Fusions

Cervical Spine Fusion

Anterior cervical fusion (ACF) is a spinal fusion surgery in the neck, or cervical, spine. The surgeon makes an incision in the front of the neck. The contents of the neck are gently retracted, enabling the front part of the spine to be seen. Fluoroscopy is used to determine the correct level(s) before the disc material is removed, nerve pressure is released, and proper level is fused.

Posterior cervical fusion surgery (PCF) is a spinal fusion surgery in the back of the neck.  The neck muscles are retracted after an incision is placed, providing access to the spine. Often, PCF is performed combined with a decompression surgery. Bone graft is placed, and often screws or surgical wire is used at the fusion level to provide stability.

Cervical Fusion Treats600px-cervical_vertebrae_lateral2

  • painful disc degeneration
  • herniated disc
  • radicular syndrome
  • spondylosis
  • stenosis
  • myelopathy

Lumbar Spine Fusion

Posterior Lumbar Fusion (PLF) surgery is a surgical procedure in which the lower back is  fused from behind. This procedure is called a “posterior” lumbar fusion because the surgery is performed from the back (or “posterior” aspect) of the body as opposed to surgeries performed from the front or side of the body.  The surgeon makes an incision in the lower back, through the muscles. It is common to perform decompression surgery combined with the PLF. Often, pedicle screws are placed into the vertebral bodies and connected with rods. This helps to stabilize the spine.

Anterior Lumbar Interbody Fusion (ALIF) is a surgical procedure in which part of the lumbar spine is fused from the front. The surgeon makes an incision in the abdomen and gently retracts the abdominal contents to visualize the front part of the spine. Disc material is removed and a fusion graft is placed into the disc space. The graft is usually bone or a cage combined with bone.

Lateral Lumbar Interbody Fusion (LLIF) is a surgical procedure in which the front part of the lumbar spine is fused from the side. The surgeon makes an incision in the side between the lower ribs and the pelvis. Instruments pass through muscles and to the disc. Disc material is removed and a fusion graft is placed into the disc space. The graft is usually bone or a cage combined with bone.

600px-blausen_0484_herniatedlumbardiscLumbar Fusion Treats:

  • Severe Stenoisis (Nerve compressed)
  • Spinal Instability
  • Severe Disc Degeneration
  • Slipped Disc (Spondylolithesis)
  • Prior Back Surgery
  • Scoliosis