Anterior Lumbar Interbody Fusion

There are numerous reasons a surgeon may recommend spinal fusion. This procedure is used to treat:

• One or more fractured vertebrae
• Spondylolisthesis (slippage of one vertebral bone over another)
• Protruding or degenerated discs
• Abnormal curvatures of the spine (scoliosis or kyphosis)
• Instability of the spine (abnormal or excessive motion between vertebrae)

Patients with low back and leg pain due to an unstable spine, damaged vertebrae, or discs that did not respond to non-surgical treatment measures may be candidates for anterior lumbar interbody fusion. Individuals without an excessive amount of spinal instability or slippage who have little to no spinal stenosis or nerve compression are good candidates for a stand-alone anterior lumbar fusion procedure. However, patients with osteoporosis or arthritis are not recommended for stand-alone anterior lumbar interbody.

Anterior lumbar fusion is a well-tolerated procedure associated with less pain and a faster recovery than spinal fusion surgery performed from the back of the spine. The procedure allows for a much larger cage placement than other spinal fusions, which provides more stability and a higher chance of fusing solidly. It allows for better correction of spinal deformity or imbalance, resulting in better long-term outcomes relating to pain, quality of life, and reducing the chance of developing problems at other spine levels.

How is Anterior Lumbar Interbody Fusion Performed?

The patient is positioned on their back and sedated under general anesthesia. The surgeon then makes an incision in the abdomen and retracts the abdominal muscles, organs, and vascular structures (including blood vessels) for a clear view of the front of the spine and access to the vertebrae. A general surgeon or vascular specialist may perform this section of the procedure.

Once the incision is made, all parts of the damaged or degenerated discs are removed from the affected area. After removing the damaged discs, a bone graft (or bone graft substitute) is placed into the disc space between the vertebral bodies to support the disc space and promote bone healing. The abdominal organs, blood vessels, and muscles are returned to their regular place, and the incision is closed.

Our award-winning team of NJ Spine & Orthopedic surgeons and medical staff offer the latest in research, technology, and treatment for pain management and minimally invasive surgery. We understand that each patient and their condition have their own unique medical needs, which is why we are proud of our patient-centered approach. Our spine surgeons are dedicated to achieving the best possible results for every patient with the least invasive approach possible. We offer expert diagnosis and treatment for back and spine pain caused by numerous spinal conditions.

Our surgeons can help you find the source of your pain and find the best treatment possible. Schedule an appointment with one of our surgeons by filling out our contact form or calling (866) 272-9271.