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Anterior Lumbar Interbody Fusion

An Anterior Lumbar Interbody Fusion is a procedure in which a lumbar intervertebral disc is removed and replaced with a device to allow for fusion of the adjacent vertebral bodies.  This procedure is indicated when conservative non-operative treatment measures have failed for degenerative disc disease, lumbar post-laminectomy syndrome, or recurrent disc herniations.  Occasionally, a surgery may need to be performed from the back of the spine.

The accompanying picture demonstrates an interbody fusion cage that was placed at the L4/L5 level.  This was placed for back pain with a recurrent lumbar disc herniation.

Once asleep and positioned in the operating room, the nurse will cleanse the abdomen with antiseptic solution.  A vascular surgeon will perform an approach to the spine, with careful regard for the arteries and veins.  This is often performed with an incision, but on occasion may be performed with a laparoscope.

The spinal surgeon will then identify and verify the appropriate disc level with intraoperative Xrays. The disc is then removed.  The space that is left from the removed disc is replaced with a titanium fusion cage filled with bone from the pelvis.  On occasion, cadaver bone is used to fill the defect.  The deep tissues are sutured back into anatomic alignment. The skin is closed with a plastic surgical closure.

After your surgery, you will need to stay in the hospital for two to three days.  You should be able to walk several hours after the procedure.

 
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Last modified: April 09, 2003
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