis may be recommended in cases of severe arthritis, where cartilage wear and inflammation cause severe pain and limit joint mobility.
- Traumatic injuries: When a fracture or injury occurs that affects tissues and ligaments, an arthrodesis may be necessary to stabilize the joint and promote healing. In some specific cases, such as herniated discs, arthrodesis may be considered a treatment option to restore stability and relieve symptoms.
- Joint infections: Arthrodesis may be necessary to eliminate certain specific infections and achieve stabilization of the affected joint.
It is important to note that the need to perform an arthrodesis is evaluated on an individual basis by a specialist doctor, who will determine if it is the most appropriate option for the patient.
Types of Arthrodesis
There are different types of arthrodesis that are used to address different conditions and joint locations. Choosing the appropriate technique will depend on factors such as the location and condition of the joint, the goal of the surgery, and the patient's general health. Below, we will describe some of the most common types of arthrodesis used.
Instrumented posterolateral arthrodesis
This procedure involves posterior bone fusion through an incision in the back of the body. Instrumentation such as screws and rods are used to stabilize the spine and promote bone fusion.
Posterior lumbar interbody arthrodesis
In this technique, bone grafts are placed between the intervertebral spaces in the lumbar region of the spine. These grafts promote fusion of adjacent bones, and different devices can be used to maintain stability during the healing process.
Transforaminal posterior lumbar interbody arthrodesis
This approach to arthrodesis involves placing bone grafts into the intervertebral spaces and is performed through a lateral opening in the spine to allow access to the space where the spinal nerves emerge.
Anterior lumbar interbody arthrodesis
To perform this procedure, the spine is accessed from the front of the body. Bone grafts are placed between the vertebral bodies to promote fusion and stabilization of the lumbar spine.
Anterior/posterior vertebral arthrodesis
In some complex cases, it may be necessary to perform this procedure from both the front and the back of the spine. This technique is used to combine the benefits of both approaches with the objective of achieving a solid and stable fusion.
Extreme lateral interbody arthrodesis
This technique involves the fusion of the vertebral bodies through a lateral access of the body. During this procedure, fixation devices and bone grafts are used to achieve a solid and stable fusion. This approach has benefits such as preserving the posterior tissues of the spine and avoiding the need for posterior manipulation of the spinal nerves.
What is the arthrodesis technique used for?
The main goal of arthrodesis is to provide stability and relieve pain in the affected joint. By fusing the bones that make up said joint, movement in that specific area of the body is eliminated. This Helps reduce friction and stress on the joint, relieving pain and improving functionality. Additionally, by eliminating movement, you prevent additional wear and tear on cartilage and prevent the progression of degenerative diseases.
How is arthrodesis performed?
Arthrodesis is performed through a surgical procedure designed to promote bone fusion in a specific joint. During surgery, the cartilage that covers the joint surfaces is removed, creating a space between the bones. Bone grafts are then placed in this space to stimulate bone growth and union. To keep the bones in the proper position, internal fixation devices such as plates, screws or rods are used to provide the necessary stability during the healing and fusion process. Over time, the bones gradually fuse, forming a solid, stable structure.
How long does it take for arthrodesis to heal?
Arthrodesis healing time can vary depending on different factors, such as the location of the joint, the patient's general health, and the technique used. Typically, it will take a period of several weeks for the arthrodesis to heal completely. It is important to remember that bone healing is a gradual process and that each patient may experience different recovery times.
Care that should be taken after undergoing an arthrodesis
After performing an arthrodesis, it is essential to follow medical recommendations for a successful recovery. Among the care it is possible to highlight:
- Keep the operated area clean and dry.
- Use recommended assistive devices.
- Avoid excessive load or stress on the joint.
- Perform rehabilitation and physiotherapy exercises.
- Prevent infections.
Arthrodesis recovery
Recovery time after arthrodesis may vary depending on the patient and its complexity. Recovery is usually expected to take six to eight weeks. During this period, it is crucial that the patient follow medical instructions, participate in rehabilitation and physical therapy sessions, and be patient to allow the joint to stabilize properly. Over time, most patients experience a successful recovery and significantly improve their quality of life. It is essential to remember that each recovery process is unique and that it is essential to have adequate medical follow-up throughout the recovery process to ensure the best results.
Risks of arthrodesis
Arthrodesis, like any surgery, presents certain risks and possible complications. Among them it is possible to mention infection, problems in the healing process, persistence or worsening of pain, nerve injuries and biomechanical changes. It is important that patients are informed about the possible risks and maintain open communication with their doctor to minimize and address any problems that may arise as a result of this surgery.
