Spinal Fusion in North Carolina

Spinal fusion surgery involves the merging of two or more vertebrae, promoting their amalgamation into a singular, solid bone structure. This procedure is pursued when disc replacement is not considered a suitable option. Spinal fusion at North Carolina Neurosciences & Spine Center is performed by our dedicated team of board-certified neurosurgeons.

When to Consider Spinal Fusion Surgery

Spinal fusion serves to correct congenital abnormalities, enhance stability, or alleviate pain resulting from excessive motion. If prior attempts at conservative treatments have not been successful, you might be an eligible candidate for spinal fusion if you exhibit:

  • A compromised or unstable spine
  • Spondylolisthesis, a condition involving the displacement of one vertebra over another
  • Spinal arthritis, such as spinal stenosis
  • Spinal curvature, such as scoliosis
  • Spinal injuries or fractures

Guidance from Neurosciences & Spine Center

Empowering you to make informed decisions, the seasoned team at Neurosciences & Spine Center is poised to assist in tailoring a treatment strategy that aligns with your needs. Their specialization in minimally invasive spine surgery complements their adeptness in diagnosing and managing disc disorders and diseases. Employing cutting-edge methodologies, they endeavor to alleviate discomfort and facilitate a return to an active lifestyle. To secure an appointment with Neurosciences & Spine Center, kindly reach out at 919-784-7550.

The Spinal Fusion Surgery Process

Spinal fusion is planned with attention to both the bones being stabilized and the muscles that support them. Traditional fusion techniques require moving or stripping muscle away from the spine to access the treatment area, contributing to post-operative pain and a longer recovery.

If possible, our specialists use muscle-sparing techniques designed to reduce disruption to surrounding tissue. Rather than cutting through muscle unnecessarily, these approaches focus on gently separating or “splitting” muscle fibers to reach the spine with less trauma. This helps preserve the strength and function of the muscles that support the fusion after surgery.

Once the affected vertebrae are accessed, your surgeon will stabilize them using a bone graft and, when needed, supportive hardware such as screws or rods. The goal is to eliminate painful movement, improve spinal stability, and protect the surrounding nerves.

skeletal system review scoliosis condition

Spinal Fusion Recovery

Recovery after spinal fusion is a guided process, and our team remains involved at each stage. Because Neurosciences & Spine Center treats the muscles that support the fusion — not just the bone — your recovery plan may include coordinated follow-up with both your surgeon and physical therapy team.

A typical recovery timeline can include:

  • Day 1 – Many patients are up and walking with support from the care team.
  • Week 2 – Your first integrated check-in may include both surgical follow-up and physical therapy guidance to assess healing, mobility, and early recovery goals.
  • Week 6 – Many patients begin transitioning into more advanced functional training focused on strength, flexibility, posture, and safe movement patterns.

Every recovery is different, and your timeline will depend on your condition, procedure, and overall health.

Why Choose North Carolina Neurosciences & Spine Center

Empowering you to make informed decisions, the seasoned team at Neurosciences & Spine Center will craft a treatment strategy that aligns with your needs. Our specialization in minimally invasive spine surgery, like spinal fusion, complements our ability to diagnose and manage disc disorders and diseases. Utilizing cutting-edge methodologies, we can alleviate discomfort and help you return to an active lifestyle.

Benefits of Spinal Fusion

  • Provides long-term spinal stability and structural support
  • Reduces chronic pain caused by abnormal spinal movement
  • Corrects spinal deformities and improves posture
  • Prevents further deterioration of damaged spinal segments
  • Eliminates painful motion between affected vertebrae
  • Offers a permanent solution for certain spinal conditions

My experience here has been a positive one each time I have been for appointments and one surgery. Staff are pleasant and professional at all times & the doctors/PA’s/NP’s I have interacted with listened to my concerns, included me in deciding the best approach to my care and taken that extra moment to explain many of the complex medical terms used during my appointments. A positive experience overall.

-Pete C.

Frequently Asked Questions

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How do I prepare for spinal fusion surgery?

Before spinal fusion surgery, you should follow your surgeon's pre-operative instructions, which typically include stopping certain medications, fasting for a specified period, and arranging for post-surgical care assistance at home. Additionally, preparing your living space with necessary items at accessible heights, completing any required pre-surgical medical clearances, and discussing pain management expectations with your surgical team will help ensure a smoother recovery process.

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Will I be able to drive after spinal fusion surgery?

