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Spinal Fusion: Anterior Lumbar

Spinal fusion surgery is performed to connect two or more bones in the spine so that they heal into a single, solid bone. These bones are called vertebrae. Fusing vertebrae in the lower (lumbar) spine may help ease lower back and leg pain.

A lumbar fusion is a surgical procedure to restore the intervertebral disc space and stabilize the spine. Anterior lumbar interbody fusion (ALIF) is done through an incision in your abdomen. The surgery may take from 3 to 8 hours. This depends on how many vertebrae are fused. In some people, an ALIF is combined with a posterior instrumented fusion (PIF). This is done through an incision in the back.

Side view of lower back showing lumbar spine.

The fusion procedure

Here is what to expect:

  • An incision is made on one side of your abdomen.
  • The disk is removed from between the vertebrae that require fusion. This leaves an empty space between the vertebrae.
  • A bone, synthetic, or metal graft is placed into the empty space.
  • The graft may be held in place with screws or a plate with screws. Over time, the graft and the bone around it grow into one solid unit.
  • A tube called a drain may be left in the wound for a few days.
  • The incision is closed with sutures or staples.
Cross section of lumbar vertebrae showing three steps in lumbar fusion.

Online Medical Reviewer: Anne Fetterman RN BSN
Online Medical Reviewer: Heather M Trevino BSN RNC
Online Medical Reviewer: Vinita Wadhawan Researcher
Date Last Reviewed: 3/1/2024
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