Skip to main navigation
Skip to main content
Skip to footer
For
Medicare
For
Providers
For
Brokers
For
Employers
Español
For Individuals & Families:
For Individuals & Families
Medical
Dental
Other Supplemental
Explore coverage through work
How to Buy Health Insurance
Types of Dental Insurance
Open Enrollment vs. Special Enrollment
See all topics
Shop for Medicare plans
Member Guide
Find a Doctor
Log in to myCigna
Home
Knowledge Center
Wellness Library
Lumbar Spinal Fusion (Arthrodesis)
Lumbar Spinal Fusion (Arthrodesis)
Surgery Overview
Lumbar spinal fusion is surgery to join, or fuse, two or more vertebrae in the low back. The surgery is also called arthrodesis.
There are different methods of spinal fusion.
- Bone is taken from elsewhere in your body or obtained from a bone bank. Or sometimes human-made bone is used. The bone is used to make a bridge between vertebrae that are next to each other. This bone graft helps new bone grow.
- Metal implants are usually used to hold the vertebrae together until new bone grows between them.
What To Expect
What To Expect
After surgery, you will have a short hospital stay.
Bed rest usually isn't needed while you recover at home.
Your doctor may recommend that you wear a back brace while you recover.
Rehabilitation can take a long time. It includes walking, riding a stationary bike, swimming, and similar activities.
Why It Is Done
Why It Is Done
Spinal fusion may be done by itself or along with surgery to remove bone and tissue that are narrowing the spinal canal and squeezing the spinal cord and/or the spinal nerves.
It may be done as a follow-up after surgery that was done to treat problems such as spinal stenosis, herniated discs, injuries, infection, and tumors.
How Well It Works
How Well It Works
Spinal fusion is often needed to keep the spine stable after injury, infection, or a tumor.
In general, studies don't show a clear difference between spinal fusion and structured rehabilitation for treating chronic low back pain from degenerative changes in the spine.footnote 1 This type of rehabilitation can include exercise, education, and cognitive-behavioral therapy.
As you decide about having spinal fusion, talk with your doctor about the benefits and risks.
Risks
Risks
The risks of this surgery depend on your age and overall health, what you're having the surgery for, and the type of procedure you have.
Risks include:
- Pain at the bone graft site.
- Failure of the fusion, breakage of metal implants, or both.
- Blood clots that may also lead to pulmonary embolism.
- Nerve injury.
- Graft rejection.
- Infection.
- Excessive bleeding.
- Risks of anesthesia.
References
References
Citations
- Chou R, et al. (2009). Surgery for low back pain: A review of the evidence for the American Pain Society clinical practice guideline. Spine, 34(10): 1094-1109. DOI: 10.1097/BRS.0b013e3181a105fc. Accessed June 12, 2017.
Current as of: July 31, 2024
Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
This information does not replace the advice of a doctor. Ignite Healthwise, LLC, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.
To learn more about Ignite Healthwise, LLC, visit webmdignite.com.
© 2024 Ignite Healthwise, LLC. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Ignite Healthwise, LLC.
<cipublic-spinner variant="large"><span>Loading…</span></cipublic-spinner>
