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Osteogenesis stimulator, electrical, non-invasive, spinal applications

HCPCS code

Name of the Procedure:

Osteogenesis Stimulator, Electrical, Non-Invasive, Spinal Applications (E0748) Common name: Spinal Bone Growth Stimulator Medical term: Electrical Osteogenesis Stimulation for Spinal Fusion

Summary

A spinal bone growth stimulator is a non-invasive device that uses electrical currents to promote bone healing and growth, specifically in the spine. It's primarily used to aid recovery after spinal fusion surgeries.

Purpose

This device is designed to help individuals who have undergone spinal fusion surgery and are at risk of poor bone healing. The goal is to enhance the success rate of spinal fusions by stimulating bone cells to grow more effectively.

Indications

  • Patients with a history of failed spinal fusion surgeries
  • Cases where there is a high risk of non-union, such as multiple-level fusions or other complicating factors
  • Individuals with osteoporosis or other bone-healing disorders

Preparation

  • There are no specific fasting or medication adjustments required.
  • Your healthcare provider may conduct imaging tests like X-rays or MRIs to determine the healing status of your spinal fusion.

Procedure Description

  1. The patient receives a wearable device, often resembling a belt or collar, to place around the fusion site.
  2. The device delivers low-level electrical currents to the spine, aimed at stimulating bone growth.
  3. Patients will typically wear the stimulator for several hours each day, as directed by their healthcare provider.
Tools and Equipment:
  • Electrical osteogenesis stimulator device
Anesthesia:
  • None required (non-invasive procedure)

Duration

The device is usually recommended to be used several hours per day over a period of weeks to months, depending on the individual's healing progress and the surgeon's recommendations.

Setting

  • Home or outpatient setting

Personnel

  • Medical professional such as a spine surgeon or an orthopedic specialist for initial setup and instructions
  • Follow-up supervised by healthcare providers through regular check-ups

Risks and Complications

  • Generally low-risk with minimal complications
  • Potential for skin irritation at the contact points
  • Rare allergic reactions to the device materials

Benefits

  • Increased chance of successful spinal fusion
  • Non-invasive, with use at home allowing for convenience
  • Accelerated healing process

Recovery

  • Follow the specific wearing schedule provided by your healthcare provider.
  • Report any issues such as skin irritation or discomfort.
  • Continue regular follow-up appointments to monitor spinal fusion progress.
  • Full recovery and bone fusion may take several months to a year.

Alternatives

  • Bone Graft Surgery: An alternative but more invasive option, involving the surgical transplantation of bone tissue.
    • Pros: Direct, immediate addition of bone matrix.
    • Cons: Increased surgical risks, longer recovery time.
  • Pharmacological Treatments: Medications to enhance bone density and growth.
    • Pros: Non-invasive.
    • Cons: Potential side effects and may be less effective for some patients.

Patient Experience

  • The procedure is painless and can be conducted during daily activities or rest.
  • Patients might initially feel a slight tingling sensation from the device.
  • Comfort measures include adjusting straps for a better fit and using prescribed skin protection to avoid irritation.
  • Pain management through over-the-counter pain relievers if needed.

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