Spinal
Fusion

Spinal fusion is a surgical procedure that joins two or more vertebrae together to form a single, solid bone. At MD Spine Care and Orthopaedics, Dr. Kuwamura offers several types of spinal fusion, including:

• Anterior cervical discectomy and fusion (ACDF)
• Extreme lateral interbody fusion (XLIF®)
• Anterior lumbar interbody fusion (ALIF)

Each of these techniques allows Dr. Kuwamura to reach your spine from different angles, including the front and side. He can use these procedures to fuse your vertebrae in your cervical (neck), lumbar (lower), and thoracic (middle) spine. 

Medical researchers are currently studying PRP and other regenerative medicine therapies and identifying new potential uses all the time. Some of the conditions that might improve with PRP therapy include:

• Osteoarthritis
• Bone fractures
• Tendonitis
• Bursitis
• Tendon injuries
• Muscle strains
• Ligament sprains

Dr. Kuwamura also offers PRP after surgery to support your healing process, ideally reducing the time you need to spend away from your regular activities while you recover. 

After you’re prepared for surgery and given general anesthesia, Dr. Kuwamura begins by making an incision in your body that allows him to access your spine. When possible, he uses minimally invasive surgical techniques to complete your spinal fusion.

If necessary, Dr. Kuwamura removes any damaged spinal discs or bone tissue. Then, he positions your vertebrae and attaches a bone graft. 

When necessary, he secures the graft between your vertebrae with medical-grade screws or wires. Dr. Kuwamura also injects stem cells into your spine to support and accelerate the healing process. 

Dr. Kuwamura might use a bone graft from your own body (autograft) or it could come from a bone bank (allograft).

When he completes the spinal fusion procedure, Dr. Kuwamura removes the surgical instruments and closes your incisions.  

After your surgery, Dr. Kuwamura recommends wearing a back brace to provide stability to your spine while you heal and your bones fuse. He prescribes medication to manage your pain and reduce your risk of infection. 

You also begin physical therapy around six weeks after spinal fusion. Rehabilitation helps you maintain correct spinal alignment while your bones fuse. You relearn how to sit, stand, walk, and reposition yourself. You improve your strength, range of motion, and balance. 

Recovery can take several months, although you can slowly return to your regular activities as you heal. 

If you have chronic back pain and other therapies haven’t provided relief, call MD Spine Care and Orthopaedics or make an appointment online to find out if spinal fusion is right for you.