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Common Spinal Fusion Techniques: Video

Joseffer Scrubs SmallSeth Joseffer MD, FACS

Many patients are aware of the general outlines of what a spinal fusion does, but they may not be aware that your surgeon will be weighing the benefits of a variety of surgical techniques. Not all spinal fusions are performed the dame way.

The two most common interbody fusion techniques used to treat chronic low back pain are PLIF, which is similar to a TLIF, and ALIF. PLIF stands for posterior lumbar interbody fusion. It is a fusion technique that is done from the back or posterior of the spine. The PLIF procedure involves involves three basic steps.

  1. Pre-operative planning and templating. Before the surgery, the surgeon will use MRI and CT scans to determine what size implants the patient will need and what will be the best surgery for the patient.
  2. Preparing the disc space. An incision is made and back muscles are retracted to allow access to the disc. The surgeon then carefully removes the affected disc and surrounding tissue.
  3. Implants are inserted.

Once the disc space is prepared Bone graft is inserted to promote fusion between the vertebrate. Additional implants may also be used to further stabilize the spine. ALIF, which stands for anterior lumbar interbody fusion is similar to PLIF; however, it is done from the front or anterior of the body. With the assistance of a vascular surgeon, we approach the spine from the front to remove the disc and insert the bone graft and implant a device to reconstruct the disc space. The surgeons at our practice are highly skilled with these types of surgeries.

Dr Seth Joseffer Video Spinal Treatments

LastUpdate: 2016-08-28 10:32:06


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