Lumbar Operative & Rehab Considerations

Question 1

What is the biggest predictor of having lumbar surgery?

Answer 1

Degnerative spondylothesis

Question 2

What are 2 emergent conditions that would result in lumbar surgerey?

Answer 2

• Cauda Equina Syndrome
• Trauma resulting in gross instability

Question 3

What are 3 nonemergent conditions that could result in lumbar surgery?

Answer 3

• Stable fractures
• herinated disc with declining neurologic functioning
• spinal stenosis with declining neurologica functioning

Question 4

What type of surgery is this?

removal or structural elements of the spine thought to be impinging upon the neural canal

Answer 4

Decompression surgery

Question 5

What type of surgery is this?

• Form of surgery which theorized mechanism of pain is the result of ‘instability’
• seeks to decrease the accessory motion thus stabilizing the spine

Answer 5

Fusion Surgery

Question 6

What type of surgery is this?

Prosthetic replacement for damaged intervertebral disc

Answer 6

Disc arthroplasty

Question 7

In decompression surgery what is the purpose of removing the ‘offending structure’?

Answer 7

To free the nerves

Question 8

What happens in a laminectomy?

Answer 8

Removing of some bone that supports the lumbar region
(often done with a fusion)

Question 9

What is a discectomy?

Answer 9

Removal of herniated disc

Question 10

What type of surgery is this?

• replacement of the IVD
• 2 metal plates with a core that is polyethylene
• has been evaluated with single and multi-level use

Answer 10

Disc Arthroplasty