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Conditions & Treatments

Thoracic Spinal Fusion

What Is Thoracic Spinal Fusion?

Thoracic spinal fusion is a surgical procedure that permanently connects two or more vertebrae in the thoracic spine, eliminating motion between them. The thoracic spine is the mid-back region between the neck and lower back and is made up of 12 vertebrae.

During spinal fusion, bone graft or a bone graft substitute is placed between the affected vertebrae to promote bone growth. As healing occurs, the vertebrae fuse together into a single, solid bone. Plates, screws, or rods may be used to hold the vertebrae in position while the fusion heals.

Why Is Thoracic Spinal Fusion Performed?

Thoracic spinal fusion may be used to stabilize the spine, correct certain spinal deformities, or address instability caused by an underlying condition. Conditions that may lead to thoracic spinal fusion include:

  • Spinal deformities, such as scoliosis or kyphosis
  • A herniated disc that requires removal
  • Severe arthritis that causes abnormal or excessive movement between vertebrae
  • Injury or fracture of a vertebra
  • Spinal instability associated with an infection or tumor
  • Spondylolisthesis

Symptoms That May Lead to Thoracic Spinal Fusion

Conditions affecting the thoracic spine can cause symptoms that vary depending on the underlying problem and the structures involved. Symptoms may include mid-back pain, stiffness, weakness, numbness, or other changes in sensation.

A doctor will evaluate your symptoms, medical history, and imaging studies to determine the source of the problem and recommend appropriate treatment.

thoracic-spinal-fusion

When Is Thoracic Spinal Fusion Recommended?

Thoracic spinal fusion may be recommended when a condition causes spinal instability or deformity or when stabilization is needed as part of another spine procedure. The goal of fusion is to stabilize the affected portion of the spine by eliminating movement between the treated vertebrae.

Depending on the condition, spinal fusion may be performed along with another procedure, such as a laminectomy, foraminotomy, or discectomy. Your surgeon will determine the appropriate treatment based on your condition, symptoms, and individual needs.

What Happens During Thoracic Spinal Fusion?

Thoracic spinal fusion is performed under general anesthesia. The surgeon accesses the thoracic spine using the surgical approach best suited to the patient's condition. Bone graft or a bone graft substitute is placed between the affected vertebrae, and instrumentation, such as screws and rods, may be used to provide stability while the bones heal and fuse.

Bone graft may come from the patient's own bone, known as an autograft, or from donor bone, known as an allograft. Other bone graft substitutes may also be used.

In some cases, thoracic spinal fusion may be performed using minimally invasive techniques through smaller incisions. The surgical approach and recovery period vary based on the condition being treated and the procedure performed.

Thoracic Spinal Fusion Risks & Complications

As with any surgery, thoracic spinal fusion has potential risks and complications. These may include:

  • Infection
  • Nerve damage
  • Failure of the vertebrae to fully fuse, known as nonunion
  • Persistent pain at the fusion site

Your surgeon will discuss the potential risks and expected recovery with you before surgery.

For specialized spine care in Boca Raton, Deerfield Beach, and Plantation, Florida, please call (561) 549-9090 or request an appointment online.