Lower back · Fusion
Anterior Lumbar Interbody Fusion (ALIF)
A lumbar fusion performed from the front of the body, reaching the disc without cutting through the muscles of the back.
Overview
What is Anterior Lumbar Interbody Fusion?
In an ALIF, the lower spine is reached through an incision in the lower abdomen. The damaged disc is removed and replaced with a spacer filled with bone graft.
The front approach allows a larger spacer, which can help restore disc height and the natural curve of the lower back.
Conditions it may treat
Medicare, PPO, private insurance, workers’ comp & cash accepted →
How it works
The procedure, step by step
Step 1
Access
Abdominal organs and vessels are gently moved aside to reach the front of the spine.
Step 2
Disc removal
The damaged disc is removed.
Step 3
Spacer & graft
A spacer with bone graft restores disc height and alignment.
Step 4
Fusion
The vertebrae heal together; screws may be added for support.
Minimally Invasive Spine Surgery
Less disruption.
A quicker return to life.
ALIF avoids the muscles of the back entirely, one of the reasons it is considered a muscle-sparing approach.
Conservative first
A Conservative Approach to Spine Care
Dr. Record believes that surgery is not necessarily the first step for every patient. Whenever appropriate, she works with patients to explore non-operative and conservative treatment options first.
When conservative treatment does not provide sufficient relief — or when a patient would like to understand whether surgery may be appropriate — Dr. Record provides a comprehensive discussion of available surgical options.
Her goal is to identify the treatment approach that can help alleviate pain, restore function, and help patients return to the activities that matter to them.
FAQ
Questions about Anterior Lumbar Interbody Fusion
Don’t see your question? Call (213) 876-8670.
Which levels can ALIF treat?
ALIF is most commonly used at the lowest levels of the lumbar spine.
Will I also need screws in my back?
Sometimes. Depending on stability and bone quality, supplemental screws may be recommended.
Will I have imaging done at the office?
No. There are no X-rays in-house. When needed, Dr. Record orders X-rays, MRI, CT scans, nerve testing or lab work through outside facilities and reviews the results with you.
Will my insurance cover this procedure?
Dr. Record accepts Medicare, workers’ compensation, PPO plans and a variety of private insurance plans, plus cash payments. Many procedures need pre-authorization — our team will help check your coverage before surgery.
A fusion that spares your back muscles
Find out whether ALIF is a good fit for your lower back.