Before and After Surgery: Patient Guide

Medical Preparation: Blood tests, ECG, chest X-ray, anaesthesia consultation. Blood thinners (aspirin, coumadin) are stopped according to the instructions received from the surgeon. Diabetes and blood pressure control are optimised.

Physical Preparation: Smoking significantly reduces the success rate of spinal fusion surgery. Although there is insufficient evidence that quitting before surgery reduces the risk of reoperation, quitting smoking is recommended to improve surgical outcomes.^1,2 If possible, a pre-surgery exercise programme (prehabilitation) is started.

Mental Preparation: Setting realistic expectations is very important. Surgery is not a "reset"; healing takes time. Being informed about the post-operative process reduces anxiety.

Post-Operative Process

The First 24-48 Hours

Pain control is a priority. Early mobilisation (getting up on the same day or the next day, depending on the type of surgery) is targeted.^3,4

The First 2 Weeks

Wound care, restricted activity, gradually increasing walking distance. No heavy lifting (over 5 kg). Driving usually starts after 2-4 weeks.

6 Weeks - 3 Months

Physical therapy programme begins. Brace use is gradually reduced. Return to office work is usually possible in 4-6 weeks, and heavy physical work in 3-6 months.

3-12 Months

Bone fusion is completed (checked with CT). Gradual return to sports activities. Annual follow-up check-ups are scheduled.

Frequently Asked Questions

How much pain will I have after surgery? Moderate to severe pain is normal for the first 3-5 days, then it decreases rapidly.

When will I return to normal life? Return to office work is usually possible in 4-6 weeks, and return to heavy physical work in 3-6 months.

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