Anterior Lumbar Interbody Fusion (ALIF)

Anterior lumbar interbody fusion (ALIF) is a surgical procedure that involves removing a damaged or degenerated intervertebral disc from the front of the lower back (lumbar spine) and replacing it with a bone graft or an implant to promote fusion between two adjacent vertebrae. The procedure is typically recommended for patients with conditions such as degenerative disc disease, spondylolisthesis, or spinal instability, causing lower back pain or nerve compression. By creating a solid fusion between two adjacent vertebrae, ALIF can stabilize the spine, relieve pressure on the nerves, and reduce lower back pain, helping patients return to their daily activities. 

During an anterior lumbar interbody fusion (ALIF), the patient is placed under general anesthesia and positioned on their back. The surgeon makes an incision in the lower abdomen and moves aside the abdominal muscles and organs to access the front of the lumbar spine. The damaged disc is then removed, and the space between the adjacent vertebrae is prepared for a bone graft or an implant, which is placed between the vertebrae. This graft or implant is designed to stimulate bone growth and promote the fusion of the two vertebrae over time.

After the implant is placed, the incision is closed with sutures, and the patient is moved to a recovery area. Most patients stay in the hospital for a few days following the procedure to monitor their recovery. They will also receive instructions on how to care for the incision site and how to gradually increase their activity levels as they heal. Physical therapy may be recommended to help the patient regain strength and flexibility in the lower back. It may take several months to a year for the fusion to become solid, and the patient should avoid heavy lifting or high-impact activities during this time to allow for proper healing.