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  • Treating Chronic Back PainMinimally Invasive Spine Surgery

    Minimally invasive spine surgery is the latest advanced technology available to perform spinal surgeries through small, less than one inch long, incisions. It involves the use of special surgical instruments, devices and advanced imaging techniques to visualize and perform the surgery through such small incisions. Read More

  • Relieve Nerve & Spinal Cord CompressionAnterior Cervical Discectomy & Fusion

    Anterior cervical discectomy with fusion is an operative procedure to relieve compression or pressure on nerve roots and/or the spinal cord due to a herniated disc or bone spur in the neck. Read More

  • Focus on life againLumbar Decompression

    Lumbar decompression is a surgical procedure performed to relieve pressure over the compressed nerves in the lower spine (lumbar region). It is usually indicated in patients with herniated lumbar disc, spinal stenosis, spinal injury or spinal tumours, who have not found adequate pain relief with conservative treatment. Read More

Home // Spinal Treatments // Posterior Lumbar Interbody Fusion

Posterior Lumbar Interbody Fusion

Spinal fusion is a surgical technique used to join together two or more vertebrae in the spine and to minimise the pain caused by movement of these vertebrae. Fusion of vertebrae in lumbar portion of the spine is called as lumbar fusion and the surgery can be done as an open or minimally invasive procedure.

Several techniques are practiced for minimally invasive surgery and they include

  • Anterior lumbar interbody fusion, ALIF - accessing the spine from the front
  • Posterior lumbar interbody fusion, PLIF - approaching the spine from the back
  • Transforaminal lumbar interbody fusion, TLIF - approaching from the side

In PLIF surgery, several 1-2 inch incisions are made on the back, a series of increasingly larger dilators are used to spread the muscles apart and to provide access to the spine. The rods and screws are placed through the dilator tubes. In some cases, an operating microscope may be used to provide a better view.

During the surgery, a piece of bone harvested from other parts of the body or collected from a bone bank is transplanted between the adjacent vertebrae. As the healing occurs, the bone fuses with the spine. This stimulates growth of solid mass of bone which helps in stabilizing the spine. In some cases, metal implants such as rods, hooks, wires, plates or screws are used to hold the vertebra firm until new bone grows between them.

A minimally invasive lumbar fusion technique is used to treat fractured vertebra, lumbar instability, spine deformities—scoliosis or kyphosis, cervical disc hernias, tumours, back pain and failed back syndrome. Spondylolisthesis, a painful condition of the spine caused by disc displacement or slipped disc, can be treated with minimally invasive lumbar fusion technique.

Minimally invasive technique of fusion carries many advantages and they include:

  • Minimal damage to the adjacent tissues
  • Reduced post-operative pain
  • Reduced hospital stay
  • Faster recovery
  • Diminished blood loss

Memberships

  • General Medical Council
  • Royal College of Surgeons
  • British Medical Association
  • British Orthopaedic Association
  • British Association of Spinal Surgeons
  • Aospine
  • American Academy of Orthopaedic Surgeons
  • Euro Spine
  • North American Spine Society
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