Most patients can return to driving once they’re no longer taking prescription pain medications and can comfortably perform the physical motions required for safe driving. Your surgeon will provide specific guidance based on your individual recovery progress.

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Are there any long-term dietary restrictions after spinal fusion?

There are no permanent dietary restrictions following spinal fusion surgery, though maintaining adequate calcium and Vitamin D intake can support bone health and the fusion process. A balanced diet rich in protein and nutrients will promote optimal healing during your recovery period.

Schedule Your First Appointment

If you’re experiencing chronic back pain or spinal instability that hasn’t responded to conservative treatments, a consultation with one of our expert specialists can help determine if spinal fusion at North Carolina Neurosciences & Spine Center is right for you. Contact us today to schedule your comprehensive spine evaluation and learn more about how spinal fusion surgery could help restore your quality of life.

Schedule a Consultation

The care team at Neurosciences & Spine Center can help you decide on the treatment that's best for you. They specialize in minimally invasive surgery and are experienced in diagnosing and treating disorders and diseases, using the newest techniques for relieving pain and returning you to an active lifestyle. To make an appointment at Neurosciences & Spine Center call 919-784-7550.

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Patient Testimonials

Nat Lambeth
I am a former patient of Dr Koolevelt, hate he retired am of the opinion he is a great doctor. I had a very good result from my surgery last April. I have encountered a new problem. I called and got an appoint ment to see Daniel Ingram he to is great. He listen to my complaint(s), then examined me. He sent me for xrays, and gave me a recomended treatment plan. Within hours of having my xrays he called me back with the preliminary results. He said he would get me seen for an injection to rule out possible other issues. He is a warm friendly professional. Great bedside manner. You don't find medical professionals of his quality in every practice. UNCRex Neuroscience is lucky to have him.
Dennis Hlad
Everyone was pleasant & efficient. Daniel Ingram, PA went over the previous MRI showing me where the problem is. Then we discussed the options. He suggested if the symptoms changed to contact him.
Jill Schade
I have known Dr Koeleveld and his team over 19 years and due to the nature of my back history L5/S1. There is NO one else I would trust but Dr K, Dan, Judy and his wonderful team. I should have written this sooner as I am 2 years post fusion and doing wonderful. Their expertise, care and compassion is second to none.
Katy TwoJsMom
Amazing. Mom needed nerve ablation on the back. She has a pacemaker and these folks were wonderful.
Kristian Brock
Best experience I had even Surgery went great, Dr.Lacin knew exactly what needed to be done.
Catherine Raspet
When I had stenosis quite a while ago, he performed surgery,and I woke up with no pain. What an extreme relief.
Raymond Baule
Great job Dr. Buttram!
Whitney Moore
John A. Engler, MD was amazing! I've been having back pain for years (had surgery in 2011) and was good for awhile. However I started going to a pain management clinic 3 years ago when it started up again. After an incident that cause me to go the the ER I was referred to Dr. Engler. He was extremely nice and informative. He took the time to explain everything to me. Extremely satisfied with the care I received will update after everything is said and done.
Mary Roby
I am now pain free and well on my way to a full recovery thanks to Dr. Lacin. Both he and his staff are knowledgeable, compassionate, caring and professional. Dr. Lacin performed back surgery on me as well as my mom and we will both be forever grateful.
Jeff Wiblitzhouser
Dr. Lacin's skill and dedication gave me a new lease on life. As a designer and builder of custom homes and remodels, I depend on my ability to get in and out of houses, tight spaces, etc., and my back had gotten to the point where the pain was intolerable. I didn't hire Dr. Lacin to tell me what I wanted to hear, I hired him to help me regain functionality. Thank You Dr. Lacin and your staff!!
Joann
My primary care doctor referred me to Dr Engler for a second opinion. First, I would like to say I would highly recommend seeing Dr Engler. He was patient, very thorough, and really took the time listening to me when I explained the pain I been experiencing. I was so relieved when he immediately pinpointed the cause of my pain. Dr Engler not only told me my options, but he explained them in-dept to me, and answered all my questions. I was truly satisfied with my visit. I Couldn't have asked for a better doctor.
Sharon Greene
Superb care from Dr Lacin and staff. Dr Lacin repaired my cervical disc, and with each visit I felt as if my care was most important to him and he Treated me like I was his only patient. Great bedside manner and Excellent surgeon. Highly recommended!!!
Brooke Weisner
Dr. Buttram was amazing, he helped me recover from a severely herniated disc, which ultimately had to have surgery on. his staff is super sweet and friendly, I would recommend him to anyone who is having back pain.