• Lumbar Spinal Fusion and TLIF ALIF LLIF

Lumbar Spinal Fusion and TLIF/ALIF/LLIF

Lumbar Interbody Fusion (LIF) where abnormal and excessive motion at the vertebral segment results in severe pain and inability to function. Surgery is a surgical procedure performed to treat low back problems such as degenerative disc disease, herniated disc, and spondylolisthesis. The purpose of LIF is to reduce back and/or leg pain and stabilize the spine. Often, ALIF, PLIF, TLIF, and DLIF can be performed using minimally invasive techniques. Be assured that your spinal surgeon. recommends the best approach based on your medical history, spine problem, previous treatments, and other factors.

After all or part of the damaged disc is removed (discectomy), the interbody space is prepared, and one or two interbody devices are implanted between the upper and lower vertebral bodies. Depending on the type of interbody device (such as a cage), bone graft is packed inside and around the device. Bone graft stimulates the vertebral bone to heal and fuse solid.

TLIF stands for Transforaminal Lumbar Interbody Fusion. This fusion surgery is a refinement of the PLIF procedure and has recently gained popularity as a surgical treatment for conditions affecting the lumbar spine. The TLIF technique involves approaching the spine in a similar manner as the PLIF approach but more from the side of the spinal canal through a midline incision in the patient’s back.

This approach greatly reduces the amount of surgical muscle dissection and minimizes the nerve manipulation required to access the vertebrae, discs and nerves. The TLIF approach is the preferred method at our practice for interbody fusion as it is generally less traumatic to the spine, is safer for the nerves, and allows for minimal access and endoscopic techniques to be used for spinal fusion.

ALIF stands for Anterior Lumbar Interbody Fusion. This procedure is similar to PLIF, however it is done from the front (anterior) of the body, usually through a 3-5 inch incision in the lower abdominal area or on the side. This incision may involve cutting through, and later repairing, the muscles in the lower abdomen.

Once the incision is made and the vertebrae are accessed, and after the abdominal muscles and blood vessels have been retracted, the disc material is removed. The surgeon then inserts bone graft (and anterior interbody cages, rods, or screws if necessary) to stabilized the spine and facilitate fusion.

An initial consultation with Mr. Nazeer Moideen is from £200.

Posterior Lumbar Interbody Fusion (PLIF) Video:

Click here to watch the video