The nurse instructs a patient with herniated thoracic and lumbar disks about spinal fusion surgery. Which patient statements indicate that teaching has been effective?
Select all that apply.
1. "Bone chips might be taken from my iliac crest bone."
2. "Holes will be drilled into my skull so that a brace can be placed."
3. "Bone chips will be wedged between the vertebrae to stabilize them."
4. "I will need to stay on bed rest because traction will be applied to my spine."
5. "A hollow titanium tube might be placed in my spine to replace a removed disk."
Correct Answer: 1, 3, 5
Spinal fusion is the insertion of a wedge-shaped piece of bone or bone chips (usually harvested from the patient's ileac crest) between the vertebrae to stabilize them. A spinal fusion may also be performed through a spinal implant with a hollow titanium cylinder with holes, which is packed with grafted bone from a donor site and placed in the space where a disk is removed. Burr holes are not drilled into the skull for a spinal fusion. Spinal fusion surgery does not involve traction.
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