control paper quality term follow url clomid helps erection https://thembl.org/masters/gre-essay-monarch-books/60/ source url top 5 low residency programs in creative writing source se puede comprar viagra en las farmacias sin receta side effects drinking on lexapro happens you use viagra poetry analysis essay on the road not taken short essay on nature beauty bibliography mla style examples https://heystamford.com/writing/thesis-paper-writing-services/8/ ingredientes de la pastilla cialis 50 accepted accepted admission business essay school series successful ampicillin overnight shipping http://www.safeembrace.org/mdrx/viagra-online-es/68/ cheap viagra tablets psychological topics for research papers new gre essay topics viagra for sale in the philippines go here source expository essays opinions see https://naes.unr.edu/barrios/wp-content/?done=problems-of-students-in-essay-writing homework help inproper fractions con que frecuencia se debe tomar viagra horror genre essay example least expensive pharmacy for viagra Transforaminal Lumbar Interbody Fusion (or “TLIF”) surgery is a procedure used to permanently join lumbar (lower back) vertebrae together for issues like severe curvature or spinal instability, or to close the physical gap left by a discectomy (spinal disc removal). Unlike standard anterior (front) or posterior (rear) approaches to performing a spinal fusion, a transforaminal lumbar interbody fusion is considered a more intense, open-back procedure, and is usually only recommended by doctors as a last resort if other treatments have failed.

In addition to using bone grafts to fuse vertebrae like other lumbar spinal fusion procedures, TLIF surgery utilizes metal rods, screws and spacers to ensure appropriate spacing and rigidity. By placing bone grafts both along the outside of the spine as well as in the actual disc space, TLIF surgery is expected to form a more solid bone structure as the grafts take hold and the fusion area heals. A spacer is inserted in place of the disc to maintain the original height of the spine overall, and this particular approach helps the surgeon to insert it in a way that should theoretically be less damaging to the nerves in the area.

As with any surgery, it is important to discuss possible risks with the procedure and its recovery period. This may be even truer with more extensive procedures such as this one. By keeping an open discussion with your doctor regarding your general health, needs and preferences, you can remain in control of your treatment and find the solution that works best.

If you are suffering from lower back pain and/or disability due to severe degeneration of lumbar discs and all other treatments have failed, contact our office to set up an appointment with Dr. Neece to determine whether a discectomy with transforaminal lumbar interbody fusion would be a good option for you.