Types of Spinal Fusion Surgery: Understanding Your Options

Spinal fusion surgery is a modern procedure designed to address a wide range of spinal issues, from degenerative conditions to traumatic injuries. Many procedures can provide significant relief and restore quality of life for patients experiencing persistent pain and limited mobility.

There are many factors to take into consideration when you are thinking about any surgical procedure. The most important step is consulting directly with a qualified expert like Dr. Grigory Goldberg, a fellowship-trained spine surgeon in New Jersey so that you can make a fully informed decision.

Dr. Goldberg has years of experience with minimally invasive spine surgery. His practice offers his patients cutting-edge techniques and technology designed to address their particular needs. The following discussion covers the types of spinal fusion surgery and their benefits.

What Is Spinal Fusion Surgery?

Spinal fusion surgery permanently connects two or more vertebrae to eliminate motion and stabilize the spine. This technique is commonly used to treat conditions such as:

  • Degenerative disc disease
  • Herniated discs
  • Spinal fractures and deformities
  • Spondylolisthesis (slippage of one vertebra over another)
  • Spinal tumors

According to the Agency for Healthcare Research and Quality (AHRQ), surgeons perform nearly 500,000 spinal fusions annually in the United States, making it one of the most common spinal procedures.

Broken backs involve several types of spinal fractures that often require surgical intervention. Modern advancements have revolutionized spinal fusion surgery. Techniques like computer-assisted navigation, robotic guidance, and minimally invasive approaches facilitate:

  • Reduced surgical trauma
  • Shorter hospital stays
  • Faster recovery

The Bone and Joint Initiative USA reported that the rate of spinal fusion procedures doubled between 1998 and 2011. The demand for and effectiveness of this class of surgery has only improved in the years since. 

Types of Spinal Fusion Surgery

Each type of spinal fusion surgery addresses specific spinal regions and conditions. Consult with your surgeon to evaluate the most appropriate method based on the location and severity of your issue.

1. Anterior Cervical Discectomy and Fusion (ACDF)

This technique treats problems in the cervical spine (neck), including herniated discs or degenerative disc disease. Surgeons access the spine from the front of the neck, remove the damaged disc, and insert a bone graft or implant to stabilize the area.

This procedure is typically preferred for patients with neck pain or arm nerve compression. It is minimally invasive and involves a shorter recovery time.

2. Posterior Lumbar Interbody Fusion (PLIF)

PLIF addresses lumbar spine (lower back) conditions through an incision in the back. A surgeon removes damaged disc material and inserts a bone graft between the vertebrae, often accompanied by stabilization hardware like rods and screws.

Surgeons use this procedure when treating lower back instability or sciatica. It provides reliable stabilization and pain relief.

3. Transforaminal Lumbar Interbody Fusion (TLIF)

This approach is similar to PLIF but uses a lateral trajectory to access the lumbar spine. TLIF minimizes disruption to spinal structures and, when available, it reduces postoperative pain and recovery time.

TLIF can be effective for patients requiring a minimally invasive solution. It typically involves reduced blood loss and a faster recovery period.

4. Anterior Lumbar Interbody Fusion (ALIF)

This technique provides surgeons with a direct view of a damaged disc by accessing the spine through an incision in the abdomen. The procedure provides an alternative that avoids nerve damage often associated with posterior approaches.

ALIF is often used in treating degenerative disc disease in the lumbar region. It typically provides superior alignment and stabilization.

5. Lateral Lumbar Interbody Fusion (LLIF)

LLIF is also known as direct lateral interbody fusion (DLIF). This minimally invasive surgery accesses the spine from the side, preserving muscles and reducing recovery time.

LLIF is often used for patients with scoliosis or degenerative conditions. It allows for a faster return to normal daily activities, due largely to the minimal muscle damage caused.

Why Consider Spinal Fusion Surgery?

Spinal fusion offers significant benefits for many patients suffering from chronic pain and instability. Ask your surgeon about:

  • Pain relief. Fusion reduces pain by eliminating motion in damaged areas.
  • Restored functionality. Patients often resume daily activities with reduced discomfort.
  • Improved stability. These processes enhance spinal support and alignment.

Also be certain that you understand the risks of any procedure, including infection, hardware complications, and adjacent segment disease, where nearby vertebrae may experience increased stress.

Take Charge of Your Spine Health with Dr. Grigory Goldberg 

As a leading spine surgeon in New Jersey, Dr. Grigory Goldberg dedicates himself to his patient-centered approach. He emphasizes the least invasive techniques to achieve the best outcomes, offering procedures like:

  • Minimally invasive lumbar fusion
  • Motion-preserving surgeries
  • Comprehensive aftercare plans

Spinal fusion surgery is a life-changing procedure that can alleviate pain, improve stability, and restore functionality. With cutting-edge techniques and compassionate care, Dr. Grigory Goldberg helps patients regain their lives. Read Dr. Goldberg’s other posts on relevant topics like understanding spinal fusion and disc replacement surgery.

Our doctors accept most insurance plans, including workers’ compensation, no-fault, and PIP (personal injury protection). Same-day appointments may be available.

Contact our office online to schedule an appointment at our location closest to you.

FAQs About Spinal Fusion Surgery

While you will have multiple questions for Dr. Goldberg during the consultation, here are some common questions patients ask to get you started.

How Do I Know If I’m a Candidate for Spinal Fusion Surgery? 

You could be a candidate for spinal fusion surgery if you experience chronic back or neck pain caused by conditions like spinal instability, severe arthritis, or deformities that have not responded to conservative treatments. 

How Long Does the Fusion Process Take After Surgery?

The bone fusion process after surgery occurs when vertebrae grow together. It typically takes 3 to 6 months, with complete healing and bone solidification taking up to a year. Your surgeon will provide recovery guidelines to ensure optimal outcomes.

How Does Spinal Fusion Surgery Impact Mobility? 

Spinal fusion limits movement in the fused segment but operates to preserve overall mobility. Most patients adapt to the changes and regain sufficient function to perform daily activities with as much natural motion as possible.

About The Author

Picture of Dr. Grigory Goldberg, MD

Dr. Grigory Goldberg, MD

Dr. Grigory Goldberg, MD is a fellowship-trained orthopedic surgeon specializing in spine surgery. He is an expert in all aspects of spine surgery, including degenerative diseases of the cervical and lumbar spine, tumors, fractures, infections, and revision of the back and neck. He has extensive experience in the field of Minimally Invasive Spine Surgery and Motion Preserving Spine Surgery. Dr. Goldberg helped develop and pioneered the most advanced procedures in the field of spine surgery and has invented and hold patents for a number of medical devices.

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