一旦正确的诊断已经取得了和病人已决定脊柱融合手术进行，然后获得了坚实的融合是下一步的重点。假，该装置缺乏坚实的融合，正在成为脊柱融合手术由于现代仪器和手术技巧的一个不太常见的结果。不过，也有一些会反过来创造这一成果融合风险，包括患者自身的健康和个人习惯（宿主因素）和脊柱外科的技术。
- 看到失败脊柱融合术
这影响脊柱融合宿主因素
There are a number of factors that negatively impact on obtaining a solid fusion following spinal fusion surgery, including:
- 吸烟（尼古丁）
- Obesity
- 骨质疏松
- 慢性类固醇的使用
- 糖尿病或其他慢性疾病
- Prior back surgery or attempted fusion
- Malnutrition
- Post-surgery activities
所有这些因素中，一个最负面影响融合的速度，是根据病人的控制吸烟。尼古丁已被证明是一种骨毒素和其抑制骨生长的细胞在体内（成骨细胞）生长的骨的能力。融合基本上与骨生长的细胞和骨细胞进食（破骨细胞）之间的竞争。继续手术后脊柱融合手术后抽烟，尤其是马上，有利于骨细胞的饮食和显著会损害人体的生长骨骼需要创建一个融合的能力。
在这篇文章中：
由于具有腰痛脊柱融合手术几乎总是病人的决定，它才有意义，为患者作出协调一致的努力，让身体的最佳机会可能使骨的不吸烟治愈的。虽然戒烟是很难的，这绝对是值得考虑腰椎融合手术时。
除了不吸烟，大多数外科医生将限制在手术后几个月内病人的活动水平。通常情况下，因为它促进愈合过程中的健康循环和助剂，如步行轻度活动是鼓励。然而，诸如重复弯曲，提升，和扭曲的活动，通常不允许的。一旦骨保险丝，患者被鼓励逐渐恢复正常活动作为骨是生物体组织和在适当的时候应力在一段时间施加到它会变得更强。
Another factor that may contribute to obtaining a solid spine fusion is the type of bone that is used. Typically, bone graft is taken from the patient's hip. Several types of bone graft substitutes and supportive materials are currently either in use or in various stages of development, and researchers are hopeful that new materials will help improve the success rate of obtaining a solid fusion, especially for patients who are at high risk for non-fusion.
脊柱外科技术
从技术上讲，有各种各样的，可以做融合脊柱外科手术。脊柱融合术可以用以下方法来实现：
- From the front (anterior lumbar interbody fusion/ALIF)
- 从后面（后路腰椎椎体间融合/ PLIF或后外侧沟）
- 从正面和背面（前/后）
With any type of spine surgery, the specific technique used is largely dependent on the spine surgeon's experience and his or her comfort level with the approach.
There has been a recent trend in spine surgery toward trying to do more minimally invasive types of procedures. Anterior fusions - approached from the front - are done through a laproscope or a mini-open incision and carry less morbidity (unwanted aftereffects) than spine fusion surgery done through a posterior incision. However, there are a number of considerations with anterior spine fusion, including:
- 某些类型的病理不要单独借给自己很好的前部融合
- Not all spine surgeons are comfortable with the approach or do not believe it is the best approach
- There are some unique risks associated with approaching the spine fusion surgery from the front
无论脊柱融合手术是怎么做的，我们的目标是获得一个坚实的融合，并停止在融合水平运动。为深入类型的腰椎融合的描述，请参阅腰椎融合术。
