11/09/2025
Today's question from a 14 year old 2 weeks post fusion patient: Can I sleep on my stomach?
here is the answer:
Healing and stability: At 2 weeks, the spinal fusion is still in the very early healing phase. The bone grafts and hardware (rods, screws) need to remain in optimal alignment without excessive twisting or arching forces — which prone sleeping can cause.
Pressure on the spine: Lying on the stomach can extend (arch) the lower back and neck, placing strain on the fused segments and possibly on the incision.
Incision and comfort: The surgical site may still be tender or swollen, and pressure against it can cause discomfort or interfere with wound healing.
Safer sleeping positions:
Flat on the back (supine) — usually the preferred position after fusion, often with a pillow under the knees to reduce strain on the back.
On the side (lateral) — if allowed by the surgeon, with a pillow between the knees to maintain spinal alignment.
After about 6–12 weeks, depending on the healing progress and surgeon’s advice, the patient may gradually resume other positions, including prone, if it’s comfortable and safe.
👉 Recommendation: Always follow the specific postoperative instructions from the surgeon or spine team, every case (especially in adolescents) is a bit different depending on the levels fused and reason for surgery.
