Transforaminal Lumbar Interbody Fusion (TLIF)
Spinal fusion procedures, such as transforaminal lumbar interbody fusion
(TLIF), are designed to help provide stability to the spinal bones. By
utilizing lumbar fusion surgery, surgeons are able to create a solid bone
between vertebrae to stop any painful movement that may be occurring.
These surgical techniques are effective at reducing pain, as well as nerve
Posterior Lumbar Interbody Fusion (PLIF)
These spine fusion procedures allow the surgeon to fuse the front and back
of the spine through one incision on the back. When performing these fusions
in the lumbar spine, two or more vertebral segments are joined together,
eliminating movement in the joints. These procedures are performed to
reduce the pain caused by movement and the associated compression of the
nerve roots. The TLIF and PLIF procedures can be minimally invasive (should
be emphasized), resulting in a reduction in the amount of muscle and skin
that is damaged during surgery.
Anterior Lumbar Interbody Fusion
In lumbar interbody fusion with cages, the disk is removed and titanium
cages filled with bone are inserted between the vertebral bodies. This
maintains disk space height and fuses the joint, thereby eliminating abnormal movement.
Lumbar Disc Replacement
When conservative measures have failed,
fusion of the joint has been the treatment of choice for relief of pain. Fusion,
however, limits flexibility of the spine. With artificial disk replacement,
a patient maintains flexibility. Disk replacement also eliminates the
need to obtain bone from the hip associated with fusion procedures.
Lumbar Laminectomy, Fusion - Instrumented and Uninstrumented
The Lamina is the part of the vertebra located in the back of the vertebral
body. A lumbar laminectomy is a surgical procedure that removes a part
or all of the lamina. This is a bone in the back of the spine and sometimes,
it can cause compression of the spinal nerves in the lower back (spinal
stenosis). Removal of this bone can relieve pressure on the spinal cord.
Sometimes the spine segments also need to be fused together in order to
stabilize the spine. This can be done with (instrumentation).and without
(uninstumentation) surgical instrumentation).
Lumbar and Cervical Micro-Discectomy
The disc is a combination of strong connective tissues holding one vertebra
to the next. This connective tissue acts as a cushion between the vertebrae.
When the disc loses its effectiveness as a cushion, a displacement of
the disc's center (called a herniated or ruptured disc) may result, which
can press on and irritate nerves. A surgical procedure called a discectomy
or partial discectomy is performed and part of the herniated disc is removed.