Lower back · Fusion
Transforaminal Lumbar Interbody Fusion (TLIF)
A lumbar fusion performed from the back that decompresses nerves and stabilizes the spine in a single approach.
Overview
What is Transforaminal Lumbar Interbody Fusion?
In a TLIF, the disc is reached from the back through the opening where the nerve exits (the foramen). The disc is removed, the nerves are decompressed, and a spacer with bone graft is placed.
Screws and rods stabilize the level while it heals. TLIF is commonly used for spondylolisthesis and degenerative conditions 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
An approach from the back, often through small incisions.
Step 2
Decompression
Pressure on the nerves is relieved.
Step 3
Spacer & graft
The disc is removed and a spacer with bone graft is placed.
Step 4
Stabilization
Screws and rods hold the level while it fuses.
Minimally Invasive Spine Surgery
Less disruption.
A quicker return to life.
TLIF can often be performed with minimally invasive techniques (MIS TLIF) using small incisions designed to limit disruption to the back muscles.
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 Transforaminal Lumbar Interbody Fusion
Don’t see your question? Call (213) 876-8670.
How is TLIF different from ALIF or LLIF?
TLIF is performed from the back and allows direct decompression of nerves in the same approach. ALIF and LLIF reach the disc from the front or side.
Is TLIF minimally invasive?
It can be. Dr. Record will explain whether a minimally invasive TLIF is appropriate for you.
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.
Decompress and stabilize in one procedure
Ask Dr. Record whether TLIF — including minimally invasive TLIF — fits your case.