When lumbar fusion surgery is recommended, two procedures are often discussed: transforaminal lumbar interbody fusion (TLIF) and posterior lumbar interbody fusion (PLIF). Both stabilize the spine and relieve nerve compression, but they differ in how the surgeon accesses the disc space. Dr. Todd J. Albert, a board-certified spine surgeon in New York City, believes TLIF is the preferable method for most patients because it allows for stability and decompression with less nerve retraction and muscle disruption.
How TLIF Works
In a TLIF procedure, the surgeon accesses the disc space through one side of the spine. The facet joint on that side is removed to create a pathway, allowing the damaged disc to be removed and replaced with a bone graft or spacer. This approach avoids significant retraction of the spinal cord, dura, and nerve roots. Because TLIF requires less muscle dissection and manipulation of delicate structures, it lowers the risk of nerve injury and scarring while supporting a smoother recovery.
How PLIF Differs
PLIF also places a bone graft or implant between the vertebrae, but it approaches the disc space directly from the back of the spine. This requires retracting both sides of the spinal cord and nerves to reach the disc. While PLIF was the standard technique before TLIF became more common, it generally involves more soft tissue disruption and carries a higher chance of nerve-related complications.
Why Dr. Albert Prefers TLIF
Dr. Albert emphasizes TLIF because it combines stability with a safer approach to the nerves and spinal cord. The advantages of TLIF include:
- Less retraction of neural structures, lowering the risk of injury
- Reduced muscle disruption, supporting faster recovery
- Lower risk of scarring around nerve roots
- Effective stabilization and pain relief for conditions like spondylolisthesis or degenerative disc disease
Choosing the Right Fusion Technique
While both procedures can be effective, TLIF has become the gold standard in many practices due to its safety profile and outcomes. Dr. Albert, who has published hundreds of peer-reviewed articles in his field, carefully evaluates each case to recommend the surgical option that offers the best balance of relief, stability, and long-term spinal health.
If you’ve been told you need lumbar fusion surgery, contact Dr. Todd J. Albert’s office or call 212-606-1004 to schedule a consultation in New York City and learn more about the benefits of TLIF.
