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Oasis now offers Virtual Consultations for your initial evaluation.
Oasis now offers Virtual Consultations for your initial evaluation.
360 Fusion (ALIF & PLIF) is a minimally invasive spinal procedure that restores stability and eliminates pain by fusing both the anterior and posterior elements of the lumbar spine in a single surgical course.
Deciding whether you need a 360 spinal fusion surgery represents one of the most significant choices you may face regarding your spinal health. This comprehensive procedure combines both anterior and posterior approaches to achieve maximum stability and fusion success, but it’s not appropriate for every patient or condition. Understanding when 360 spine surgery is necessary, what it involves, and how it compares to other treatment options can help you make an informed decision about your care.
At Oasis Orthopedic & Spine, our spine specialists have extensive experience performing complex fusion procedures, including 360 fusions when medically necessary. With locations throughout New Jersey, including Glen Rock, Union, and Clifton, we provide comprehensive evaluation and treatment for the most challenging spinal conditions. Our team takes a conservative approach to surgical recommendations, ensuring that 360 degree spinal fusion is only considered when it offers the best chance for successful outcomes and long-term spinal stability.
A 360 spinal fusion is a procedure that achieves full circumferential stabilization of the lumbar spine by combining an Anterior Lumbar Interbody Fusion (ALIF) and a Posterior Lumbar Interbody Fusion (PLIF) in a single operative course. Most commonly used in the low back, or lumbar, area of the spine, the 360 Fusion procedure provides stability by fusing together the affected or damaged vertebrae of the spine. This minimizes movements and instability that cause pain. A spinal fusion involves the removal of the abnormal disc(s) in the back that press on a nerve. Then that disc is replaced with a cage and bone graft to permanently join the surrounding two vertebrae in the spine to form one solid bone.
At Oasis Orthopedic & Spine, spinal fusions are minimally invasive procedures that offer smaller incisions, less muscle dissection, and use of a microscope so patients can get up and get around quicker than a typical traditional open surgery. A 360 lumbar fusion approaches the spine from both the front for an Anterior Lumbar Interbody Fusion (ALIF) and the back for a Posterior Lumbar Interbody Fusion (PLIF).
This surgical technique is known for producing high success rates for patients. In most cases, the first portion of the 360 Fusion is the Anterior Lumbar Interbody Fusion with the patient lying on their back. After the ALIF is completed, the patient is turned over to lay on their stomach and the PLIF is performed. Approaching both sides of the spine often allows for a more aggressive pain reduction. Recovery for a 360 Fusion typically faster than traditional open back surgeries. Your surgeon will likely prescribe physical therapy before and after the procedure.
If you are suffering from low back pain and spinal instability, and non-surgical treatments have not provided any significant results or pain relief, a 360 Fusion (ALIF & PLF) may be the right option for you.
It is important to consult with your Oasis Orthopedic & Spine expert to ensure the right diagnostic procedures take place. Some of these procedures may include an X-ray, MRI, CT scan, and/or a discogram. These imaging resources can help determine the extent of damage or deterioration in your spine which helps assess how a 360 Fusion (ALIF & PLIF) could improve your situation and help you find pain relief. Common spine conditions that can be treated by a 360 Fusion (ALIF and PLIF surgery at the same time) procedure include:
A 360 Fusion is helpful to patients experiencing chronic low back pain with significant structural damage in the lumbar area of the spine. At Oasis Orthopedic & Spine, we prefer to exhaust all non-surgical options before turning to a surgical procedure. If you think a 360 Fusion is right for you, find out if you are a candidate below.
Determining whether you need a 360 fusion procedure requires specialized knowledge and a comprehensive evaluation of your unique spinal condition. At Oasis Orthopedic & Spine, our experienced spine surgeons have performed numerous complex fusion procedures and understand when this extensive approach is truly necessary for optimal outcomes. We take a conservative approach to surgical recommendations, ensuring that 360 fusion is only considered when it offers the best chance for successful long-term results.
Our comprehensive evaluation process includes advanced imaging studies, thorough physical examination, and careful review of your medical history to determine the most appropriate treatment approach for your specific condition. We believe in providing you with complete information about all your options, including less invasive alternatives when appropriate, so you can make an informed decision about your spine care. With multiple convenient locations throughout New Jersey and a commitment to excellence in complex spine surgery, we’re here to help you achieve the stability and pain relief you need to return to an active lifestyle. Contact us today at (844) 366-8800 or request an appointment to learn more about 360 fusion surgery and whether it’s the right treatment option for your spinal condition.
At Oasis Orthopedic & Spine, 360 fusion procedures are performed using minimally invasive techniques that offer smaller incisions, less muscle dissection, and microscopic visualization for enhanced precision. The procedure typically involves two phases: first, an Anterior Lumbar Interbody Fusion (ALIF) is performed with the patient lying on their back, followed by a Posterior Lumbar Interbody Fusion (PLIF) with the patient turned over. This comprehensive approach allows for aggressive pain reduction and provides stability from multiple angles while maintaining our commitment to minimally invasive surgical principles.
360 Fusion at Oasis Orthopedic & Spine combines an ALIF phase and a PLIF phase in a single operative session using minimally invasive techniques. The ALIF approach accesses the spine from the front to place an interbody cage, and the PLIF phase stabilizes the segment from the back with pedicle screws and rods. This circumferential approach has a published fusion success rate of 90 to 95% for appropriate candidates.
As with any surgical procedure, 360 fusion carries certain risks including infection, bleeding, nerve injury, non-union of the fusion, adjacent segment disease, and complications related to anesthesia. The more extensive nature of 360 fusion may increase some risks compared to single-approach procedures. However, at Oasis Orthopedic & Spine, our minimally invasive techniques and experienced surgical team minimize these risks. We thoroughly discuss all potential risks and benefits during your consultation to ensure you make an informed decision about your care.
Activity progression after 360 fusion follows a structured timeline designed to protect the fusion while promoting healing. Initial weeks involve gentle walking and basic daily activities with lifting restrictions (typically 10 pounds or less). At 6-8 weeks, activities gradually expand to include driving, light work duties, and increased walking. By 3-6 months, most activities are permitted as fusion progresses. Full unrestricted activities, including impact sports, may be allowed after 6-12 months once solid fusion is confirmed through imaging studies.
Preparation for 360 fusion surgery includes several important steps: medical optimization including management of diabetes, blood pressure, and other health conditions; smoking cessation if applicable (smoking significantly impairs fusion healing); nutritional optimization to support healing; pre-surgical physical therapy to improve strength; arrangement for post-surgical support at home; and completion of any required pre-operative testing. We provide detailed pre-operative instructions and work with you to ensure optimal preparation for successful surgery and recovery.
The team at Oasis Orthopedic & Spine consists of experienced physicians and specialists providing comprehensive orthopedic and spine care across nine convenient locations throughout Northern New Jersey. Specializing in minimally invasive spine surgery, advanced orthopedic treatments, and pain management, our goal is to bring you the real-world clinical expertise and proven treatment approaches we use in our practice daily.
