Transforaminal Lumbar Interbody Fusion.
The TLIF technique involves the reaching of the vertebrae through an incision from the side of the spinal canal through a midline incision on the patient’s back.
This approach reduces greatly the amount of surgical muscle dissection and minimizes the nerve manipulation required to access the vertebrae, discs, and nerves
Spinal fusion is a surgical technique in which two or more vertebrae fuse to prevent movement between them. It is usually recommended for:
- Abnormal curvatures of the spine, such as scoliosis or kyphosis
- Injury to the vertebrae of the spine
- Protrusion in the discs that act as buffers between the vertebrae (such as the sliding of a disc or a herniated nucleus pulposus)
- Instability or weakness of the spine caused by infections or by a tumor
Anterior Lumbar Interbody Fusion (ALIF) is a type of spinal fusion that utilizes an anterior (front – through the abdominal region) approach to fuse lumbar and spine bones.
Interbody fusion means that the intervertebral disc is removed and replaced with a bone (or metal) spacer, using an anterior approach.
The technique mentioned above is often favored when multiple spinal levels are being fused and multiple discs need to be removed..
Posterior Lumbar Interbody Fusion (PLIF) is a fusion technique in which the vertebrae are reached through an incision on the patient’s back.
Kyphoplasty is used to treat painful vertebral crushing of the spine. In a vertebral crush, all or part of the spinal bone collapses. The procedure is also called balloon kyphoplasty.
This procedure is performed in a hospital or outpatient clinic. The patient may be given a local anesthetic (he or she will be awake and will not be able to feel pain).
The health care provider cleans the area of the back and applies medicine to numb it. Then, a needle is inserted through the skin to the vertebra.
Real-time X Rays are used to guide the doctor to the correct area in the lower back. A balloon is placed through the needle into the bone and then inflated.
This restores the height of the vertebrae. Then, cement is injected into the space to make sure it does not collapse again
It is often an ambulatory procedure that is used to treat painful vertebral crushing in the spine. A vertebral crush occurs when all or part of a bone in the spine collapses.
The vertebroplasty is performed in a hospital or outpatient clinic.
You may be given a local anesthetic (you will be awake and will not be able to feel pain). You may also receive medication to help you relax and feel sleepy.
The health care provider cleans the back area and applies medicine to numb it.
The procedure is similar to kyphoplasty.
Extreme Lateral Interbody Fusion (XLIF) can be utilized to access the anterior column of the thoracic and thoracolumbar spine.
The advantages of this minimally invasive technique include avoidance of the need for an access surgeon and lung deflation during surgery, as well as excellent visualization of the spinal pathology.