Posterior Lumbar Interbody Fusion (PLIF)

Advanced Treatment with Posterior Lumbar Interbody Fusion (PLIF)

At Big Apple Spine & Orthopedics, Dr. Arutyunyan specializes in posterior lumbar interbody fusion (PLIF), a surgical procedure aimed at stabilizing the lumbar spine and relieving chronic pain associated with various degenerative spinal conditions. PLIF involves permanently stopping the movement of adjacent vertebrae, addressing issues such as spondylolisthesis, discogenic mechanical back pain, compressed nerves, degenerative disease, and scoliosis.

Understanding PLIF Surgery

PLIF surgery is a well-established treatment option for patients suffering from severe and chronic back pain caused by unstable discs, spinal deformities, or bone slippage. During the procedure, Dr. Arutyunyan utilizes medical implants like screws, rods, and cages to hold the spine in place while promoting fusion between the vertebrae. In some cases, minimally invasive PLIF techniques can be employed, resulting in smaller incisions and potentially faster recovery times.

Indications for PLIF Surgery

PLIF surgery is recommended for patients with conditions such as spondylolisthesis (grades 1-4), spinal instability, scoliosis, failed previous fusion surgeries, severe discogenic pain, recurrent disc prolapse, facet joint arthropathy, and bilateral foraminal stenosis. By addressing these underlying issues, PLIF surgery aims to alleviate pain, improve stability, and restore function to the lumbar spine.

The Traditional PLIF Technique

During a traditional PLIF procedure, Dr. Arutyunyan makes an incision on the patient’s back over the affected vertebrae. The lamina and facet joints may be trimmed to create more space for the nerve roots. The compressed nerve is then relieved by removing the problematic disc or bone spur. A cage filled with bone graft material is inserted between the vertebrae to promote fusion, and screws and rods are used to stabilize the spine. Finally, the soft tissues are re-approximated, and the incision is closed.

Comprehensive Care and Shared Decision Making

At Big Apple Spine & Orthopedics, we believe in providing personalized and comprehensive care to every patient. Dr. Arutyunyan works closely with each individual to thoroughly discuss their condition, treatment options, and goals. Shared decision making is a fundamental aspect of our approach, empowering patients to make informed choices about their care and ensuring their needs and preferences are prioritized throughout the treatment process.

Contact Us for Expert Care

If you’re experiencing chronic back pain or have been diagnosed with a spinal condition that may require PLIF surgery, we encourage you to reach out to Dr. Arutyunyan and our team at Big Apple Spine & Orthopedics. Our commitment to excellence and patient-centered care has earned us a reputation as one of the most trusted spine surgery practices in NYC. Contact us today to schedule a consultation and take the first step toward a pain-free life.

Shared Decision Making

At Big Apple Spine & Orthopedics, we are committed to providing total quality care to our patients through our dedication to the practice of shared decision making. This medical concept involves active collaboration between patients and healthcare professionals in making healthcare decisions that align with the patient’s values, preferences, and individual circumstances. We understand that each patient is unique, and their perspective is integral to crafting personalized treatment plans that prioritize their well-being and satisfaction.

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