Minimally Invasive Transforaminal Lumbar Interbody Fusion

WHAT YOU SHOULD KNOW:

Minimally Invasive Transforaminal Lumbar Interbody Fusion (Discharge Care) Care Guide

Minimally invasive transforaminal lumbar interbody fusion is surgery to repair vertebrae in your lower back (lumbar). In this surgery, 2 or more vertebrae are joined together using bone grafts or implants, screws, and rods. The surgery is usually done to treat disc disease. Lumbar discs cushion and separate the vertebrae in your back. A minimally invasive transforaminal lumbar interbody fusion is done through a small incision in your back.

AFTER YOU LEAVE:

Medicines:

  • Pain medicine: You may need medicine to take away or decrease pain.

    • Learn how to take your medicine. Ask what medicine and how much you should take. Be sure you know how, when, and how often to take it.

    • Do not wait until the pain is severe before you take your medicine. Tell caregivers if your pain does not decrease.

    • Pain medicine can make you dizzy or sleepy. Prevent falls by calling someone when you get out of bed or if you need help.

  • Antibiotics: This medicine is given to fight or prevent an infection caused by bacteria. Always take your antibiotics exactly as ordered by your primary healthcare provider. Do not stop taking your medicine unless directed by your primary healthcare provider. Never save antibiotics or take leftover antibiotics that were given to you for another illness.

  • Take your medicine as directed. Call your primary healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your primary healthcare provider or orthopedic surgeon as directed:

Ask when you need to return to have your wound checked and the stitches removed. Write down your questions so you remember to ask them during your visits.

Activity:

Avoid activities that include heavy lifting, pulling, and pushing. You may also need to limit your body movements, especially bending your back. Ask your primary healthcare provider when you can start doing your normal activities.

Bathing with stitches:

Ask when you can bathe. Do not let your stitches get wet unless your caregiver says it is okay. Gently wash the part of your body that has the stitches. Do not rub on the stitches to dry your skin. Pat the area gently with a towel. When the area is dry, put on a clean, new bandage as directed.

Physical therapy:

You may need to see a physical therapist to learn special exercises. These exercises help improve movement and strength. Physical therapy can also help decrease pain.

  • A physical therapist may fit you for a lower back brace to help the spine heal better. Ask how to care for your brace.

  • Your physical therapist may teach you exercises to do at home. Do only the range of motion exercises your physical therapist suggests. Do not do other exercises. Do not do the range of motion exercises more often than directed.

  • You may be asked to do more as you get stronger and as the pain decreases.

Contact your primary healthcare provider or orthopedic surgeon if:

  • You have a fever.

  • You have chills, a cough, or feel weak and achy.

  • Your skin is itchy, swollen, or has a rash.

  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • Your bandage becomes soaked with blood.

  • Your incisions are swollen, red, have pus coming from them, or your stitches have come apart.

  • You fell and injured your back.

  • You have trouble having a bowel movement or passing urine.

  • Some parts of your body are numb, tingly, cool to touch, or look blue or pale.

  • Your arm or leg feels warm, tender, and painful. It may look swollen and red.

  • You have trouble breathing or chest pain all of a sudden.

© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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