It may be carried out for a variety of indications and there are now many different techniques.
Please keep in mind that the recovery from surgery is quite subjective and is affected by various factors such as patient age, comorbid illnesses, degree of spinal cord or nerve impingement, the length of illness prior to surgery as well as degree of disability prior to surgery to name a few.
The answers below are based on the average patient that we see. Posterior lumbar decompression and fusion PLDF is a surgical procedure that aims to relieve pain and pressure on the spinal cord and the nerves in the lower back. The lower back is made up of the lumbar spine, where the spine curves inward toward the abdomen.
It consists of the five vertebrae, L1-L5. They end in the sacral region, which connects the lumbar spine with the tailbone. Because they bear the most weight, the lowest two vertebrae in the lumbar spine, L4 and L5, are most prone to degradation and injury and are the most often fused.
Lower Back Pain Causes Lower back pain and pressure is often caused by lumbar spinal stenosis, which is often created by spondylolisthesis, a slippage of a spinal disc, or degenerative changes.
|Outcome of posterior lumbar interbody fusion for L4-L5 degenerative spondylolisthesis||They all involve an initial laminectomy and a variable amount of removal of the facet joints medial facetectomy.|
When this happens, the disc pushes on nearby nerve roots and causes lower back pain and pain that can radiate down into the legs. Fusion may be needed to stabilize the spine, as the motion and degenerative changes can continue to irritate the nerve roots and continue to cause back and leg pain.
Degenerative disk disease in the lumbar spine can also be the cause of lower back pain and pressure. Because spinal discs do not have a blood supply, if a disc is injured due to wear and tear or a traumatic injury, it cannot repair itself.
Degenerative disc disease affects nearly one third of people between 30 and 50 years of age, although the degeneration may not be bad enough to lead to pain and future fusion surgery.
If the outer portion of the disc breaks down, the inner gel-like portion of the disc can leak out and irritate nearby nerves. In some cases, the disc collapses enough to compress a nerve root.
If this leads to chronic, debilitating pain, decompression and fusion surgery may be necessary. These include physical therapy, epidural steroid injections, anti-inflammatory medications, and other treatments.
However, if these treatments are not effective, if your symptoms worsen, or if nerves are being impacted to the degree where there is numbness, tingling, and possible leg weakness, PDLF can be the best option for relieving the pain.
Decompression and Fusion Surgery Benefits Posterior lumbar decompression and fusion is performed to relieve chronic, debilitating pain and pressure on the spinal cord and the nerves in the lower back.
By limiting movement of the vertebrae causing the pain, and by removing disc material and areas of the vertebrae that are impinging on nearby nerves, the pain is usually relieved. For patients who have tried various nonsurgical alternatives and still have chronic pain, this surgery can return quality of life.
The first being the bony portion of the fusion. This consists of a combination of bone from the bone bank and local bone from the area of the spinal decompression. In a majority of cases, Dr. Bone growth is stimulated and then the grafts are put into place.
This fuses the vertebrae and stops the painful movement in the area. The second component of the fusion is the instrumentation.
This is when a patient begins to experience the same symptoms as they had before surgery. While this is common in recovery from spine surgery we understand that this can be very concerning to our patients.
We encourage you to call the office with any concerns you may have after surgery. You should discontinue all exposure to nicotine, as well as nicotine-containing products, two weeks before and at least 6 weeks after your surgery.
However, fusion success rates for this surgery are high, ranging from percent. The odds of an unsuccessful fusion rise with patients who smoke, are obese, have had multiple level fusion surgery, or have been treated with radiation for cancer.
As with any surgery, there are risks of infection and bleeding. These complications are uncommon with this procedure percent of cases.
Albert is without a doubt, the most gifted, competent and skilled spinal surgeon a patient could ask for. He is truly warm, compassionate, responsive to the needs of his patients and very caring. Clearly, I have total confidence and trust in Dr.
Albert, and he is a credit to the Hospital for Special Surgery.
Click here to view more patient testimonials. Alberts is around 3 weeks after surgery. However, if you have any questions or concerns prior to your first post-op visit, please call the office. Outpatient Physical Therapy will be necessary. You may use any facility or therapist whom you feel comfortable working with.
· Posterior lumbar interbody fusion (PLIF) is useful in the correction of degenerative lumbar deformity such as spondylolisthesis or alphabetnyc.com://alphabetnyc.com Jun 03, · The purpose of this study was to compare efficacy of the posterior lumbar interbody fusion (PLIF) with the posterior lumbar fusion (PLF) in adult spondylolisthesis in the Han nationality in China and to compare the fusion rate of both procedures.
Posterior Cervical Foraminotomy; Spinal Fusion; Nonsurgical Treatments ; Lumbar Spondylolisthesis produces distinct symptoms differing from other spinal conditions.
The most common complaint is pain when standing and bending over a countertop or sink. Fusion is necessary to stabilize the unstable spondylolisthesis. The fusion is alphabetnyc.com /LumbarSpondylolisthesis.
Lumbar Spinal Fusion Surgery For Spondylolisthesis For Back Pain Relief Lumbar fusion surgery is a procedure performed to immobilize two adjacent vertebrae or a number of vertebrae in the lower back part of the alphabetnyc.com://alphabetnyc.com Posterior Lumbar Interbody Fusion (PLIF) involves the surgical stabilization and bone grafting of one or more lumbar intervertebral disc spaces using a posterior (from behind) approach.
It may be carried out for a variety of indications and there are now many different techniques. To compare 2 methods of fusion in the treatment of lumbar spondylolisthesis: posterior lumbar interbody fusion (PLIF) and intertransverse fusion (ITF).
Methods. 20 patients with lumbar spondylolisthesis were randomly allocated to one of 2 groups: decompression, posterior instrumentation, and PLIF (n=10) or decompression, posterior.