A lumbar fusion joins two or more bones in the lower back to stabilise part of the spine. There are several approaches to this, including posterolateral fusion and different forms of interbody fusion.
Why might it be recommended?
Fusion may be considered alongside decompression when freeing compressed nerves could leave the spine unstable, or for another carefully selected condition. It is rarely offered for back pain alone. An operation cannot guarantee that back pain will disappear.
What happens?
Under general anaesthetic, Professor Bateman may free the nerves and then use screws and rods to hold the bones in position. An implant may be placed between the vertebrae. Bone graft or a substitute helps the bones join over time. The exact technique is explained for each patient.
What are the alternatives and risks?
Alternatives may include non-surgical care or, in some cases, decompression without fusion. Risks include persistent pain, infection, bleeding, a blood clot, nerve injury, a tear in the covering around the nerves, failure of the bones to join, implant problems and possible further surgery.
Recovery and activity restrictions vary with the procedure. Professor Bateman will explain the expected hospital stay and rehabilitation plan.
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Detailed patient leaflet
Read Professor Bateman’s information leaflet before your procedure and bring any questions to your consultation.
Open the PDF leaflet →