Traditional lumbar fusion is a surgical procedure done to connect two or more vertebrae together in the lower back. It is used to treat spinal disorders such as degenerative disc disease, spondylolisthesis, scoliosis, or trauma-related fractures, to reduce pain and improve stability. This permanent treatment option works by fusing, or connecting, adjacent bony vertebrae using bone grafts and metal implants. To begin the procedure, the surgeon makes an incision in the lower back, exposes the spine, and identifies the affected vertebrae. The surgeon then prepares the adjacent bony vertebrae and aligns them properly to create a larger fusion mass. A piece of bone graft material is then inserted between the vertebrae to connect them. In some cases, additional implants such as rods and screws may be used to securely fix the vertebrae. The purpose of lumbar fusion is to stabilize the spine and modify its motion; this helps reduce pain and relieve pressure on nerves. This stability can reduce pain by limiting motion between the involved vertebral segments. It also causes natural pain-reducing chemicals to be released. Traditional lumbar fusion can be done through an open or a minimally invasive technique. The open procedure requires a larger incision, more soft tissue disruption, and a longer recovery period, yet can make it easier to access the correct vertebral segments for fusion. Minimally invasive techniques, on the other hand, can reduce trauma to muscles and organs, but may make it more difficult to achieve a secure fusion. The traditional lumbar fusion procedure can be effective in treating certain spinal disorders, but patients should be aware of possible complications. These include infection, nerve damage, spinal instability, and fusion failure. Patients should talk to their surgeon to determine if the procedure is a good option for them.
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