Should I stop taking medications before spinal surgery?
You have a pinched nerve, slipped disc, a spinal cord injury, or other back problem that has not responded to conservative treatments, and you have reached the decision to have spinal surgery. You and your back surgeon will discuss many aspects of your pre- and post-operative treatment, and the subject of the medications that you are currently taking – and whether you should continue their use – is high on the list of topics.
Usually patients are advised to continue use of prescription medications such as those for controlling blood pressure, even on the day of surgery – provided the medications are taken with just a small sip of water. However, use of blood thinners, aspirin, anti-inflammatory drugs, and diabetic and herbal medications should be discontinued prior to surgery. Your surgeon and staff will ask for a complete list of all medications you are taking, and it’s important to provide accurate answers.
One of the goals of post-operative care is effective pain management, and that requires patients to be free and weaned from any narcotic pain medications and muscle relaxants before the back surgery is performed. Fortunately, the open back surgery procedures of just a few years ago have in many cases been replaced by less invasive surgical procedures performed to relieve common back problems such as spinal stenosis, or symptoms of sciatica. These minimally invasive procedures cause little damage to collateral tissue, and therefore produce less pain and require less palliative medication, further speeding recovery. Other recent advances provide improved post-operative outcomes. For example, patients can now choose the TOPS™ (Total Posterior Solution) System instead of spinal fusion back surgery after a spinal decompressionprocedure. The TOPS System provides better clinical outcomes than spinal fusion, and preserves the full range of the individual vertebrae. Spinal fusion eliminates the independent motion of fused vertebrae, and has been shown to promote deterioration of adjacent vertebrae.
The procedure selected to treat your back problem is also a critical part of the discussions you will have with your orthopedic surgeon. Be sure to discuss all your surgical options, including advanced, proven procedures that can provide the best outcomes for your spinal condition.