✦ Stabilisation & Decompression

Decompression with Posterolateral Fusion and Pedicle Screw Fixation

Q: Why combine decompression with fusion?

When instability accompanies stenosis, decompression alone risks worsening it. Combined fusion provides pain relief plus durable stability.

Q: Are pedicle screws permanent?

Modern titanium pedicle screws are biocompatible and stay permanently. Removal is rarely needed unless they cause irritation or infection.

Q: Is the recovery prolonged?

Most patients walk within days but full recovery takes 3–6 months as biological fusion matures. Bracing supports the spine during this period.

Q: Will adjacent segments degenerate later?

Adjacent segment degeneration occurs in 10–15% of fusion patients over 10 years. Posture, core strengthening and weight management minimise risk.

Compressed nerves are decompressed and the unstable spinal segment is fused using bone graft and pedicle screws — providing both nerve relief and durable spinal stability for complex lumbar problems.

3–4 Hours PROCEDURE

5–7 Days HOSPITAL STAY

>90% SUCCESS RATE

3–6 Months FULL RECOVERY

What is Decompression with Posterolateral Fusion and Pedicle Screw Fixation?

Decompression with Posterolateral Fusion and Pedicle Screw Fixation is a comprehensive lumbar spine reconstruction combining nerve decompression with rigid posterior fusion. After laminectomy or laminotomy decompresses the compressed nerve roots, bilateral pedicle screws are inserted into the vertebral bodies and connected by titanium rods. Bone graft is then placed along the lateral gutters of the spine to create a biological fusion. The procedure is indicated for spinal stenosis with concurrent instability, spondylolisthesis, scoliosis or revision spinal surgery requiring durable stabilisation. Dr. Hithesh performs decompression with fusion in Hyderabad using imaging-guided pedicle screw placement for maximum safety and accuracy.

Indicated for spinal stenosis with concurrent instability, spondylolisthesis, scoliosis, recurrent disc herniation or revision spine surgery — where decompression alone would leave the spine unstable and symptomatic long-term.

How the Procedure Works

Anaesthesia & Positioning

General anaesthesia is delivered; the patient is positioned prone on a Wilson frame, allowing safe surgical access to the lumbar spine.

Decompression

Laminectomy or laminotomy decompresses the compressed nerve roots, relieving radicular pain and creating a spacious passage for nerves.

Pedicle Screw Insertion

Bilateral pedicle screws are inserted into the vertebral bodies under fluoroscopic or navigation guidance, ensuring optimal screw placement accuracy.

Rod & Bone Graft Placement

Titanium rods connect the screws bilaterally; bone graft is placed along the posterolateral gutters to promote biological spinal fusion.

Closure & Recovery

Soft tissue layers are closed; structured graded physiotherapy and bracing as appropriate guide spinal recovery and successful fusion afterwards.

Outcomes

3–4 HoursDURATION

5–7 DaysHOSPITAL STAY

>90%SUCCESS RATE

3–6 MonthsFULL RECOVERY

Who Needs This Treatment?

→Combines comprehensive nerve decompression with durable biological spinal fusion
→Effectively treats spondylolisthesis and other forms of spinal instability
→Provides reliable lasting relief from leg pain, back pain and weakness
→Modern pedicle screw systems offer rigid fixation supporting consistent fusion
→Imaging-guided screw placement maximises surgical safety and overall accuracy
→Outstanding long-term outcomes for complex lumbar spine pathology cases

When stenosis comes hand in hand with instability, decompression alone simply isn't enough. Adding pedicle screw fusion provides the durable stability that lets the patient enjoy their decompression result for decades.

— — Dr. Bathini Hithesh, Consultant Orthopaedic Surgeon, Trauma & Joint Replacement Specialist, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Why combine decompression with fusion?+

Are pedicle screws permanent?+

Is the recovery prolonged?+

Will adjacent segments degenerate later?+

Not sure which treatment is right for you?

Book a consultation with Dr. Bathini Hithesh and get a personalised treatment plan.

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