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What is Posterior Lumbar Fusion?

Posterior Lumbar Fusion (PLF) is a spinal surgery aimed at stabilizing the lumbar spine (lower back) by fusing two or more vertebrae together. PLF is commonly recommended for patients suffering from spinal instability, degenerative disc disease, or conditions causing nerve compression, resulting in back and leg pain. During the procedure, the surgeon accesses the spine from the back (posterior) and removes the damaged or degenerated disc. A bone graft, along with special hardware such as screws, plates, or rods, is used to fuse the vertebrae together, providing stability and long-term pain relief. Over time, the bones grow together to form a solid structure in the spine.

Indications for Posterior Lumbar Fusion

PLF is typically recommended for patients dealing with conditions like:

  • Degenerative Disc Disease: Age-related wear and tear on the spinal discs, causing pain and instability.
  • Spinal Stenosis: Narrowing of the spinal canal, which compresses nerves, leading to pain, numbness, and weakness.
  • Herniated Discs: A disc bulges or ruptures, pressing on nearby nerves.
  • Spondylolisthesis: When one vertebra slips out of position, causing pain and instability.
  • Fractures or Traumatic Injuries: To stabilize the spine following accidents or trauma.

PLF may not be suitable for patients with severe spinal deformities or specific health conditions that prevent surgery.

The PLF Surgical Procedure

When conservative treatments fail to provide relief, your doctor may recommend Posterior Lumbar Fusion in NJ. The procedure typically lasts 2-4 hours and is performed under general anesthesia.

Incisions and Access

The surgeon makes an incision in the back to access the spine. X-rays or fluoroscopy are used to precisely locate the damaged disc or vertebrae.

Disc Removal and Bone Graft Placement

The damaged disc is removed, and a bone graft (either from your own body or a donor) is placed in the empty space. The graft is sometimes enhanced with synthetic materials to promote the fusion process.

Stabilization

To ensure additional support, screws, rods, or plates are inserted to hold the vertebrae in place while the fusion process takes place.

Closure

After the spine is properly aligned and secured, the incision is closed with sutures.

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Post-Operative Care and Recovery

Recovery time after Posterior Lumbar Fusion can vary depending on the extent of the surgery and the patient’s overall health. Many patients stay in the hospital for 1-2 days, with some being able to return home the same day. During the recovery process:

  • Pain Management: Post-operative pain is common but can generally be managed with medication.
  • Mobility: Most patients are encouraged to get up and walk the day after surgery to promote healing and prevent complications.
  • Physical Therapy: Physical therapy may be recommended to strengthen the muscles around the spine and improve flexibility.
  • Return to Activities: While many patients experience significant relief within a few months, full recovery can take up to 6 months or more.

Benefits of Posterior Lumbar Fusion

The benefits of PLF include:

  • Spinal Stability: PLF restores stability to the spine by fusing vertebrae, preventing abnormal movement that can cause pain and discomfort.
  • Pain Relief: By removing the damaged disc and decompressing nerves, PLF reduces pain and symptoms such as numbness or weakness in the legs.
  • Improved Function: Stabilizing the spine helps improve mobility, quality of life, and overall function.
  • Long-Term Relief: The fusion process offers long-lasting relief for patients suffering from chronic back pain or spinal instability.

Risks and Complications

As with any surgical procedure, PLF does carry some risks, including:

  • Infection
  • Blood clots
  • Nerve damage
  • Nonunion (failure of the bones to fuse)
  • Injury to surrounding tissues
  • Failure of the hardware used to stabilize the spine

While the risks are relatively low, it’s essential to work closely with your spine surgeon to understand the procedure and what to expect during the recovery process.

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Why Choose Gerling Spine Care NJ?

At Gerling Spine Care NJ, we are committed to delivering exceptional care for spinal conditions, including Posterior Lumbar Fusion. Led by Dr. Michael Gerling, our team has extensive experience in performing spine surgeries using both traditional and minimally invasive techniques. We take a patient-centered approach to care, ensuring each individual receives a personalized treatment plan tailored to their specific condition and goals.

By utilizing the latest technology and evidence-based practices, we provide our patients with the best possible outcomes. If you’re suffering from back pain, spinal instability, or other lumbar conditions, contact Gerling Spine Care today to learn more about how Posterior Lumbar Fusion in New Jersey can help you regain stability, reduce pain, and improve your quality of life. We are here to guide you through every step of your journey— from diagnosis to recovery— and help you return to the active, pain-free life you deserve.

Our Locations

Gerling Spinecare & Research Institute consists of NY Orthopedics & Gerling Institute NJ. Two practices, one standard of excellence.

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Relief starts with quality orthopedic care. Contact us today to take the next step toward a more active, pain-free life.

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