Treatment FAQ

how long is hospital stay for treatment for multiple cervical disc disease

by Cedrick Johnson Published 2 years ago Updated 2 years ago

Medication

Many procedures on the cervical spine only require one or two nights in the hospital. The day after surgery is considered day one. Under the supervision of a physical therapist you may sit on the edge of the bed and stand with support. You will most likely be wearing some type of cervical brace you return from surgery.

Procedures

The goal of the one- or two-day hospital stay following anterior cervical discectomy and fusion surgery, or ACDF, is to keep the patient as comfortable and mobile as possible while preparing for long-term recovery at home. See Pain Medication.

Therapy

When the space between your vertebrae becomes too narrow, part of your vertebrae or your cervical disk can press on your spinal cord or spinal nerves, causing you pain, numbness, or weakness. When these symptoms do not respond to nonsurgical types of treatment, disk surgery may be recommended.

Self-care

A one- to two-inch incision (surgical cut) is made on the side or front of your neck. The important structures of the neck are carefully moved to the side until the surgeon can see the bones of the vertebrae and the cervical disk. The cervical disk that is being replaced is removed. The artificial disk is secured into the empty disk space.

Nutrition

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How long do you stay in hospital after cervical spine surgery?

What is the hospital stay for anterior cervical discectomy and fusion?

When is cervical disk surgery needed?

What happens during a cervical disk replacement?

How long are you in hospital for cervical spine surgery?

Hospital stay after the procedure will vary based on each patient's physical condition, but most people are discharged the same or next day. Usually light work can be done one to two weeks after surgery, with return to regular activity being achieved after six weeks.

How long are you in the hospital after disc replacement?

Knowing what to expect after cervical disc replacement surgery can help you prepare for a smooth recovery period. After surgery, you can expect to spend up to 24 hours in the hospital. Once you're released, you'll be sent home with recommendations on how to modify your activities.

How long is recovery from cervical disc surgery?

Cervical Artificial Disc Replacement Recovery Time A full recovery typically takes 6 to 12 weeks, when heavier lifting and more vigorous activities may be resumed. If nerve compression prior to surgery was severe, healing in the nerve may continue for up to 1 or 2 years after surgery.

How long is the hospital stay after ACDF surgery?

ACDF removes a herniated, or degenerate disc, and relieves neck and radiating arm pain caused by parts of the disc pressing on spinal nerve roots or the spinal cord. This is a very common procedure. The surgery is well tolerated by most patients with the average stay in hospital being two days.

How long does c5 c6 surgery take?

The arthritis and bone spurs are removed allowing for more space in the canal for your nerves to run. Your own bone from the surrounding area and possibly bone from the iliac crest (hip) will be used. Rods and screws are placed to stabilize the spine. Surgery will last approximately 4 to 6 hours.

How painful is cervical disc replacement?

There is usually some pain and discomfort in the days and weeks following cervical artificial disc replacement (ADR) surgery. Most commonly, the recovering patient has some pain and soreness at the incision site at the front of the neck. Other symptoms may also be present, such as trouble with swallowing or speaking.

Is cervical disc replacement a major surgery?

Cervical disc replacement surgery is major surgery requiring a hospital stay. As with any major surgery, you should expect some discomfort and a period of rehabilitation.

What do you get someone after neck surgery?

Eat plenty of foods with roughage (bran, oat, fruit, applesauce) and drink a lot of fluids, especially prune juice to prevent constipation. You can also take over the counter stool softeners such as Colace as needed. You will be given a prescription for pain medication after your surgery.

What is the recovery time for c5 c6 neck surgery?

Usually, you will have to remain in the hospital for around two days following this surgery. Further recovery will happen over the next four to six weeks, after which you can return to light activities. Full recovery takes around two to three months.

Is cervical surgery inpatient or outpatient?

Anterior cervical discectomy and fusion procedures are one of the most common procedures performed in spinal surgery. Increasingly they are being performed on an outpatient basis. The primary impetus for performing procedures as an outpatient is potential cost savings.

How long does throat hurt after cervical fusion?

2) You will wear a cervical collar for at least 4 weeks post-operatively. This should be worn at all times (including in bed) but may be removed for showering. 3) About 3-4 days after surgery, you throat will become swollen. This usually lasts 1-2 days and you may want to sleep in a recliner for that time.

Is ACDF considered major surgery?

ACDF surgery is a major procedure, and you will need to take it easy during your recovery. However, if you are unable to do daily activities within 4-6 weeks of your appointment, you should see your surgeon right away. If you exhibit any of these symptoms, contact your doctor immediately.

How long do you have to stay in the hospital after a discectomy?

You may need stay in the hospital for one or more days for observation as you heal. Most people can stand up and walk within hours of a discectomy. An NYU Langone pain management specialist ensures you have the medication you need to remain comfortable while you recover.

How long does it take to walk after a disc replacement?

