Personalized Spine Surgery to Treat Lower Back Pain

Posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF) are two types of spinal fusion surgeries that can be done using intraoperative navigation and robotics. These procedures treat lower back pain, instability or weakness caused by conditions like degenerative disc disease, herniated discs, lumbar stenosis, lumbar radiculopathy and spondylolisthesis.  

To perform the PLIF procedure, surgeons first clear away the damaged area of your spine. They then put two interbody fusion devices — also called interbody fusion cages — in the space to realign the spine and create space for bone material (bone graft). Next, surgeons add the bone graft and gently move the spinal nerves. As the bone heals, the graft will join the vertebra above and below it to form a single bone.  

Compared to the PLIF procedure, the TLIF procedure is performed minimally invasive. In this procedure, surgeons use just one interbody fusion device between vertebrae. Your surgeon will let you know which procedure is best for you.  

Most people who have PLIF or TLIF spend two to four days in the hospital after surgery. While you’re in the hospital, a physical therapist and occupational therapist will show you how to get in and out of bed on your own safely and make sure you know how to protect your back during recovery. If a back brace is recommended, one will be provided for you prior to leaving the hospital.