XLIF-Spinal Fusion

Posted , 7 users are following.

Hi,

I'm having spinal fusion-XLIF-next week (L2 3 4 5) and my case is a bit unsual as I had a total right knee replacement 8 months ago, without knowing about my back issues.  Just thought my back really bothered me as I was limping so bad due to my knee pain.  My quads/leg have never fully recovered from the TKR, the damaged nerves in my back control the quads making walking, stairs, getting up etc. very difficult.  This surgery will correct my back problems and allow my quads/leg to work again.  Hoping to get some tips from others who have had this surgert,  thanks!

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  • Posted

    Hi Patty....I just had spinal decompression with a cage put in my back.  The #1 thing I recommend is to rent a hospital bed for at least 2 weeks.  It's really hard getting in & out of bed b/c it hurts.  Get a "grabber" b/c you won't be able to bend or twist.  

    Also get a really good back brace for stability.  Mine has a heat/cold pad which is great.  

    Pain management is really important.  I found it really frustrating in the hospital b/c  I was on a morphine pump that I had to press every 5 min which meant I didn't get any sleep at all.  I would suggest you use more pain killers in the first few days and then taper off as needed.  

    I hope you have some help for the first few days to get you meals etc.  Putting on socks is not an easy task.  

    Hope this helps...best of luck 

    • Posted

       I'm having the same as you only my surgeon called it a "spacer" he's putting in my back  and he has already given me a back brace to wear.  For the past week I've been getting my house organized, even though my husband will be off from work for four weeks to help. 

      T/Y for your advice & the best of luck to you

  • Posted

    Hi Patty Lee, I hope your surgery goes well! I was fused from L2 to S1. Not the same procedure you are having, but I may have some good tips for your recovery. I would suggest a haircut, and pedicure before your procedure. You will not be able to bend to do your foot care. You might like a sock aid to be able to put socks on. Slip onshoes are a good idea. Elastic waist pants are more comfortable. Bed risers to elevate the bed make it easier to get in and out of bed. A reacher for picking things up from the floor or hard to reach areas. Elastic shoelaces for ease in getting shoes on. I was given a "wipe aid" in the hospital to use with personal hygiene in the "wiping department" that was super handy. Piut meals in the freezer, you will be glad you did. If you will be wearing a brace, cotton knit shirts under the brace are comfy. And don't forget a patient, positive attitude. Recovery takes time. My doc told me that my only job for the first few weeks is to take care of myself. I wish you luck, and quick healing! <3>
    • Posted

      T/Y for your helpful tips.  I basically have all the items you mentioned as I had a total knee replacement 8 months ago.  Getting a mani/pedi and haircut tomorrow, of course they were on the top of my list!  Thank goodness for for forums like this as the doctors don't tell you all you need to know.  Best of luck to you!
  • Posted

    I learned the hard way on the pedicure, and had my hubby painting my toenails for a while! :-) Kind of funny!
    • Posted

      I think I'd have more polish on my toes if my hubby did mine!  One question i forgot to ask my doctor was about sitting in a recliner.  My hubby ordered me a "hip high" straight back chair, which he thought would be easier for me to get in & out of.  Another thing is shaving my legs, think that will be a hubby job!  Again thanks alot!
  • Posted

    I had my hubby apply Nair hair remover on my legs instead of asking for the bloodshed of having him shave my legs. Instill have a super difficult time bending, so am asking for gift certificates for pedicures for Christmas. Also, sitting was an issue, and the straight backed chair was the way to go for me. I am just able to use my recliner recently. Everyone is different, so please don't take what I say as gospel!

  • Posted

    Hi PattyLee:

    I did not have fusion in my lower back but I have it in my neck area.  Needless to say that you have to be geared up for the lengthly rehab and wear a neck brace and that was the most important thing.  Just as well you have to wear the back brace as you don't want your back to twist which can make your condition get far worse and even possibly cause some damage.  Your more likely be given a walker as well.  Check all that out.  Remember, the spine is where the nerves go through to the brain.  This are so critical and make certain that your doctor is very good inf what he does and how many procedures did he do.  Also, and at least to me, I look at all the reviews but you can't take this verbatim.  I know it is hard to mention but investigate how many of these surgeries were successful and how many not.  Anytime, you have a surgery such as this, get 2nd and 3rd opinions from doctors outside of their medical practice.  If you have insurance, find out if they will pay and if not, then maybe it is worth to pay for it.  They are messing with an iimportant area of your body and you don't want any mistakes.  Expect to be in pain and have the best pain meds for the first few days.  My neck surgery or fusion required me to be in ICU for 24 hours as you have to be carefully monitored.  In your case, you probably won't have to be in ICU.  I know that the pain was bad for me.  Even though they give you morphine, you only get a very small amount as  you control it and you can't get more until it is time.  It really was not that great.  Long time ago, I had surgery and I got Demerol which was the best thing ever.  Talk to your surgeon or anethiesiologist about it.  I know it is not much anymore but it is a shame they don't.  It was used for so many years and since heavy control of narcotics today generally inhibits the use of very large doses of opiates.  This will only be for 24 to 48 hours so why shouldn't you be comfortable.  Sometime doctors forget that.  I wish you a good surgery and heal fast.  By the way I only am saying all this for your information and what I went through.  Good luck, god bless and have a nice holiday.

    • Posted

      Thank you for your information. I have great confidence in my  surgeon, he has the best qualifacations to do the XLIF.   I'm actually going out of my insurance network because he has such great reviews and success. Two of my hubby's friends are doctors and highly recommend him.  Best of luck to you.
    • Posted

      Thanks for getting back to me fast.  I am glad you have a very good surgeon and I am sure he will do what is necessary to fix the problem and at least will decrease the pain.  It is hard enough for me to have a constant pain level of 7.  There are times that it increases to 8 and I have experienced level 9.  That is when I double over it is so bad.  Fortunately it is infrequent.  Just living at level 7 is no fun either.  I can't say it is tolerable as I really feel it.  Having it for so many years causes not only frustration, but irritability, stress, depression, and not want to do much to have as good of a life which I feel I deserve.  Sometimes, you just want to put your arms up and screw it all.  Not suicide, nothing like that.  I feel that every human being shouldn't be plagued with this.  It really puts me down at times and I even cry when it goes so bad.  It does take it's toll.  I just want to wish you the best of luck for you and your doctor.  I am glad you have lots of faith in him.  Heal fast and well.  I hope I can talk to you again soon.  Please let me know how the surgery went.  Take care and my best to you.

      Mel

    • Posted

      Thanks Mel,  I know what you mean about the pain level some days are worse then others.  I probably wouldn't have my back surgery if it didn't

      directly affect my leg from my knee replacement.  I have no range of motion in my leg, constant leg plus back pain and difficult to do every day tasks, not just because of my back but my leg not working properly. 

      My surgery is next Wed, the 16th, I'll defintely keep in touch,  Patty Lee

  • Posted

    Wishing you all the best am thinking of you today,I have exactly the same booked for January 20th.will be reading your postoperative feedbackx
    • Posted

      I'll defintely post how the surgery went.  My main reason for having this done, beside the pain,  was I had a total knee replacement 8months ago and my back problems directley control the quad/leg muscles. So It's been difficult not having the proper use of my leg. I'll keep in touch.
    • Posted

      Keeping you close in thought and prayer today! You got this! Keep us updated as you progress! Hugs, Dawn

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