Benefits of spinal arthrodesis
This procedure offers a wide variety of benefits that can have a significant impact on patients' quality of life. Among them it is possible to mention:
- Pain relief: Arthrodesis can be effective in reducing or eliminating chronic pain affecting the spine. This helps reduce patients' discomfort and allows them to carry out their daily activities more comfortably.
- Stability and injury prevention: By fusing the vertebral bones, stability is provided to the spine, preventing abnormal movements and reducing the risk of injury or compression of the spinal nerves.
- Improved function and mobility: By restoring spinal stability, arthrodesis can improve spinal function and mobility, allowing patients to perform activities they previously found difficult.
- Improved quality of life- By relieving pain and improving spinal stability, it can significantly improve patients' quality of life. It gives patients the opportunity to enjoy a more active life without limitations.
Where to have an arthrodesis in Madrid
It is vitally important to carry out procedures as complex as arthrodesis by leading professionals who have the necessary skill and experience to obtain the best possible results. In ICAC, we are specialists in minimally invasive spine surgeries and we have a highly trained medical team with the necessary experience to perform arthrodesis.
At ICAC, you can count on the support and experience of the best specialists to obtain the best possible results. We invite you to visit our website to obtain more information about arthrodesis and see testimonials from patients who have trusted ICAC for their surgery. Do not doubt ask for a date so we can start working together on taking care of your spine.
38 thoughts on “Artrodesis: qué es, para qué sirve y qué esperar de esta cirugía”
Perfectly explained the operation, everything clear and with words understandable to everyone, greetings 😘😘
Thank you for your comment Elisa!
I have had bars with screws for several years and I started with yoga and I have sciatic pain, they say it can be done but it hurt me. Greetings, the whole explanation is very interesting.
Hello Stella Maris,
If yoga causes you sciatic pain, it is best to stop and consult a physical therapist. Some poses may not be suitable given your history of rods and screws in your spine.
Take care of yourself!
How long have you had surgery?
I did it and the first three years were very good, now with a lot of pain.
Let them explain the pros and cons well, it hasn't even lasted 5 years, I can walk, but less and less
I wanted to know how resistant the area fixed with screws is?
Could I return to football without fear or is it a problem if I receive a ball or hit in that area?
Thank you!
I have a spinal cord injury and the procedure was performed incorrectly due to a misdiagnosis… it was supposedly scoliosis, but now they say it’s Charcot’s disease… the first operation was a dorsal lumbar arthrodesis with two screws to the iliac crest… the operation was chaotic… more plates broke… they had to remove it… but my waist has remained fixed after a year and a half of fixation, they also added a bone graft… now I’m going on my 5th operation in a row… and they’re going to do the lumbar osteoarthritis again… leaving one or two vertebrae free… I ask… will I be able to bend down… reach the floor…??? I try to convince them that my waist is fixed… but they don’t want to do anything to me… they say it’s not fixed… how can I prove that my waist is fixed??? I’ve been told that an OPU operation can be performed to correct it, could you please inform me and give me some advice???? I beg you… I have a spinal cord injury in a wheelchair with a D9 injury…
Well I hope for an answer, thanks.
Could you please send me an answer to my email or help me in some way... I beg you...
The pain is also unbearable... and my neck hurts like crazy. I wear a neck brace, it's the only thing that helps... Charcot's disease or scoliosis... Could it affect the neck? Even though the distance is enormous... I hope for many responses!
Hello Javier,
We are deeply sorry for the difficult situation you are going through. Given your history of surgeries and the symptoms you mention, it is essential that a spine specialist evaluate your situation in detail to determine the best approach.
Regarding waist mobility and the possibility of demonstrating its fixation, specific imaging tests, such as dynamic X-rays or CT scans, could provide further clarity. Charcot's disease and spinal disorders can cause changes that affect other areas, so a complete study would be recommended.
If you would like a second opinion to analyze your case and explore possible treatment options, you can schedule a consultation with our spine specialists by calling (+34) 910 05 39 00.
Greetings.
I forgot a question... having two fixed vertebrae. Is there a lot of flexibility that is lost? Is it a noticeable difference that I will notice with my current life?
Hello Fabricio,
A priori, if the builder is correct there should be no problem performing exercises correctly and without pain. Fixation is usually firm, especially if it is a circumferential arthrodesis with the screws well oriented. And with interbody box placed.
