TLIF Surgery: Transforaminal Lumbar Interbody Fusion in New Jersey

Stabilize the spine and relieve pressure from the nerves and spinal cord.

When conservative treatments fail to provide relief for certain spinal conditions, advanced surgical intervention may be necessary to restore function and eliminate pain. Transforaminal Lumbar Interbody Fusion (TLIF) is a highly effective spine surgery that addresses instability, degeneration, and other complex problems in the lower back by fusing affected vertebrae together.

At Oasis Medical Group, our experienced spine surgeons perform TLIF procedures using advanced minimally invasive techniques that reduce recovery time and improve outcomes. This procedure represents one of the most reliable methods for treating severe lumbar spine conditions that haven’t responded to non-surgical treatments, helping patients return to active, pain-free lives.

What is TLIF Surgery?

TLIF is a type of spinal fusion surgery that approaches the spine from the back and side, allowing your surgeon to access both the front and back portions of your spine through a single incision. This technique provides excellent visualization of the surgical area while minimizing disruption to surrounding muscles and tissues.

During the procedure, your surgeon removes the damaged disc material and any bone spurs that may be compressing nerves. A bone graft or cage filled with bone material is then placed in the empty disc space to maintain proper height and alignment. Metal screws and rods are used to hold the vertebrae in the correct position while the bone graft grows and creates a solid fusion.

How TLIF Differs from Other Fusion Techniques

The transforminal approach offers several advantages over other fusion methods. Unlike posterior fusion, which only addresses the back of the spine, TLIF provides 360-degree fusion by accessing both the front and back elements of the spine. This comprehensive approach creates a more stable fusion and better long-term outcomes.

Compared to anterior approaches that require surgery from the front of the body, TLIF avoids the need to move major blood vessels and organs, reducing surgical risks and complications. The single posterior approach also means you’ll have only one incision site to heal, which simplifies your recovery process.

Conditions Treated with TLIF

TLIF surgery is recommended for various spinal conditions that cause instability, nerve compression, or significant pain in the lower back. Your spine surgeon will carefully evaluate your specific condition to determine if TLIF is the most appropriate treatment option.

Degenerative Disc Disease

When the discs between your vertebrae break down over time, they can lose height and become painful. Severe degenerative disc disease can cause chronic pain, instability, and reduced function. TLIF removes the damaged disc and replaces it with a fusion construct that eliminates motion at the affected level, providing pain relief and stability.

Spondylolisthesis

This condition occurs when one vertebra slides forward over the vertebra below it, often causing nerve compression and instability. TLIF is particularly effective for treating spondylolisthesis because it can correct the alignment while providing strong stabilization to prevent further slippage.

Spinal Stenosis with Instability

When spinal stenosis (narrowing of the spinal canal) is accompanied by instability or significant disc degeneration, TLIF can address both problems simultaneously. The procedure decompresses the nerves while stabilizing the spine, providing comprehensive treatment for complex conditions.

Recurrent Disc Herniation

Patients who experience multiple disc herniations at the same level may benefit from TLIF surgery. By removing the entire disc and fusing the vertebrae, this procedure eliminates the possibility of future herniations at that level while addressing any associated instability.

Understanding The TLIF Surgical Procedure

TLIF surgery is performed under general anesthesia and typically takes two to four hours, depending on the complexity of your case and the number of levels being fused. Our spine surgeons use advanced imaging and navigation systems to ensure precise placement of implants and optimal outcomes.

Minimally Invasive Approach

Many TLIF procedures can be performed using minimally invasive techniques that involve smaller incisions and less tissue disruption. This approach often results in reduced blood loss, less post-operative pain, and faster recovery times compared to traditional open surgery. During minimally invasive TLIF, your surgeon uses specialized instruments and imaging guidance to perform the procedure through small incisions. This technique preserves more of the normal anatomy while still achieving the same surgical goals as open procedures.

Surgical Steps

The procedure begins with careful positioning and preparation of the surgical site. Your surgeon creates an incision over the affected area and gently moves muscles aside to access the spine. The damaged disc material is removed, and the nerve roots are carefully decompressed.

A bone graft or interbody cage is then placed in the disc space to maintain proper height and promote fusion. Pedicle screws are inserted into the vertebrae above and below the fusion site, and rods are used to connect the screws and provide stability. The incision is then closed in layers, completing the procedure.

Expected Outcomes and Success Rates for TLIF

TLIF surgery has excellent success rates for treating appropriate conditions, with most patients experiencing significant improvement in pain and function. Studies show that 85-90% of patients achieve good to excellent results following TLIF procedures when performed for appropriate indications.

Pain Relief and Function Improvement

Most patients experience a substantial reduction in back and leg pain following successful TLIF surgery. The elimination of motion at the fused level often provides immediate relief from discogenic pain, while nerve decompression addresses radiating leg pain and numbness. Functional improvements typically include increased walking tolerance, improved ability to perform daily activities, and reduced need for pain medications. Many patients can return to recreational activities and sports, though high-impact activities may need to be modified.

Fusion Success

The bone fusion process typically takes six to twelve months to complete, though most patients experience significant symptom improvement well before the fusion is fully solid. Your surgeon will monitor the fusion progress through regular follow-up appointments and imaging studies.

Choosing the Right Surgeon For TLIF

The success of your TLIF procedure depends heavily on the experience and skill of your surgical team. At Oasis Medical Group, our spine surgeons have extensive experience performing TLIF procedures and stay current with the latest surgical techniques and technologies.

Advanced Technology and Techniques

We use state-of-the-art surgical equipment, including navigation systems and specialized instruments that enhance precision and safety. Our commitment to using the most advanced techniques available helps ensure optimal outcomes for our patients.

Comprehensive Care Team

Your care team includes not just your surgeon, but also specialized nurses, physical therapists, and other healthcare professionals who work together to support your recovery. This multidisciplinary approach ensures all aspects of your care are coordinated and optimized.

Expert TLIF Surgery at Oasis Medical Group

When chronic back pain and spinal instability are limiting your daily activities, TLIF surgery may provide the lasting relief you need. Our board-certified spine surgeons have performed hundreds of successful TLIF procedures, combining advanced minimally invasive techniques with personalized care to help patients achieve optimal outcomes.

We understand that considering spine surgery is a significant decision, which is why we take the time to thoroughly explain the procedure, answer your questions, and ensure you feel confident about your treatment plan. Our comprehensive approach includes pre-operative preparation, state-of-the-art surgical techniques, and dedicated post-operative support to guide you through every step of your recovery journey. Don’t let spinal pain control your life any longer. Contact Oasis Medical Group today at (844) 366-8800 or request an appointment online to schedule your consultation with our experienced spine surgery team and discover how TLIF might help restore your mobility and quality of life.

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