How many hours is a spinal fusion surgery?

Answered by Tom Adger

A traditional spinal fusion surgery typically takes about four hours to complete. This procedure is performed under general anesthesia, which means that the patient is unconscious throughout the surgery. The surgery involves the fusion of two or more vertebrae in the spine to stabilize and reduce pain caused by conditions such as spinal stenosis, herniated discs, or degenerative disc disease.

During a traditional spinal fusion surgery, the patient is usually admitted to the hospital for a period of three to four days. This allows for post-operative monitoring and management of pain and any potential complications that may arise. IV painkillers are commonly administered to help manage the pain during the recovery period.

However, there is an alternative to traditional spinal fusion surgery known as awake spine surgery. This innovative approach allows the patient to remain awake during the procedure, significantly reducing the overall time required for the surgery. Awake spine surgery typically takes about half the time of a traditional surgery, averaging around two hours.

The reduced surgical time in awake spine surgery is attributed to several factors. Since the patient is awake, the surgeon can communicate and collaborate with them during the procedure, enabling real-time feedback and adjustments. This interactive approach allows for more efficient decision-making and potentially decreases the need for extensive surgical exploration.

Additionally, awake spine surgery often utilizes minimally invasive techniques, which involve smaller incisions and specialized instruments. These techniques minimize tissue disruption and result in less trauma to the surrounding muscles and structures. As a result, the surgery can be completed more quickly and with potentially fewer complications.

One of the significant advantages of awake spine surgery is the shortened hospital stay. Unlike traditional spinal fusion surgery with a hospital stay of three to four days, patients who undergo awake spine surgery can typically be discharged within 24 hours. This shorter hospital stay not only reduces healthcare costs but also allows patients to recover in the comfort of their own homes sooner.

Furthermore, awake spine surgery may offer a more favorable recovery experience for patients. Since the procedure is performed under local anesthesia, the need for strong IV painkillers is reduced. This can lead to a decreased risk of side effects associated with general anesthesia and narcotic pain medications, such as nausea, drowsiness, or constipation.

It is important to note that not all patients are suitable candidates for awake spine surgery. The eligibility for this procedure depends on various factors, including the complexity of the spinal condition, the patient’s overall health, and their willingness to undergo surgery while awake. Therefore, it is essential to consult with a qualified spine surgeon who can evaluate the individual case and determine the most appropriate surgical approach.

A traditional spinal fusion surgery with general anesthesia typically takes about four hours, while awake spine surgery can be completed in around two hours. The awake spine surgery approach offers the potential for a shorter hospital stay of about 24 hours and may provide a more favorable recovery experience for eligible patients. However, the suitability of awake spine surgery should be assessed on a case-by-case basis by a qualified healthcare professional.