Post-Operative Instructions: Anterior/Posterior Lumbar Fusion

 

Follow-up appointments:

 

2 weeks             6 weeks              3 months

6 months           1 year                 2 years

 

Discharge:

 

4-5 days

 

Staple/Stitch Removal:

 

At the first post-op visit (approximately 1-2 weeks).

 

Medications:

 

Pain medications and muscle relaxants will be prescribed on an individual basis.

 

Prescriptions will be filled during office hours only. Please allow 72 hours for requests to be processed.

 

No anti-inflammatories for a minimum of 3 months post-op.

 

Resume home medications per discharge instructions.

 

Physical Therapy:

 

In the hospital, this will begin on post-operative day 1.

 

As an outpatient, this may be prescribed approximately 6 weeks post-op.

 

A home exercise program may also be prescribed.

 

Cardiovascular Exercise:

 

Walk at least 30 minutes per day (does not need to be all at once) at the time of discharge. Walking is the most important activity. Do as much as is comfortable.

 

Brace:

 

Should be worn when out of bed for longer than 10 minutes. May sleep out of brace. May shower without brace starting at 2 weeks post-op.

 

Driving:

 

None for 4-6 weeks post-operatively.

 

No sitting in one position in the car for longer than 45 minutes- get out and stretch if the ride is longer than this.

 

No driving while using narcotic pain medications.

 

Sleeping:

 

Use a pillow between the knees and lying on your side, or a pillow below the knees and lying on your back.

 

Showering:

 

You may begin showering 72 hours following surgery.

 

Do not soak the wound and keep it dry.

 

Change the dressing after showering, while leaving the steri strips in place.

 

Do not scrub incision site.

 

No baths, walk-in shower only.

 

Lifting:

 

No lifting over 10 lbs for 6 weeks. This may be longer depending on progress of fusion seen on x-ray.

 

No bending of the waist and no reaching to the ground.

 

Housework:

 

Light duties only.

 

Avoid pushing and pulling.

 

No bending over.

 

Sexual Activity:

 

Wait until 6-8 weeks post-op, once pain has subsided.

 

Use comfortable positions.

 

 

 

Post-Operative Instructions:

Anterior Cervical Fusion

 

Follow-up appointments:

 

2 weeks             6 weeks                 3 months

6 months           1 year                    2 years

 

Discharge:

 

1-3 days

 

Staple/Stitch Removal:

 

There are no stitches and nothing to remove.

 

Medications:

 

Pain medications and muscle relaxants will be prescribed on an individual basis.

 

Prescriptions will be filled during office hours only. Please allow 72 hours for requests to be processed.

 

No anti-inflammatories for a minimum of 3 months post-op.

 

Resume home medications per discharge instructions.

 

Physical Therapy:

 

In the hospital, this will begin on post-operative day 1.

 

As an outpatient, this may be prescribed approximately 6 weeks post-op.

 

A home exercise program may also be prescribed.

 

Cardiovascular Exercise:

 

Walk at least 30 minutes per day (does not need to be all at once) at the time of discharge. Walking is the most important activity. Do as much as is comfortable.

 

From 2 weeks through 6 weeks following surgery, you should be able to increase your activity to normal.

 

Collar:

 

A collar should be used at all times for the first 6 weeks following surgery.

 

The soft collar should be used while in bed.

 

The hard collar should be used while out of bed.

 

A third collar may be given to be worn while showering.

 

Driving:

 

None for 2 weeks post-operatively.

 

No sitting in one position in the car for longer than 45 minutes- get out and stretch if the ride is longer than this.

 

No driving while using narcotic pain medications.

 

Sleeping:

 

Use a comfortable pillow and position.

 

The soft collar should be used while sleeping.

 

Showering:

 

You may begin showering 72 hours following surgery.

 

Do not soak the wound and keep it dry.

 

Change the dressing after showering, while leaving the steri strips in place.

 

Do not scrub incision site. No baths, walk-in shower only.

 

Lifting:

 

No lifting over 10 lbs for 6 weeks.

 

No bending of the neck and no lifting above the level of the shoulders for 6 weeks.

 

Housework:

 

Light duties only.

 

Avoid pushing and pulling.

 

No bending over.

 

Sexual Activity:

 

Wait until 2 weeks post-op, once pain has subsided.

 

Use comfortable positions.

 

 

 

Post-Operative Instructions:

Kyphoplasty

 

Follow-up appointments:

 

2 weeks              6 weeks               3 months

6 months            1 year                  2 years

 

Discharge:

 

Outpatient (occasional 23 hours stay) Staple/Stitch

 

Removal:

 

There are no stitches and nothing to remove.

 

Medications:

 

Pain medications and muscle relaxants will be prescribed on an individual basis.

 

Prescriptions will be filled during office hours only. Please allow 72 hours for requests to be processed.

 

Resume home medications per discharge instructions.

