Besondere Verbindungen – Patientenspezifische Reha nach Fusions-OP

Für die Reha nach einer Fusion von Bewegungssegmenten an der Wirbelsäule gibt es keinen Goldstandard. Der Beginn der Nachsorge variiert ebenso wie die Therapieinhalte und die Tipps für den Alltagstransfer. Physiotherapeut Jan Winter beschreibt Hintergrundwissen zu OP, Prognose und Outcome. Zwei Fallbeispiele liefern hilfreiche Tipps für eine patientenspezifische Nachsorge.

Publication History

Article published online:
10 June 2025

• Literaturverzeichnis

• 1 Reisener MJ, Pumberger M, Shue J. et al Trends in lumbar spinal fusion-a literature review. J Spine Surg 2020; 6 (04) 752-761
• 2 Kobayashi K, Sato K, Kato F. et al Trends in the numbers of spine surgeries and spine surgeons over the past 15 years. Nagoya J Med Sci 2022; 84: 155-162
• 3 Bogaert L, Thys T, Depreitere B. et al Rehabilitation to improve outcomes of lumbar fusion surgery: a systematic review with meta-analysis. Eur Spine J 2022; 31: 1525-1545
• 4 Lenz M, Oikonomidis S, Hartwig R. et al Clinical outcome after lumbar spinal fusion surgery in degenerative spondylolisthesis: a 3-year follow-up. Arch Orthop Trauma Surg 2022; 142: 721-727
• 5 Souslian FG, Patel PD.. Review and analysis of modern lumbar spinal fusion techniques. Br J Neurosurg 2024; 38: 61-67
• 6 Montenegro TS, Gonzalez GA, Saiegh FA. et al Clinical outcomes in revision lumbar spine fusions: an observational cohort study. J Neurosurg Spine 2021; 35: 437-445
• 7 Reisener MJ, Pumberger M, Shue J. et al Trends in lumbar spinal fusion-a literature review. J Spine Surg 2020; 6: 752-761
• 8 Khor S, Lavallee DC, Cizik AM. et al Hospital and Surgeon Variation in Patient-reported Functional Outcomes After Lumbar Spine Fusion: A Statewide Evaluation. Spine (Phila Pa 1976) 2020; 45: 465-472
• 9 Hedlund R, Johansson C, Hägg O. et al The long-term outcome of lumbar fusion in the Swedish lumbar spine study. Spine J 2016; 16: 579-587
• 10 Akuthota V, Marshall B, Boimbo S. et al Clinical Course of Motor Deficits from Lumbosacral Radiculopathy Due to Disk Herniation. PM R 2019; 11: 807-814
• 11 Nasser R, Yadla S, Maltenfort MG. et al Complications in spine surgery. J Neurosurg Spine 2010; 13: 144-157
• 12 van Erp RMA, Jelsma J, Huijnen IPJ. et al Spinal Surgeons’ Opinions on Pre- and Postoperative Rehabilitation in Patients Undergoing Lumbar Spinal Fusion Surgery: A Survey-Based Study in the Netherlands and Sweden. Spine (Phila Pa 1976) 2018; 43: 713-719
• 13 Gränicher P, Reicherzer L, Wanivenhaus F. et al Supervised prehabilitation in patients scheduled for spinal surgery - a scoping review. Eur Spine J 2025; 34: 1366-1385
• 14 Bränström H, Fahlström M.. Kinesiophobia in patients with chronic musculoskeletal pain: differences between men and women. J Rehabil Med 2008; 40: 375-380
• 15 Abbott AD, Tyni-Lenné R, Hedlund R.. Early rehabilitation targeting cognition, behavior, and motor function after lumbar fusion: a randomized controlled trial. Spine (Phila Pa 1976) 2010; 35: 848-857
• 16 Christensen FB, Laurberg I, Bünger CE.. Importance of the back-café concept to rehabilitation after lumbar spinal fusion: a randomized clinical study with a 2-year follow-up. Spine (Phila Pa 1976) 2003; 28: 2561-2569
• 17 Mandelli F, Zhang Y, Nüesch C. et al Gait function assessed using 3D gait analysis in patients with cervical spinal myelopathy before and after surgical decompression: a systematic review and meta-analysis. Spine J 2024; 24: 406-416
• 18 Low M, Burgess LC, Wainwright TW.. Patient Information Leaflets for Lumbar Spine Surgery: A Missed Opportunity. J Patient Exp 2020; 7: 1403-1409
• 19 Mehren C, Ostendorff N, Schmeiser G. et al Do TLIF and PLIF Techniques Differ in Perioperative Complications? Comparison of Complications Rates of Two High Volume Centers. Global Spine J 2025; 15: 84-93