Lumbar Interbody Fusion Lumbar Interbody fusion include Transforaminal Lumbar Interbody fusion(TLIF) and Posterior Lumbar Interbody Fusion (PLIF). Lumbar interbody fusion is a procedure meant to achieve circumferential or 360 degree fusion in the lumbar spine from the back. The incision is made on the back. Disc material is removed. Decompression of the nerves is done. Fusion material is placed in the disc space and on the sides. Stabilization of spine is done with screws.
Painful disc degeneration or disruption. It may also be used in the treatment of other spinal conditions.
An incision is made in the low back area to the side of the spine.
Fluoroscopy (live X-ray) is used to determine the correct level(s) to be operated.
The disc is approached after muscle tissue has been retracted out of the way.
Disc tissue is removed.
A fusion cage and/or bone graft is placed in the disc space.
Normal compression of the spine will hold the bone or cage in place.
Commonly, pedicle screws are placed to provide additional stability (see PLF).
Surgery takes approximately 1-3 hours.
After the procedure
After the surgery, you will be in the recovery for some time and then will be shifted to your room.
You will be receiving medication intravenously including for pain.
If you are comfortable, you will be assisted out of bed mostly the day after the surgery.
A brace or corset may be prescribed for some time.
Certain exercises will be explained to you to do at home at the time of discharge or when you follow up with your spine doctor.
In any spine procedure, recovery is dependent on a lot of factors. It is hugely dependent on the age and health of the individual.
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