Many people are able to walk within 24 hours of an artificial disc replacement. In the weeks after surgery, you may wear a back or neck brace for additional support. A pain management specialist can work with you to help you remain comfortable while you recover.

What is the procedure for a herniated disc in the neck?

If a herniated disc in the neck compresses nearby nerves but not the spinal cord, surgeons may use a posterior approach. In this procedure, your surgeon makes an incision in the back of the neck and removes a small portion of the vertebra to access the disc space. This is called a laminotomy or foraminotomy.

What is the best treatment for a herniated disc?

Discectomy. Discectomy is the most common surgical treatment for a herniated disc, which often occurs as a result of degenerative disc disease. It involves removing the injured part of the disc, relieving pressure on the affected nerve. Discectomy may be an open procedure, which gives surgeons direct access to the disc through an incision.

What is the procedure to remove a herniated disc?

Doctors may need to remove a small piece of vertebra to access the herniated disc fragment. This procedure is called a hemilaminotomy. Surgeons then carefully remove the injured section of the disc, removing pressure from the nerve.

What is the best treatment for degenerative disc disease?

If back or neck pain caused by degenerative disc disease doesn’t respond to medication or therapeutic injections, NYU Langone doctors may recommend a surgical procedure . Surgeons may remove some or all of a damaged disc, take pressure off a pinched nerve, or eliminate movement between the bones of the spine.

How long does it take to recover from spinal fusion?

After a spinal fusion, most people spend one or more days recovering in the hospital. Doctors and nurses ensure the incision is healing properly, and pain management specialists are available 24 hours a day to make sure you’re comfortable.

Degenerative Disc Disease Treatment: Why Choose Johns Hopkins

Our orthopaedic spine specialists use high-precision diagnostic techniques that allow them to identify the location and degree of disc degeneration with high accuracy.

Degenerative Disc Disease Treatment Options

Treatment for degenerative disc disease typically starts with nonsurgical methods that may provide sufficient symptom relief. When you request an appointment with one of our orthopaedic spine specialists, he or she will carefully examine you and your MRI scans to determine which treatment approach will best meet your health goals.

Nonsurgical Treatment

Pain control focuses on reducing pain from the damaged disc and helping you return to your daily activities. Methods of pain control may include anti-inflammatory medications, manual manipulation, steroid injections, electrical stimulation, back braces or heat/ice therapy.

How long do you stay in the hospital after cervical spine surgery?

Many procedures on the cervical spine only require one or two nights in the hospital.

How long does cervical spine surgery last?

A surgical procedure on the cervical spine can last from one to several hours. Spine fusions which require the placement of plates and screws tend to last much longer than simple discectomies. Patients often report improvements in the way they feel immediately after they awake after the surgery.

What is considered day one after cervical surgery?

Day One. The day after surgery is considered day one. Under the supervision of a physical therapist you may sit on the edge of the bed and stand with support. You will most likely be wearing some type of cervical brace you return from surgery.

How to move safely after surgery?

You'll gradually progress to standing and walking. You may require the use of a walking aid (cane or walker) for a short time following surgery.

Is cervical spine surgery good?

The majority of people who undergo cervical spine surgery experience good to excellent results following the operation. Most people will experience significant relief of pain both in the neck and the radicular pain into the shoulder and arm. The goal of the majority of cervical spine operations is the successful return to the activities ...

How long does it take for a nerve to heal after surgery?

How the nerve heals can vary from person to person, and sometimes a healing nerve feels more painful for a few days to a couple weeks.

Can you go home after cervical disc replacement?

Most people who have cervical artificial disc replacement surgery can go home on the same day or the next day. During the short hospital stay after surgery, hospital staff checks for potential complications and gives assistance with pain management and a return to walking and eating.

Can you leave the hospital after cervical surgery?

Leaving the Hospital After Surgery. A person recovering from cervical artificial disc replacement surgery is typically allowed to leave the hospital when he or she can: Eat solid food and have a bowel movement. If it is not possible to swallow or have a bowel movement, a longer hospital stay may be necessary for further evaluation.

How long does a neck incision last?

The actual procedure may last a few hours. This is what may happen once the procedure begins: Monitors are placed to check your heart, blood pressure, and oxygen level. The area of your neck where the incision will be made is cleaned with a special solution to kill germs on the skin.

When do cervical disks bulge?

Cervical disks begin to collapse and bulge with age; this happens to most people by age 60. But health care providers don’t know why some people have more symptoms from cervical disk degeneration than others.

What causes numbness and pain in the cervical spine?

When the space between your vertebrae becomes too narrow, part of your vertebrae or your cervical disk can press on your spinal cord or spinal nerves, causing you pain, numbness, or weakness. When these symptoms do not respond to nonsurgical types of treatment, disk surgery may be recommended. Cervical disk replacement surgery involves removing ...

What part of the spinal cord is responsible for the movement of the neck?

They act as shock absorbers to allow your neck to move freely. Your cervical spine also forms a protective tunnel for the upper part of your spinal cord to pass through. This part of your spinal cord contains the spinal nerves that supply your upper body with sensation and movement.

