Questions to ask your doctor about spinal surgery
What to ask your surgeon about spinal surgery - before; Before spinal surgery - surgeon questions; Before spinal surgery - what to ask your surgeon; Questions to ask your surgeon about back surgery
You are going to have surgery on your spine. The main types of spinal surgery include diskectomy, laminectomy, foraminotomy, and spinal fusion.
Below are questions you may want to ask your surgeon to help you prepare for spinal surgery.
Herniated nucleus pulposus is a condition in which part or all of the soft, gelatinous central portion of an intervertebral disk is forced through a weakened part of the disk, resulting in back pain and nerve root irritation.
The spine is made of bones (vertebrae) separated by soft cushions (intervertebral disks).
The cervical spinal column is made up of vertebral bodies which protect the spinal cord.
The appearance of a normal intervertebral disk is compared to a herniated disk.
Spinal stenosis is a narrowing of the lumbar or cervical spinal canal. The narrowing can cause compression on nerve roots resulting in pain or weakness of the legs. Medications or steroid injections are often administered to reduce inflammation. If the pain is persistent and does not respond to these conservative measures, surgery is considered to relieve the pressure on the nerves.
The vertebrae are the bones that make up the spinal column, which surrounds and protects the spinal cord. The intervertbral discs are soft tissues that sit between each vertebrae and act as cusions between vertebrae, and absorb energy while the spinal column flexes, extends, and twists. Nerves from the spinal cord exit the spinal column between each vertebra.
Questions
How do I know if spine surgery will help me?
- What is the cause of my symptoms?
- Why is this type of surgery recommended?
- Are there different methods for doing this surgery?
- How will this surgery help my spinal condition?
- Is there any harm in waiting?
- Am I too young or too old for spinal surgery?
- What else can be done to relieve my symptoms besides surgery?
- Will my condition become worse if I do not have the surgery?
- What are the risks of the operation?
How much will spine surgery cost?
- How do I find out if my insurance will pay for spine surgery?
- Does insurance cover all of the costs or just some of them?
- Does it make a difference which hospital I go to? Do I have a choice of where to have surgery?
Is there anything that I can do before the surgery so it will be more successful for me?
- Are there exercises I should do to make my muscles stronger?
- Do I need to lose weight before surgery?
- Where can I get help quitting cigarettes or not drinking alcohol, if I need to?
How can I get my home ready before I go to the hospital?
- How much help will I need when I come home? Will I be able to get out of bed?
- How can I make my home safer for me?
- How can I make my home so it is easier to get around and do things?
- How can I make it easier for myself in the bathroom and shower?
- What type of supplies will I need when I get home?
What are the risks or complications of the spine surgery?
- What are the risks and complications of the surgery?
- What can I do before surgery to make the risks lower?
- Do I need to stop taking any medicines before my surgery?
- Will I need a blood transfusion during or after the surgery? Are there ways of saving my own blood before the surgery so it can be used during the surgery?
- What is the risk of infection from surgery?
What should I do the night before my surgery?
- When do I need to stop eating or drinking?
- Do I need to use a special soap when I bathe or shower?
- What medicines should I take the day of surgery?
- What should I bring with me to the hospital?
What will the surgery be like?
- What steps will be involved in this surgery?
- How long will the surgery last?
- What type of anesthesia will be used? Are there choices to consider?
- Will I have a tube connected to my bladder? If yes, how long does it normally stay in?
What will my stay in the hospital be like?
- Will I be in a lot of pain after surgery? What will be done to relieve the pain?
- How soon will I be getting up and moving around?
- How long will I stay in the hospital?
- Will I be able to go home after being in the hospital, or will I need to go to a rehabilitation facility to recover more?
How long will it take to recover from spine surgery?
- How should I manage the side effects such as swelling, soreness, and pain after the surgery?
- How will I care for the wound and sutures at home?
- Are there any restrictions post-surgery?
- Do I need to wear any kind of brace after spine surgery?
- How long will it take for my back to heal after the surgery?
- How will spine surgery affect my work and routine activities?
- How long will I need to be off work after the surgery?
- When will I be able to resume my routine activities on my own?
- When can I resume my medicines? How long should I not take anti-inflammatory medications?
How will I gain my strength back after the spine surgery?
- Do I need to proceed with a rehabilitation program or physical therapy after the surgery? How long will the program last?
- What type of exercises will be included in this program?
- Will I be able to perform any exercises on my own after the surgery?
References
Li Y, Ling MZ, Wang MY. Perioperative management protocols: Enhanced recovery after surgery. In: Steinmetz MP, Berven SH, Benzel EC, eds. Benzel's Spine Surgery. 5th ed. Philadelphia, PA: Elsevier; 2022:chap 79.
Stefanelli AJ, Sabourin V, Hines K, Singh H, Harrop JS. Fundamentals of spine surgery. In: Steinmetz MP, Berven SH, Benzel EC, eds. Benzel's Spine Surgery. 5th ed. Philadelphia, PA: Elsevier; 2022:chap 78.
Version Info
Last reviewed on: 10/15/2023
Reviewed by: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