 

Physical Therapy:

 

As an outpatient, this may be prescribed approximately 2-6 weeks post-op.

 

A home exercise program may also be prescribed.

 

Cardiovascular Exercise:

 

Walk at least 30 minutes per day (does not need to be all at once) at the time of discharge. Walking is the most important activity. Do as much as is comfortable.

 

From 2 weeks through 6 weeks following surgery, you should be able to increase your activity to normal.

 

Brace:

 

None needed.

 

Sitting:

 

No sitting for longer than 30 minutes at a time.

 

May stand or lay for as long as you are comfortable.

 

Driving:

 

None for 2 weeks post-operatively.

 

No sitting in one position in the car for longer than 30 minutes- get out and stretch if the ride is longer than this.

 

No driving while using narcotic pain medications.

 

Sleeping:

 

Use a comfortable pillow and position.

 

Showering:

 

You may begin showering 72 hours following surgery.

 

Do not soak the wound and keep it dry.

 

Change the dressing after showering, while leaving the steri strips in place.

 

Do not scrub incision site. No baths, walk-in shower only.

 

Lifting:

 

No lifting over 10 lbs for 6 weeks.

 

No bending of the waist and no reaching to the ground for 6 weeks.

 

Housework:

 

Light duties only.

 

Avoid pushing and pulling.

 

No bending over.

 

Sexual Activity:

 

Wait until 2 weeks post-op, once pain has subsided.

 

Use comfortable positions.

 

 

 

Post-Operative Instructions:

Lumbar Laminectomy

 

Follow-up appointments:

 

2 weeks              6 weeks                3 months 

6 months           1 year                    2 years

 

Discharge:

 

1-3 days

 

Staple/StitchRemoval:

 

At the first post-op visit (approximately 1-2 weeks).

 

Medications:

 

Pain medications and muscle relaxants will be prescribed on an individual basis.

 

Prescriptions will be filled during office hours only. Please allow 72 hours for requests to be processed.

 

Resume home medications per discharge instructions.

 

Physical Therapy:

 

In the hospital, this will begin on post-operative day 1.

 

As an outpatient, this may be prescribed approximately 2-6 weeks post-op.

 

A home exercise program may also be prescribed.

 

Cardiovascular Exercise:

 

Walk at least 30 minutes per day (does not need to be all at once) at the time of discharge. Walking is the most important activity. Do as much as is comfortable.

 

From 2 weeks through 6 weeks following surgery, you should be able to increase your activity to normal.

 

Brace:

 

None needed.

 

Driving:

 

None for 2 weeks post-operatively.

 

No sitting in one position in the car for longer than 45 minutes- get out and stretch if the ride is longer than this.

 

No driving while using narcotic pain medications.

 

Sleeping:

 

Use a comfortable pillow and position.

 

Showering:

 

You may begin showering 72 hours following surgery.

 

Do not soak the wound and keep it dry.

 

Change the dressing after showering, while leaving the steri strips in place.

 

Do not scrub incision site.

 

No baths, walk-in shower only.

 

Lifting:

 

No lifting over 10 lbs for 6 weeks.

 

Housework:

 

Light duties only.

 

Avoid pushing and pulling.

 

No bending over.

 

Sexual Activity:

 

Wait until 2-6 weeks post-op, once pain has subsided.

 

Use comfortable positions.

 

 

Post-Operative Instructions:

Microdiscectomy

 

Follow-up appointments:

 

2 weeks            6 weeks                3 months

6 months          1 year                   2 years

 

Discharge:

 

Outpatient (occasional 23 hours stay)

 

Staple/Stitch Removal:

 

There are no stitches and nothing to remove.

 

Medications:

 

Pain medications and muscle relaxants will be prescribed on an individual basis.

 

Prescriptions will be filled during office hours only. Please allow 72 hours for requests to be processed.

 

Resume home medications per discharge instructions.

 

Physical Therapy:

 

As an outpatient, this may be prescribed approximately 2-6 weeks post-op.

 

A home exercise program may also be prescribed.

 

Cardiovascular Exercise:

 

Walk at least 30 minutes per day (does not need to be all at once) at the time of discharge. Walking is the most important activity. Do as much as is comfortable.

 

From 2 weeks through 6 weeks following surgery, you should be able to increase your activity to normal.

 

Brace:

 

None needed.

 

Sitting:

No sitting for longer than 15 minutes at a time.

 

May stand or lay as long as you are comfortable.

 

Driving:

 

None for 2 weeks post-operatively.

 

No sitting in one position in the car for longer than 15 minutes- get out and stretch if the ride is longer than this.

 

No driving while using narcotic pain medications.

 

Sleeping:

 

Use a comfortable pillow and position.

 

Showering:

 

You may begin showering 72 hours following surgery.

 

Do not soak the wound and keep it dry.

 

Change the dressing after showering, while leaving the steri strips in place.

 

Do not scrub incision site.

