Pre-operative testing (i.e. blood work, chest x-rays, EKGs, stress tests, and pulmonary function studies) will be required prior to surgery. All testing must be completed 2 – 4 weeks prior to surgery.

Antibacterial Soap – To minimize the incidence of infection, an antibacterial soap called Hibiclens will be provided for use at the 2 showers prior to surgery. This is usually the night before and the morning of the surgery. Cleanse your entire body, paying special attention to the area where your surgery is going to be performed. In the surgical area, use a wash cloth, cleansing for 5 minutes.

Your level of fitness and nutrition prior to surgery should be maintained to the best of your ability. Continue with any fitness activities that do not cause pain. Maintain a healthy balanced diet.

If you smoke cigarettes, it is strongly advised that you decrease the amount you smoke or stop smoking completely. Research indicates that smoking adversely affects bone healing and will thus delay or impede your full recovery following surgery. Inhalation of smoke irritates the breathing passages and may lead to respiratory problems during and after surgery.

Any errands (i.e. house cleaning and grocery shopping) should be completed prior to surgery. The fewer concerns you have upon discharge, the easier your transition home will be.

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Medications to Discontinue Before Surgery

Please do not take any of the following medications for at least seven (7) days prior to surgery. If you have spinal fusion surgery, you will NOT be able to take NSAIDS or medications containing aspirin for about 3 months (until your doctor tells you that your fusion appears solid). This list of medications to discontinue is not complete. Other medications may contain these products as well. Please check with your physician if you are taking other medications.

Non-Steroidal Anti-Inflammatory Drugs (NSAID’s)
Advil Lodine Ansaid Naprosyn
Celebrex Toradol Feldene Voltaren
Ketoprofen Anaprox Motrin Bextra
Oruvail Diclofenac Vicoprofen Indocin
Aleve Mobic Arthrotec Naproxen
Daypro Relafen Ibuprofen  


Medications Containing Aspirin
Alka-Seltzer Anacin Asprin Bayer Arthritis
Bufferin Darvon Compound Ecotrin Excedrin
Fiorinal Pepto-Bismol Percodan  


Estrogen Products
All oral contraceptives and hormone replacement therapy


Anticoagulants and Antithrombotics
You will need to consult your physician regarding plans for stopping these medications.
Aggrenox Coumadin Ecotrin Fragmin


Heparin Lovenox Orgaran
Persantine Plavix Ticlid  


MAO Inhibitors
Nardil (Phenelzine)
Parnate (Tranylcypromine)


Herbal Medications and Supplements
Vitamin E
(14 days before)
Valerian Ma Huang Fish Oil
Garlic Multivitamins
(containing Vit.E)
Lovaz Ginkgo Biloba Saw Pilmetto
St. John’s Wort Ginseng Kava  



Acetaminophen (Tylenol) Darvocet Darvon Dilaudid
Duragesic Fioricet Lorcet Lortab
MS Contin MSIR Oxycontin, oxycodone Percocet
Roxanol Tylenol + Codein Vicodin (Hydrocodone)  


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