Spinal fusion is a significant surgical decision, and TLIF is among the most commonly performed fusion approaches in lumbar spine surgery. Premier Orthopaedic Associates recommends TLIF when spinal instability, spondylolisthesis, or structural degeneration creates pain and neurological symptoms that have not responded to other treatment. The procedure permanently stabilizes the compromised segment, eliminating the painful motion and nerve compression it generates. POA performs TLIF for Southern New Jersey patients across four locations, with surgical facilities selected based on procedure scope and patient circumstances.
How do I know if I need TLIF versus a decompression alone?
TLIF is indicated when spinal instability or structural degeneration at a specific level is the primary pain generator, not simply nerve compression from a disc herniation. If decompression alone can address the nerve compression without destabilizing the segment, it is typically the better first option. Your POA surgeon will review your imaging and explain precisely what the anatomy shows and why a specific approach is or is not recommended.
What is the fusion success rate for TLIF?
Well-performed TLIF with appropriate patient selection achieves fusion rates consistently reported between 90 and 95 percent. Factors affecting fusion success include smoking status, bone density, number of levels fused, and whether the procedure is primary or revision. Your surgeon will discuss your specific risk profile at consultation.
Can TLIF be done minimally invasively?
Yes, in appropriate cases. Minimally invasive TLIF uses percutaneous pedicle screws and a tubular approach to the disc space, reducing muscle disruption and blood loss compared to open technique. It is best suited to single-level cases without significant deformity. Complex multi-level or revision cases typically require open exposure.