 

No baths, walk-in shower only.

 

Lifting:

 

No lifting over 10 lbs for 6 weeks.

 

No bending of the waist and no reaching to the ground for 6 weeks.

 

Housework:

 

Light duties only.

 

Avoid pushing and pulling.

 

No bending over.

 

Sexual Activity:

 

Wait until 2 weeks post-op, once pain has subsided.

 

Use comfortable positions.

 

 

Post-Operative Instructions:

Posterior Cervical Fusion

 

Follow-up appointments:

 

2 weeks            6 weeks                 3 months

6 months        1 year                   2 years

 

Discharge:

 

4-5 days

 

Staple/Stitch Removal:

 

At the first post-op visit (approximately 1-2 weeks).

 

Medications:

 

Pain medications and muscle relaxants will be prescribed on an individual basis.

 

Prescriptions will be filled during office hours only. Please allow 72 hours for requests to be processed.

 

No anti-inflammatories for a minimum of 3 months post-op.

 

Resume home medications per discharge instructions.

 

Physical Therapy:

 

In the hospital, this will begin on post-operative day 1.

 

As an outpatient, this may be prescribed approximately 6 weeks post-op.

 

A home exercise program may also be prescribed.

 

Cardiovascular Exercise:

 

Walk at least 30 minutes per day (does not need to be all at once) at the time of discharge. Walking is the most important activity. Do as much as is comfortable.

 

From 2 weeks through 6 weeks following surgery, you should be able to increase your activity to normal.

 

Collar:

A collar should be used at all times for the first 6 weeks following surgery.

 

The soft collar should be used while in bed.

 

The hard collar should be used while out of bed.

 

A third collar may be given to be worn while showering.

 

Driving:

 

None for 4-6 weeks post-operatively.

 

No sitting in one position in the car for longer than 45 minutes- get out and stretch if the ride is longer than this.

 

No driving while using narcotic pain medications.

 

Sleeping:

 

Use a pillow between the knees and lying on your side, or a pillow below the knees and lying on your back

 

The soft collar should be used while sleeping.

 

Showering:

 

You may begin showering 72 hours following surgery.

 

Do not soak the wound and keep it dry.

 

Change the dressing after showering, while leaving the steri strips in place.

 

Do not scrub incision site.

 

No baths, walk-in shower only.

 

Lifting:

 

No lifting over 10 lbs for 6 weeks.

 

No bending of the neck and no lifting above the level of the shoulders for 6 weeks.

 

Housework:

 

Light duties only.

 

Avoid pushing and pulling.

 

No bending over.

 

Sexual Activity:

 

Wait until 6-8 weeks post-op, once pain has subsided.

 

Use comfortable positions.

 

 

 

 

Post-Operative Instructions:

Posterior Lumbar Fusion

 

Follow-up appointments:

 

2 weeks              6 weeks                 3 months

 

6 months           1 year                      2 years

 

Discharge:

 

4-5 days

 

Staple/Stitch Removal:

 

At the first post-op visit (approximately 1-2 weeks).

 

Medications:

 

Pain medications and muscle relaxants will be prescribed on an individual basis.

 

Prescriptions will be filled during office hours only. Please allow 72 hours for requests to be processed.

 

No anti-inflammatories for a minimum of 3 months post-op.

 

Resume home medications per discharge instructions.

 

Physical Therapy:

 

In the hospital, this will begin on post-operative day 1.

 

As an outpatient, this may be prescribed approximately 6 weeks post-op.

 

A home exercise program may also be prescribed.

 

Cardiovascular Exercise:

 

Walk at least 30 minutes per day (does not need to be all at once) at the time of discharge. Walking is the most important activity. Do as much as is comfortable.

 

From 2 weeks through 6 weeks following surgery, you should be able to increase your activity to normal.

 

Brace:

 

Should be worn when out of bed for longer than 10 minutes.

 

May sleep out of brace.

 

May shower without brace starting at 2 weeks post-op.

 

Driving:

 

None for 4-6 weeks post-operatively.

 

No sitting in one position in the car for longer than 45 minutes- get out and stretch if the ride is longer than this.

 

No driving while using narcotic pain medications.

 

Sleeping: 

 

Use a pillow between the knees and lying on your side, or a pillow below the knees and lying on your back.

 

Showering:

 

You may begin showering 72 hours following surgery.

 

Do not soak the wound and keep it dry.

 

Change the dressing after showering, while leaving the steri strips in place.

 

Do not scrub incision site.

 

No baths, walk-in shower only.

 

Lifting:

 

No lifting over 10 lbs for 6 weeks. This may be longer depending on progress of fusion seen on x-ray.

 

No bending of the waist and no reaching to the ground.

 

Housework:

 

Light duties only.

 

Avoid pushing and pulling.

 

No bending over.

 

Sexual Activity:

 

Wait until 6-8 weeks post-op, once pain has subsided.

 

Use comfortable positions.