Posterior Lumbar Fusion at Gerling Spine Care NYC

At Gerling Spine Care NY, we specialize in Posterior Lumbar Fusion (PLF) to treat conditions affecting the lower back, such as degenerative disc disease, spinal instability, and herniated discs. This highly effective surgical procedure stabilizes the spine, alleviates pain, and improves mobility, helping New York patients return to an active, pain-free lifestyle.

What is Posterior Lumbar Fusion?

Posterior Lumbar Fusion (PLF) is a spinal surgery designed to stabilize the lumbar spine (lower back) by fusing two or more vertebrae together. This procedure is often recommended for patients suffering from spinal instability, degenerative disc disease, or conditions that cause nerve compression, resulting in back and leg pain.

In PLF, the surgeon accesses the spine from the back (posterior) and removes the degenerated or damaged disc. A bone graft, along with special hardware (screws, plates, or rods), is then used to fuse the vertebrae together, providing stability and pain relief. Over time, the bones grow together, forming a solid structure in the spine.

Indications for Posterior Lumbar Fusion

PLF is commonly recommended for patients with:

Degenerative Disc Disease: When the spinal discs deteriorate, causing pain and instability.
Spinal Stenosis: Narrowing of the spinal canal, which can compress nerves and cause pain, numbness, and weakness.
Herniated Discs: When a disc bulges or ruptures, pressing on nearby nerves.
Spondylolisthesis: When one vertebra slips out of place, leading to pain and instability.
Fractures or Traumatic Injuries: To stabilize the spine after accidents or trauma.

This procedure may not be recommended for patients with severe spinal deformities or certain health conditions that prevent surgery.

The PLF Surgical Procedure

When conservative treatments fail to relieve your symptoms, your doctor may recommend Posterior Lumbar Fusion in NYC. The procedure generally takes 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 accurately locate the damaged disc or vertebrae.
Disc Removal and Bone Graft Placement: The damaged disc is removed, and a bone graft (from your own body or a donor) is placed in the empty space to promote fusion. This graft may be enhanced with synthetic materials to help the fusion process.
Stabilization: To provide additional support, the surgeon may insert screws, rods, or plates to hold the vertebrae in place while the fusion takes place.
Closure: After the spine is properly aligned and secured, the incision is closed with stitches.

Post-Operative Care and Recovery

Recovery time after Posterior Lumbar Fusion varies depending on the extent of the procedure and the patient's overall health. Most patients stay in the hospital for 1-2 days following surgery, with some returning home on the same day.

During the recovery process:

Pain Management: Post-operative pain is common but can typically be managed with medication.
Mobility: Most patients are encouraged to get up and walk the day after surgery to prevent complications and encourage healing.
Physical Therapy: Physical therapy may be recommended to strengthen the muscles surrounding 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 longer.

Benefits of Posterior Lumbar Fusion

The benefits of Posterior Lumbar Fusion include:

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

Risks and Complications

Like any surgical procedure, PLF carries some risks and potential complications, 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 is essential to work closely with your spine surgeon to fully understand the procedure and what to expect during the recovery process

Why Choose Gerling Spine Care NY?

At Gerling Spine Care NY, we are committed to providing the highest level of care for spinal conditions, including Posterior Lumbar Fusion. Led by Dr. Michael Gerling and Dr. Zorica Buser, our team has extensive experience performing spine surgeries using both traditional and minimally invasive techniques.

We take a patient-centered approach to care, ensuring that each individual receives a personalized treatment plan based on their specific condition and goals. Our use of advanced technology and evidence-based practices allows us to deliver the best possible outcomes for our patients.

If you are suffering from back pain, spinal instability, or other lumbar conditions, contact Gerling Spine Care to learn how Posterior Lumbar Fusion in NYC 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.