Revision Spine Surgery

Revision spine surgery is performed to correct issues that persist or develop after an initial spine surgery. While most spinal surgeries are successful in relieving pain and improving function, some patients may experience recurrent symptoms, complications, or incomplete healing. Revision spine surgery aims to address these issues, providing long-term relief and improved spinal stability.

When might revision spine surgery be recommended?

There are many reasons why you may need revision spine surgery. Dr Pun will evaluate your symptoms and review any imaging tests, and may recommend revision spine surgery if:

• You have had a previous spinal surgery in the affected area
• You have persistent or recurrent spinal pain
• There is infected tissue in or around the surgical site
• Excess scar tissue has formed
• Spinal fusion has failed after a spinal fusion procedure
• There are complications with surgical implants (screws, rods, or cages)
• Adjacent areas of the spine are degenerating from previous spinal surgery

How to prepare for revision spine surgery

Physical Examination

Dr Pun will conduct imaging studies (X-rays, MRIs, or CT scans) and review your medical history to determine the best approach.

Lifestyle Adjustments

You will be advised to stop smoking and maintain a healthy weight, as these factors can impact recovery.

Review Medications

Some medications, such as blood thinners, may need to be adjusted before surgery to reduce bleeding risks. Our team will review your current medications and advise you on any that may impact your revision surgery.

What does revision spine surgery involve?

Once you are under general anaesthesia, Dr Pun makes an incision at the appropriate location based on the type of revision procedure required. Dr Pun carefully moves surrounding vital structures to gain a clear view of the affected vertebrae and discs.

The damaged disc, scar tissue, or problematic implants are then removed. If spinal fusion has failed, additional bone grafts or hardware may be placed to promote stability. Fluoroscopy, a live X-ray imaging technique, is often used to ensure precise placement of new implants or artificial discs. If necessary, excess bone spurs or scar tissue are carefully cleared away to relieve pressure on the spinal cord or nerve roots.

Once the necessary corrections are made, the incision is closed with absorbable sutures inside and additional sutures at the skin’s surface to minimise scarring. A small dressing is applied over the wound to protect it. After the procedure, you will be taken to a recovery area, where medical staff will monitor you as you wake from anaesthesia.

Post-care treatment following revision spine surgery

Recovery after revision spine surgery focuses on rest and gradual rehabilitation. In the first few weeks, patients should prioritise pain management and light activity. While rest is important, it is also essential to get out of bed and walk as soon as possible to promote circulation and prevent complications.

During the initial two weeks after surgery, Dr Pun will advise you to avoid certain activities, including:

• Work
• Vigorous exercise (such as running and bike riding)
• Lifting objects heavier than 4kg
• Submerging the wound in water
• Driving while on medications that cause drowsiness or impar reflexes

Excessive forward or backward movements of the head and neck should also be avoided to prevent strain on the healing spine.

Most patients can gradually return to normal activities within four to six weeks, depending on individual recovery progress. A structured rehabilitation plan, including physical therapy, will help restore strength and flexibility while ensuring a smooth return to daily activities.

Risks of revision spine surgery

As with any surgical procedure, revision spine surgery carries risks. These risks include:

• Nerve damage
• Persistent pain
• Longer recovery time
• Anaesthesia complications
• Infection
• Blood clots
• Undiagnosed medical problems (such as heart disease)

What is the cost of revision spine surgery?

The cost of revision spine surgery depends on several factors, including the complexity of the procedure and the patient’s level of insurance coverage. In some cases, a gap payment may be required.

Each surgery quote is itemised and includes the cost of the operation, inpatient management and reviews during the hospital stay, and post-operative consultations, including a six-week follow-up. Dr Pun’s fees are guided by the Australian Medical Association’s fee schedule, ensuring transparency in pricing.