Lumbar Fusion Anterior Lumbar Interbody Fusion (ALIF)
Lumbar Fusion Anterior Lumbar Interbody Fusion (ALIF) is performed from the front side of the spine. A small incision is made on the left side of the abdomen. The disc space is removed and a bone graft and/or spacer cage is placed. The bone graft comes from the hip or bone bank. If needed, a separate incision on the back may be made for the screws and rods.
Posterior Lumbar Interbody Fusion (PLIF)
Lumbar Interbody Fusion (PLIF) is performed from the back of the spine. A partial or complete laminectomy is done. The disc is removed and a spacer cage and/or bone graft is placed.
Transformation Lumbar Interbody Fusion (TLIF)
Transformation Lumbar Interbody Fusion (TLIF) is performed from the back of the spine. This procedure approaches the spine in a similar manner as the PL IF approach, but more from the side of the spinal canal to stabilize the spinal vertebra and the disc between the vertebra.
The Minimally Invasive Approach with the minimally invasive approach, the incisions made by the surgeon are small. There is no need for muscle stripping and blood loss is minimized. Special surgical tools including a microscope allow the surgeon to achieve the same goals and objectives as with the open procedure. Patients can expect decreased post-operative pain, shorter hospital stays and can recover more quickly.
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Symptoms of Disc Replacement
Following are symptoms that show the need for disk replacement:
- Back pain comes mostly from 1 or 2 disks
- Weakness in arms, shoulders, hands, or legs
- Neck pain or neck stiffness
- Numbness or “pins and needles” feeling in your arms
Anterior Cervical Fusion
This surgery is performed when a piece of the disc or bone spurs press on the spinal nerves. The surgery is performed from the front side of the neck. The disc and/or bone spurs are removed and the disc space is replaced with a bone dowel filled with bone graft. A small plate and screws are placed in the bone to stabilize the spine while the bones heal together.
Posterior Cervical Fusion
This surgery is performed from the posterior or backside of the neck. It is often performed in conjunction with the anterior fusion when many levels are being fused. The surgery involves placing the bone graft along with small screws and rods to stabilize the spine.
This surgery is performed when part of the disc bulges and presses on the spinal nerves. The surgery is performed from the backside of the spine. A small piece of the back covering of the spinal canal is removed so the fragment of the disc can be removed.
Lumbar Laminectomy is done when the spinal canal becomes narrowed. It is performed from the back of the spine. Bone spurs are removed from the facet joints on the left and right sides of the spine. This makes more room for the nerves.