Lumbar fusion is a significant surgical commitment, and the decision to recommend it is one that POA Linwood surgeons make carefully and conservatively. TLIF, the transforaminal lumbar interbody fusion, is performed when spinal instability, spondylolisthesis, or recurrent disc herniation at a specific segment creates pain and neurological symptoms that have not responded to other treatment.
How do I know if I need TLIF versus a less invasive procedure?
TLIF is indicated when spinal instability or severe structural degeneration is the primary driver of symptoms, not simply nerve compression from a disc herniation. If your symptoms can be addressed by decompression alone without addressing underlying instability, a laminectomy or microdiscectomy is typically the better first option. Your surgeon at POA Linwood will review your specific imaging and clinical picture and explain precisely what the anatomy shows and why a particular approach is recommended.
Is TLIF available within the AtlantiCare system?
Yes. Dr. Zerbo holds surgical privileges at AtlantiCare Regional Medical Center, which has the hospital infrastructure to support lumbar fusion procedures including intraoperative imaging, appropriate post-operative monitoring, and rehabilitation resources. Facility selection is confirmed at your surgical planning appointment.
What is the fusion rate for TLIF?
Well-performed TLIF with appropriate patient selection and modern interbody cage and bone graft technique achieves fusion rates consistently reported in the range of 90 to 95 percent. Factors that affect fusion success include smoking status, bone density, the number of levels fused, and whether the procedure is a primary or revision fusion. Your surgeon will discuss your specific risk profile at consultation.
