Anterior Lumbar Interbody Fusion (ALIF) is an effective surgical procedure for addressing specific spinal issues, especially those related to single-layer problems. In a recent video discussion, Dr. James L. Chappuis, a board-certified spine surgeon and the founder and CEO of Spine Center & Orthopaedics Atlanta, explains the benefits and processes of this approach.
What is ALIF?
An Anterior Lumbar Interbody Fusion (ALIF) is a surgery performed through the abdomen to fuse multiple vertebral bodies together. This typically involves inserting plates and screws into the back for stabilization, followed by the placement of an interbody device, such as an INFIX ®, which uses bone graft materials to promote proper healing.
Benefits of ALIF?
With various fusion techniques available today, ALIF stands out as a promising solution for those seeking relief from chronic back pain. A significant benefit of ALIF is its high success rates, ranging from 90% and higher depending on the spinal level. In addition, ALIF is less invasive than opposing fusions that may interfere with major muscles and nerves. Due to its less invasive nature, the healing period may be quicker.
What is an Interbody Device and How is it Beneficial?
An interbody fusion device is a spinal implant that mimics natural bone materials. There are a variety of brands offering these devices on the market but the one highlighted here is an INFIX ® device. Infusing bone graft materials followed by bone morphogenetic proteins (BMP) stimulates bone cells to create more bone and eventually promotes proper healing of the fusion. To finish the process, a plate and screws are used to secure the interbody device to the fusion site.
Previous Success From ALIF
We have seen great success using the ALIF method for one-level fusions, with rates ranging from 90% and higher. When using infused BMP, the success rates are even higher at almost 100% success.
Potential Problems
Although ALIF has proven to be a good option for fusions, there are a few potential risks associated with any fusion, such as the levels above or below the fusion being at a higher risk for developing problems in the future. Typically, this risk is extremely low for one-level ALIFs.
Final Thoughts
Anterior Lumbar Interbody Fusion offers an effective and less invasive solution for chronic back pain, with impressive success rates often exceeding 90%. As highlighted by Dr. James L. Chappuis, the use of advanced interbody devices and bone graft materials enhances healing, making ALIF a promising option for many. While some risks exist, the overall benefits make ALIF a valuable choice for those facing spinal issues.
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