Where is the incision for cervical replacement?

A one- to two-inch incision (surgical cut) is made on the side or front of your neck. The important structures of the neck are carefully moved to the side until the surgeon can see the bones of the vertebrae and the cervical disk. The cervical disk that is being replaced is removed. The artificial disk is secured into the empty disk space.

What are the bones that make up the cervical spine?

Your cervical spine is made up of the 7 bones, called cervical vertebrae, stacked on top of each other forming the neck area. The cervical disks are the cushions that lie between the cervical vertebrae.

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How long should I walk after a syringe?

A few hours after surgery, the individual will be helped out of bed to take a short walk. After that, the patient will usually be directed to walk every 2 or 3 hours (during waking hours).

How long does it take for a sore throat to go away?

The medical term for this is dysphagia. While the problem of a sore throat usually goes away within a week, the swallowing problem, or dysphagia, may linger. Patients are placed on a clear liquid diet at first, with the hospital staff checking for swallowing problems. Solid food is added if swallowing is not an issue.

What happens after bone graft surgery?

After the Surgery. Initially, the patient may experience one or any or a combination of the following: Pain in the area of the surgery. Neck and arm pain as well as tingling and numbness may be encountered. Pain where the bone graft was taken.

What to wear after surgery?

As a practical point, patients may find it best to come prepared to get up and walk shortly after surgery by bringing items such as safe slip-on shoes (many people like Crocs), and shorts or a robe for modesty when walking the halls .

Can radiculopathy persist after ACDF?

Radiating pain, numbness, and tingling in the arms and hands, known as radiculopathy, may persist even after ACDF surgery. Watch: Cervical Radiculopathy Interactive Video. Typically, the patient will return home on the same day as the surgery or spend one night in the hospital, but it may be longer depending on the patient's health condition.

How to treat multiple herniated discs?

As is the case with most conditions of the spine, numerous herniated spinal discs can be treated conservatively with pain relievers, injections, and physical therapy. However, most patients with herniated discs at multiple levels have severe pain and sensory issues.

What is the best treatment for a herniated disc?

When a patient chooses surgery, there are a few procedures that can be done. A discectomy can remove some or all of the herniated disc in question to free up any nerves in the area.

Why do discs herniate?

Discs can herniate at multiple levels for numerous reasons. An acute injury (caused by a car crash, for example) can cause herniation of several discs at once. Additionally, when an area of the spine is weakened as the result of degenerative conditions like arthritis, all the discs in the area are susceptible to herniation.

Can a fusion stabilize a disc?

After that a fusion can stabilize the area and prevent future issues. Alternatively, an artificial disc replacement procedure (such as the Mobi-C artificial disc) can accomplish the same goals while preserving range-of-motion in the spine.

Can you have bulging discs at multiple levels of the spine?

Treating one herniated disc can be difficult in its own right, but when you have bulging discs at multiple levels of the spine, it can be even more complicated. In this article, we are going to offer some tips for treating herniated discs that occur at multiple levels of the spine.

How long does it take for a herniated disc to heal?

According to Healthline, only about 10% of these patients are still dealing with enough back pain after six weeks of other treatments to move forward with surgery.

Where is disc fusion performed?

Unlike many other surgical procedures, this type of fusion is performed through a small incision in the throat. This makes the disc much more accessible.

What percentage of people have ACDF surgery?

“Between 93 to 100 percent of people who’ve had ACDF surgery for arm pain reported relief from pain, and 73 to 83 percent of people who had ACDF surgery for neck pain reported positive results,” said Healthline.

What is ACDF surgery?

1. ACDF Surgery is a two-part process. First comes the removal of the bad disc. “Anterior cervical discectomy and fusion (ACDF) is an operation to remove a degenerative or herniated disc from the neck,” said Medical News Today. “After the surgeon removes the damaged disc, they fuse the bones together.”. 2.

What to do if you have a pinched nerve?

scott. When you’re suffering from a pinched nerve, herniated disc, or disc degeneration, all you want is for the pain to stop. Pain medication and physical therapy are often successful in providing relief, but, in some cases, further treatment is needed.

Does ACDF surgery require overnight hospital stay?

ACDF Surgery recovery depends on how many levels are fused. With some ACDF surgeries, an overnight hospital stay is not necessary. However, this is dependent on the overall health of the patient and the complexity of the procedure.

Can you quit smoking after spinal fusion surgery?

If you’ve been wanting to quit smoking anyway, having ACDF surgery could give you the push you need. “In addition to being a well-established risk factor for a variety of medical conditions, smoking has deleterious effects on the bone healing of spinal fusions, according to “The Effect of Smoking on Spinal Fusion,” an article from the US National Library of Medicine, National Institutes of Health. “It has been clearly demonstrated from both a biochemical and clinical perspective that smoking increases the rate of perioperative complications for patients undergoing spinal fusion surgery. The most important recommendation is smoking cessation for four weeks after surgery.”

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