The Midline Approach for Interspinous Fusion is a minimally invasive procedure designed to enhance spinal stability and reduce pain for patients with symptomatic spinal stenosis. Here’s what you need to know to prepare for surgery and support recovery.

Optimizing your body for healing is important. Eating an anti-inflammatory diet for 1-3 weeks before the procedure can help enhance your body’s natural healing potential.

Follow standard NPO (nothing by mouth) guidelines: - No solid foods for 8 hours before the procedure. - Clear liquids (water, black coffee, or tea without milk) are allowed up to 2 hours before surgery.

If you take blood thinners, follow your doctor’s instructions on when to stop them. Thoroughly cleanse the procedure site using a pre-surgical wash like Hibiclens® the night before and the morning of surgery to reduce infection risk.

After surgery, avoid strenuous activity for at least 6 weeks to allow for proper healing. Since the incision is midline, special attention to bending and lifting restrictions is extremely important to avoid excessive strain on the surgical site. Avoid heavy lifting, twisting, or bending during recovery to promote proper healing.

Mild soreness and swelling are normal—use ice packs as needed for pain relief. Keep the incision site dry for at least 72 hours—a sponge bath is recommended instead of showering for the first 72 hours to up to 1 week.  No soaking is allowed until the incision is fully healed which is typically at 14-21 days. 

Supporting your recovery with a nutrient-rich, anti-inflammatory diet, staying hydrated, and prioritizing quality sleep will help optimize healing.

This technique provides long-term spinal stability. Following post-operative care instructions will help ensure the best possible recovery. If you have any concerns, contact your medical team.