Cervical Laminectomy / Posterior Cervical Fusion
What to expect after surgery
Your muscles were cut and manipulated during the surgery. Expect a moderate to more significant amount of soreness. Hot showers and regular use of muscle relaxers will help with this, and it should begin to improve over the first week or two.
This will be an inpatient surgery. Expect to be in the hospital 2-3 nights. Some people may have to go to rehabilitation after this, depending on preoperative health condition.
Your follow up visit will be in 3-4 weeks. If you have questions in the meantime feel free to call the office at 706-475-1870.
You will be given pain medication and muscle relaxers after surgery. Use them as prescribed. If your pain is not controlled with this, call the office. Do not change the dose or schedule of medication without discussing with us first. Usually patients only require narcotics for 2-4 weeks after surgery. As your pain improves, you may transition to over the counter medications.If you had a fusion limit this to Tylenol. Anti-inflamatories such as Ibuprofen or Aleve can delay fusing of the bone.
Narcotics and muscle relaxers cause constipation. Increase the fiber in your diet, drink plenty of water, and use OTC stool softeners as needed. Stay active with walking and other gentle exercise.
You may still have some numbness, weakness and pain in the arms or legs after surgery. This should get better with time. It can take months for the nerves or spinal cord to heal completely.
Some patients with sedentary jobs may go back to work after 3-4 weeks. If your job is not sedentary, you may be out longer. Some patients may require physical therapy before returning to the workplace.
You will have skin glue on your incision. Keep it clean with showering at least daily. Do not apply lotions or any ointments to the area. There may be some swelling and bruising around your incision. This can be normal, but call the office if you are worried.
Restrictions after surgery
Do not lift anything over 5-10 pounds for the first 3-4 weeks after surgery. Limit bending and twisting during this time.
Do not drive for the first few days after surgery or while you are still on narcotic or muscle relaxing medications. At first you will want to limit your trips to short, local trips.
Do not do any exercise the first 3-4 weeks except for walking. At your post op visit you will be given instructions about transitioning back to your normal activities.
Do not get in the bathtub or a swimming pool until your incision is completely healed, a minimum of 2-3 weeks after surgery.
When to call the office
Please call the office during normal business hours 8 am-4 pm for prescription medication. Narcotics require written prescriptions, so you should call 2-3 days before you are completely out. Medications will not be called in after hours.
Call for any temperature over 101.5, increased incisional swelling, redness or increased pain or new symptoms. We may need to see you in the office.