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Patient and Caregiver guide for Lumbar Spine Fusion Surgery

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What to Expect

Length of stay after surgery is 3 to 4 days as determined by the surgeon and the spine team.

What to bring to the hospital?

  • Comfortable-loose clothing
  • Non-slip, closed shoes
  • Toiletries (scent free)
  • Eye glasses, hearing aids and dentures
NOTE: Please leave all valuable items at home.

What to expect after surgery?

Day of surgery (Day 0)

  • Nurse will monitor your vitals regularly
  • Rest

Day after surgery (Day 1)

  • Pain team to assess medications and adjust as needed
  • Nurse to assist with sitting at the edge of the bed or to sit on commode
  • Therapists PT and/or OT will assess and assist with ambulation on the unit
  • Sit in the chair for 30 minutes and for meals

Day 2-3

  • Practice stairs, walking, and daily activities with the therapist and/or therapist assistant
  • You will have your x-ray taken

Day 3-4

  • Therapists to review equipment, exercises and post-op activities
  • Request from therapist insurance letter for equipment if needed
  • Discharge home if cleared by surgeon and spine team
  • Arrange transportation from hospital

Rehabilitation after surgery

  • Inpatient rehab will be determined by the team if day to day activities are impacted by severe deficits
  • Pain is not a criteria for inpatient rehab
  • Ask your surgeon if outpatient rehab is needed after recovery

Post-op Precautions

  • No heavy lifting more than 5 to 10 pounds. Avoid lifting pets and children
  • Avoid pushing and pulling heavy objects
  • Avoid stretching activities to the back such as bending forward to pick-up an object on the floor and twisting
  • Consult your surgeon for return to driving and return to work
Note: These precautions are for a minimum of 6 weeks.

Planning for home prior to surgery

  • Arrange for someone to stay with you after discharge for the first few days
  • Arrange for someone to assist with house chores, meals, groceries, and transportation
  • Arrange for someone to assist with showers
  • Arrange for private services if social supports are not available
  • LHIN/CCAC is not guaranteed as services are limited
  • The eligibility for LHIN services is determined by a community case manager

Post-Operative Care After Discharge

Incision Care:

  • Change incisional dressing as instructed on discharge

(Strip dressing provided on discharge)

  • If area becomes wet, gently pat area dry with a clean towel
  • Staples are removed 10-14 days after surgery by your family doctor.
  • Please make sure to bring staple remover (provided on discharge) to your family doctor appointment
  • Notify your family physician and your surgeon for presence of swelling, discharge, and severe pain from your incision site

Showering after surgery:

  • Follow the instructions provided by your surgeon and/or clinician at discharge regarding showering after surgery
  • NO soaking in the tub or swimming while staples are in

Pain Management

  • Effective pain control after surgery can help the overall success of the back surgery
  • You may be prescribed a narcotic to help with pain, in combination with a stool softener to prevent constipation
  • If you are prescribed a narcotic, please make sure to also drink adequate amounts of fluids to prevent constipation
  • Please speak with your family doctor if the pain medications prescribed are not effective and/or if your pain worsens

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