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Minimally Invasive Spinal Fusion Surgery at India Best Spine Surgery Hospital in India
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In Posterior lumbar interbody fusion, the spinal fusion is achieved through a surgical incision made on the posterior (back) aspect of spine. It aims at fusion of two adjacent vertebrae in cases of spinal instability and associated back pain. It is a popular procedure as it gives excellent results. Major medical journals document that the procedure provides almost complete relief of symptoms in 90-95% of the cases and the patients are able to return to their daily activities within a few weeks. The patients can also return to most of their recreational activities.
Posterior Lumbar Interbody Fusion (PLIF)
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If abnormal and excessive motion at a vertebral segment results in severe pain and inability to function, a fusion is considered in following conditions:
Degenerative disc diseaseIsthmic, degenerative or postlaminectomy spondylolisthesis.Unstable spine (caused by infections or tumors)FracturesScoliosisDeformity.
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This procedure is generally recommended for patients, who suffer from chronic pain and instability of spine due to conditions such as spondylolisthesis, disc herniation, degenerative disc disease etc that have not responded to conservative measures ( rest, physical therapy, medications) or after procedures such as bilateral laminectomy or discectomy. This procedure resolves the problem of spinal instability by infusing a bone graft within the disc space between the two vertebrae which allows new bone to grow, bridging the affected vertebrae. The procedure ultimately aims at achieving spinal stability through bony fusion. A fusion creates rigid and immovable column of bone in the problem section of the spine thus preventing any painful movement. The procedure also restores the normal intervertebral distance, thus relieving pain, numbness, and tingling caused due to nerve compression.
Why is it done ?
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Types of spinal fusion
There are two main types of Spinal fusion procedures.Posterolateral fusion: In this procedure the bone graft is place between the transverse processes in the back of the spine. These vertebrae are then fixed with screws and/or wire for proper fixation.Interbody fusion: In this method the bone graft is placed between the vertebras in the area usually occupied by the intervertebral disc.
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Minimal tissue damageMinimal blood lossSmall incisions and scarsMinimal post-operative discomfortRelatively quick recovery time and return to normal function.Because of the above factors, it is one of a number of options for spinal fusion that are relatively minimally invasive. The XLIF is a type of interbody fusion, which is a category of fusion in which the disc in the front of the spine is removed and replaced with an implant containing a bone graft to set up the condition for the two vertebrae to fuse together through the disc space.
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