Posterolateral Lumbar Fusion Surgery: Procedure and Recovery

To help you discuss posterolateral lumbar fusion surgery as a treatment option with your orthopedic surgeon, here’s a breakdown of this surgical procedure.

What is Posterolateral Lumbar Fusion?

Posterolateral lumbar fusion is a surgical procedure where a bone graft is placed between segments in the back, while leaving the disc space intact. This procedure can be performed using minimally invasive surgical techniques.

When is Posterolateral Lumbar Fusion Recommended?

An orthopedic surgeon may recommend posterior lumbar fusion in the following cases:

  • Spinal instability in their lower back due to degenerative disc disease.
  • Spinal stenosis that has not responded to other non-surgical treatment measures, such as rest, physical therapy or medications.

What is the Posterolateral Lumbar Fusion Procedure?

The posterolateral lumbar fusion is a minimally invasive procedure where the orthopedic surgeon performs the following:

  • Make a small incision in the back over the vertebra(e) to be treated.
  • Dilate the surrounding muscles of the spine .
  • Remove the lamina, the roof of the vertebra, to visualize the nerve roots.
  • Trim the facet joints that are directly over the nerve roots to provide the nerve roots more space.
  • Perform a bone graft between the transverse processes in the back of the spine,
  • Stabilize the spine using screws and rods for better healing and fusion.
  • Close the incision.

What Happens After Posterolateral Lumbar Fusion?

Here is what to expect following posterolateral lumbar fusion:

  • The patient will most likely be discharged on the day after the surgery, though some may require a longer stay in the hospital.
  • The patient may instantly feel better, but sometimes improvement takes longer.

What Are the Risks or Complications of Posterolateral Lumbar Fusion?

The risks and complications of posterolateral lumbar fusion include: infection, nerve damage, blood clots, blood loss, bowel and bladder problems, and any problem associated with anesthesia.

If you’re suffering from back pain, minimally invasive posterolateral lumbar fusion could be a solution for you. See how we can help get your life back.