Rheumatoid Arthritis Surgery

Written by Lawrence G. Lenke, MD

When May Surgery Be Necessary for Rheumatoid Arthritis?
In some patients, surgery may be an option to treat cervical rheumatoid arthritis (RA). Surgery is usually recommended for patients who have nerve problems caused by the effects of RA. For example, inflammation and changes in the joints can affect the surrounding nerves.
Certain surgical procedures decompress (remove pressure from) the spinal cord and provide spinal stabilization. You may need to have surgery if you have:

Rheumatoid Arthritis Surgical Options
Different surgical procedures are used to decompress the spinal cord. The goal in this surgery is to remove the offending tissue pressing on the spinal cord or nerves. The surgeon will make recommendations based on many variables, including the specifics of your condition.

Spinal instrumentation and fusion are surgical procedures that may be used to correct spinal deformity and to provide permanent stability to the spinal column. These procedures join and solidify the level where a spinal element has been damaged or removed.

Instrumentation utilizes medically-designed hardware such as rods, bars, wires, and screws. These devices hold the spine straight during fusion. Fusion is the adhesive process that joins bony spinal elements.

In spine stabilization by fusion, the surgeon creates an environment where the bones in your spine will fuse together over time (usually over several months or longer). The surgeon uses a bone graft (usually using bone from your own body, but it's possible to use donor bone as well) or a biological substance (which will stimulate bone growth). The fusion will stop movement between the vertebrae, providing long-term stability.

Recovery from Spine Surgery for RA
Living with rheumatoid arthritis involves learning to adapt and making lifestyle changes that include a good diet, exercise, and rest. Here are some ways to deal with RA:

It is important to keep follow-up appointments with your doctor. Monitoring rheumatoid arthritis may include periodic blood tests, assessment of functional ability, pain status, and x-rays to evaluate possible disease progression.

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