Watch: Anterior Cervical Discectomy and Fusion (ACDF) Video If you are one of the few who still has options, we highly recommend you consider your future treatment very carefully, as fusion begets suffering and additional fusions in most cases and for most diagnoses.Anterior Cervical Discectomy and Fusion (ACDF) VideoĪCDF is a common surgical procedure used to treat cervical herniated discs, cervical degenerative disc disease, and cervical spinal stenosis. You can find all of our articles on the topic by searching spinal fusion and spondylodesis using our site search function. We have been writing to warn patients of the many risks and consequences of spinal fusion for close to 15 years now. We wish we had the chance to discuss your options before you decided to enter into surgery. Unfortunately virtually everyone who searches for and reads this page will have already undergone spinal fusion. It remains the only viable curative therapy for severe spondylolisthesis, extreme scoliosis, hyperlordosis and hyperkyphosis, as well as the only practical way of stabilizing the spine after serious traumatic injury or surgery that compromises the integrity of the vertebral column. We understand that fusion does have its place and that some patients truly require it. Do not allow any doctor to perform the technique simply to make their job easier, as is the case with almost all fusions performed in association with discectomy, laminectomy and other common spinal operations. Our best advice when it comes to spinal fusion is to avoid it, if at all possible. Sacroiliac Pain After Spinal Fusion Guidance
Additionally, fusion takes a toll on posture and normal anatomical alignments, which are also passed along to the sacroiliac joints, often with dire consequences. When the lumbar region is fused into the sacrum, the load and stress endured in the spine will cause this stress to be suffered by all the tissues that attach to the sacrum and pelvis. In essence, lumbar loading will usually be dealt with in the lumbar spine. Instead, stresses accumulate and are transferred through bone into other linked joints, such as the sacroiliac and hip. The spine can not longer bend or flex as organically engineered. When these discs are surgically removed and the bones fused, the form and function of the spine are inextricably changed for the worse.
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This design allows the spine to mitigate stresses, reduce impact and curve in ways that better support the full range of movement that humans enjoy.
The vertebrae are designed to be independent of one another, spaced by the existence of the intervertebral discs.
When lumbar spinal fusion is performed, the most common locations include L4, L5 and S1, essentially enlarging the sacral spine to include the last 1 or 2 vertebral bones in the lumbar region. The sacroiliac joint connects the pelvic ilium to the sacral spine. Hip joint degeneration is also commonly present and symptomatic, often requiring hip replacement surgery within several years time. Unilateral sacroiliac pain is more common, but about 35% of symptomatic patients eventually develop pain in both SI joints following fusion. We have seen functional problems in the sacroiliac joint caused by ligamentous hypermobility and hypomobility problems which were not present prior to spinal fusion. We have seen accelerated degeneration in the sacroiliac joint, in similar ways to the accelerated degeneration found surrounding the fusion in lumbar spondylodesis patients. We have observed a full diversity of sacroiliac joint problems commencing postoperatively after spinal fusion, including all of the following diagnoses: Types of Sacroiliac Pain After Spinal Fusion We have already spent our careers warning patients of the many risks of spinal fusion, but today, we will focus on highlighting the possible consequences to the sacroiliac joint and the resulting pain that often follows. Fusion has become one of the most often used and abused surgical techniques in the developed world, although it is considered optional and contraindicated by objective medical standards in over 98% of recipients. Although originally invented to treat highly specific conditions of a very serious nature, fusion is now a common surgical approach for many spinal structural issues that are basically considered normal parts of aging. Spinal fusion surgery is utilized now more than ever before. In fact, sacroiliac symptoms are just the tip of the iceberg when it comes to the negative collateral effects of a fused spine, particularly in the lumbar region. Sacroiliac pain after spinal fusion is a common consequence of spondylodesis surgery.
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