Long-Term Risks of Spinal Fusion

Questions to Ask Your Doctor

If fusion surgery is being recommended, here are important questions to discuss:

1. "Why isn't decompression alone sufficient?"

   • Ask for the specific evidence of instability

2. "Is the number of levels being fused the minimum necessary?"

   • More levels fused means higher ASD risk

3. "What is my personal risk for adjacent segment disease?"

   • Risk varies based on your age, the condition of neighboring levels, and the number of levels fused

4. "Can this be done with minimally invasive techniques (MIS)?"

   • May reduce damage to surrounding tissue and lower ASD risk

5. "Could SCS be an alternative to fusion in my case?"

   • If pain is the main issue and instability is mild, the reversible option of SCS may be worth discussing

6. "If ASD develops in the future, what treatment options would I have?"

   • Helps you understand the long-term outlook before making your decision