Greetings
Good afternoon, I am undergoing surgery on my lumbar spine for two screws and bars. My doctor told me that I have to undergo an athrodesis for ten years since I had surgery? It's not risky
I am 53 years old doc
Hello Eva,
We will be able to give you this information after an examination in consultation.
You can make an appointment by calling 91 005 39 00.
Greetings.
Hello, I am undergoing 3-level lumbar arthrodesis, and if I know, I will not have surgery. After 2 months I started having pain in my spine that doesn't go away, it's constant and I'm on strong painkillers daily. The surgeons don't know where the pain is coming from and they refer me to the pain unit, where I already went 7 times before. operate….this is hilarious! Yes I know, I don't have the operation, not to make it worse...my quality of life has worsened and I assure you that this operation is very bad, I don't touch myself anymore. It is something very slow and painful, I would evaluate everything before putting you in an operating room. 💪
Hello Paqui, I have had an arthrodecis operation for 3 months and from the first day I looked great. This is like the lottery, it is a matter of luck. I already live a normal life, but with caution, the important thing for recovery is to walk. I hope you are better. Greetings 👋
Hello! I was like this after my surgery and I started like you. A thousand tests, pain unit, PRP, blocks, continuous suffering to not relieve the pain. And after 2 and a half years of my surgery, they have reoperated on me because my interbody cage is not welded because it had nickel and I am allergic to nickel!! The screws are supposed to be titanium… well, because my neurosurgeon investigated and she changed it for another one with fixation and with screws. And at the moment I am improving. Go ahead and look at it, because I was also fed up with tests and pain unit. Greetings.
Good afternoon, I had a complete arthrodesis, and now the screws have eaten away at the bone. They have to remove everything and replace it with thicker screws and bone implants. I've been living with chronic pain since the beginning...
If it took six hours in the operating room last time, this time it'll be longer, right? I'm trembling because the pain management unit can't do anything for me anymore...
Thank you so much for reading me.
Did they answer you? I'm in the same situation
Yes, you will not be able to rotate your waist besides wearing a corset all your life.
Hello, my name is Sandra, I am 45 years old and I am diagnosed with degenerative osteophyte alterations in the L4 and L5 vertebral bodies, facet hypertrophy at the lumbar disc level, and I also have scoliosis, that is, from L4 to S1, protrusions, the pain affects my legs from behind. , cramps on the soles of the feet, muscle pain, etc. I am being treated with infiltrations of corticosteroids and anti-inflammatories. My doctor does not recommend arthrodesis surgery because it would be a mistake if he operated on me since it could further destabilize my scoliosis and cause damage to the following vertebrae. Please come to you because I continue to find myself very limited by not being able to stay for long periods of time. foot, I would like to know your opinion, I have an updated MRI. Do you recommend that I have surgery?
Hello Sandra,
To make a recommendation we would have to evaluate your case with all the tests, more information and a physical examination performed by a specialist.
You can make an appointment by calling +34 91 005 39 00.
Greetings
Hi I'm Laura!! I am undergoing a lumbar arthrodesis, from L1 to L4 as a result of a large blow. It has been six months since the surgery, and although I can function well, I have discomfort and sometimes feel pins and needles and stiffness in the left side of my back. The doctor currently performed a CT and MRI on me and has decided to remove the placed material because he observes that the vertebrae have sealed and that in this way I will be able to regain mobility in the lumbar part. The truth is that I have big doubts because from what I have read and heard this is not retired and remains for life. I would appreciate if you can guide me.
Good evening Laura,
A priori I don't know what type of fixation they have put in, since there are permanent arthrodeses and others that are temporary and can be removed without problem, like those placed in case of bills.
Greetings.
Good evening! I'm writing from Argentina! Six months ago I had a lumbar arthrodesis from 3 to 1 sacrum and as I continued to have several discomforts I made 3 consultations and they told me that the prosthesis was unnecessary in my case but that it cannot be removed. I wanted to know what options I have? Are there prostheses that allow more flexibility?
Hello Marisa,
I am sorry to hear about your situation. Once the arthrodesis is performed, the prosthesis cannot be removed. Options include physical therapy to improve mobility, pain medications, and techniques such as nerve stimulation. There are no flexible prostheses for already fused segments.
Greetings
Hi, I'm Francisco. 15 days ago I had lumbar osteoarthritis L2, L3, L4, L5. I have facet osteoarthritis and had a trapped sciatic nerve. The truth is that I spent 5 days in pain that would have been enough to kill me. I'm home now and things are going great so far. I have an appointment with the surgeon in 6 weeks. Do you think I should start physical therapy? Swimming would be too premature. Thank you.
