The endoscopic procedure employs a surgical device with a tiny camera and lens at one end that will be inserted into the site of surgery through smaller incisions. This enables a better view of the inner area when connected to a larger screen. Through the other incisions, surgical instruments can be inserted for resection and implant. Lumbar fusion surgery can be performed using several approaches:
In ALIF procedure, the surgeon approaches the spine from the front of the body to remove disc or bone material from in between two adjacent lumbar vertebrae.
In PLIF procedure, the patient is made to lie on his/her abdomen and surgery is performed from the back where either an implant is used to fuse the vertebral bones or replace the degenerated disc with an implant.
In TLIF method, the surgeon approaches the damaged lumbar spine from the back, or posterior, of the body to place bone graft between two vertebrae.
Extreme lumbar interbody fusion (XLIF) or direct lateral interbody fusion (DLIF) is a surgical procedure in which the patient is made to sleep on his/her side, while surgery is performed from one side of the body. Two incisions will be made, one over the side of the waist and the other towards the back muscles.