Hello Francisco, I had my surgery done in L4/L5 and it's true. I spent the first 36 hours post-op thinking I was going to die of pain. I was on pure morphine because they couldn't control me, they couldn't even control my blood pressure from the pain. I will tell you that after 2 weeks of surgery I feel spectacular. I do have pain, yes, and I only use a walker to propel myself when sitting and standing. I've already started with physiotherapy and although I'm super tired, I'm super happy to not have that pain that I had 24 hours a day and that limited me so much. Good luck with your recovery.
Sorry, I forgot to say that they put 8 screws and 4 plates or bars in me.
Hello Francisco,
It is advisable to wait for your surgeon's approval before starting physical therapy or swimming. Starting physical activities too soon could interfere with recovery. Consult your doctor at your scheduled appointment for further guidance.
Greetings
Hello, I am Patricia. I had surgery for 3rd, 4th and 5th lumbar spondylolisthesis. Arthrodesis, two bars, 6 screws and bone graft. This was 1 year and 4 months. My right sciatic nerve hurt very badly, neuropathic pain like a book. When I woke up from surgery my leg didn’t hurt anymore, but from the 3rd day I had pain in the lumbosacral region. Now after a CT scan, MRIs and X-rays the doctor discovered that the 5th vertebra with its screws was not arthrodesed, that’s why it hurts. He said I have to have another operation, that’s the question… Can I wait 1 more year? Or could the screws break… I’m on painkillers, thanks!!! And I’m confused…
Hi Patricia,
You can make an appointment to have a second opinion with our specialists by doing click here.
Greetings
I had an operation of: instrumented posterolateral arthrodesis
[1/12 5:23 p.m.] Salado Cetis 116: The question is
At what months can the screws and bars be removed from a posterolateral fusion in L5 S1, since the screws become embedded in the muscles and cause a lot of pain when sitting and walking?
I am currently going to be 8 months old on April 13th…
Hi David,
The screws and rods of a posterolateral fusion are usually removed within 12 to 18 months if the bone has healed properly. However, persistent pain may warrant evaluation before this time. Consult your surgeon for imaging and possible customized solutions.
Greetings
Hello, I have 6 screws with two plates in my lumbar region, two operations and 6 years of fentanyl. It's very bad. I've developed necrosis and I'm not going to have any more surgery. I don't know if I can do any exercise, but I'm gaining weight from doing nothing. Any recommendations? I'm from Zaragoza. Thank you.
Hello Beatriz,
Thank you for your comment. We are sorry you are going through this situation. In cases like yours, it is essential to have professional guidance to determine which exercises could be safe and beneficial for you. If you wish, you can schedule an online consultation with our team to receive recommendations tailored to your case. You can write to us at info@columna.com for more information.
Greetings.
Hello, I had surgery 3 weeks ago. They put screws and a plate in D8, D9 and D10. I have little pain in the area but more pain in the ribs and muscles around the spine. Is this normal? Thank you.
Hello,
It is normal to experience discomfort in the muscles and rib area after surgery, as the body is in the process of recovery. However, it is important that any questions or pain that persists be evaluated by the doctor in charge of your case, as he will be able to give you specific guidance based on your recovery.
Greetings.
Hello, I had neurosurgery five months ago for L4-L5 lumbar spinal canal stenosis using bilateral tubular decompression surgery (MSI). I'm doing very well, but two weeks later, sciatica pain appeared in my right leg, progressing very poorly. There is inflammation and effusion in the facets, as well as foraminal stenosis and possible instability. Treatments with all types of analgesia have been ineffective. During this time, I've been using fentanyl patches, but without relief. Now, a facetectomy with arthrodesis is needed. A neurosurgeon explains that it's done with MISS surgery. A second opinion from a traumatologist specializing in spinal surgery explains that it's not. It should be done with posterior open surgery. I'm unsure which is the most appropriate and safest option in this case. I'm already scheduled to see a neurosurgeon for the end of April, and I'm still uncertain and worried.
Thank you and greetings.
Hi Carlos,
We understand that these types of situations generate a lot of uncertainty, and it's important to make an informed decision. In order to offer you a personalized and detailed professional opinion, I would recommend requesting a consultation with our spinal trauma team. They can thoroughly evaluate your case, review your previous tests, and offer you the most appropriate treatment for your situation.
If you'd like to make an appointment, you can contact us by calling 91 005 39 00.
Greetings.