Plif or tlif. To view educational resources, visit www.

Plif or tlif. ALIF accesses the spine from the front, allowing faster recovery with less muscle disruption. Therefore, multi-level lumbar interbody fusion using ALIF, PLIF or TLIF is considered investigational. If the description of the CPT code used includes allograft (e. In a PLIF procedure, a surgeon removes the damaged or diseased disc from between two vertebrae in the lower back and replaces it with a bone graft or synthetic material. Dec 19, 2024 · The current study aims to review the literature to produce a comprehensive analysis of the common techniques used, Transforaminal Lumbar Interbody Fusion (TLIF), Posterior Lumbar Interbody Fusion (PLIF), Extreme Lateral Interbody Fusion (XLIF), Oblique/Anterior To Psoas and Anterior Lumbar Interbody Fusion. Lumbar Interbody Fusion (LIF) combines spinal fusion with an interbody device, such as a threaded cage. PLIF is treatment for leg pain and lower back pain that happens when intervertebral disks — the soft round disks that separate your vertebrae — are damaged or wear out. A midline incision and retraction of paraspinal musculature are performed. This procedure is divided according to its approach: anterior lumbar interbody fusion (ALIF), posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF) and lateral lumbar interbody fusion (LLIF). Patient-reported outcome measures were equivocal with PLIF or TLIF. May 12, 2023 · Summary “PLIF” stands for “Posterior Lumbar Interbody Fusion. LLIF, a pivotal technique in the field This study is to compare the therapeutic effect of posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF) with pedicle screw fixation on treatment in adult degenerative spondylolisthesis. Learn why TLIF is preferred over PLIF for safer nerve protection, faster recovery, and long-term spine stability. 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. There is low-quality evidence suggesting that LLIF surgery results in fewer complications or reoperations than PLIF/TLIF surgery. com We aimed to systematically review the literature to analyze the differences in posterior lumbar interbody fusion (PLIF), anterior lumbar interbody fusion (ALIF), and transforaminal lumbar interbody fusion (TLIF), focusing on the complications, risk factors, and fusion rate of each approach. Apr 22, 2011 · Posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF) procedures are coded 22630 for a lumbar initial interspace arthrodesis, posterior interbody technique, which includes a laminectomy and/or discectomy to prepare interspace (other than for decompression). TLIF, two surgeries that can alleviate pain and instability in the lumbar spine. Figure 1 (A) Surgical approaches to the lumbar spine for interbody fusion techniques. PLIF VS. Optimized Use of supplemental fixation is required with the TLIF, T-PLIF, or PLIF implant. Nov 28, 2009 · Think 'Refined' With TLIF Transforaminal lumbar interbody fusion, or TLIF, is a refinement of the PLIF procedure. This involves taking small amounts of bone from the patient’s pelvic bone Jul 27, 2018 · Spinal Fusion Surgery: ALIF, PLIF, and TLIF Fusion surgery is commonly performed to treat disorders such as degenerative disc disease, scoliosis, spondylolisthesis, and fracture. May 22, 2023 · Transforaminal lumbar interbody fusion (TLIF) surgery treats sciatica, spondylosis, stenosis, reurring disc herniations, scoliosis and other spine conditions. Two common types are posterior lumbar interbody fusion and transforaminal lumbar interbody fusion. In the event when posterolateral fusion across transverse processes is intended, dissection is carried further until the transverse processes are accessible. TLIF is an adjunct to posterior spinal fusion. Two main surgeries, TLIF and PLIF, help fix the lower back. Feb 2, 2024 · ALIF and PLIF are spinal fusion surgeries targeting chronic back pain and instability. Posterior and transforaminal lumbar interbody fusion (PLIF and TLIF) have gained significant popularity for management of lumbar degenerative spine over the last 3 decades. For example, the anterior (front) may be stabilized using an interbody device and bone graft. The surgeon then Feb 23, 2024 · Lumbar interbody fusion procedures have seen a significant evolution over the years, with various approaches being developed to address spinal pathologies and instability, including posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF), anterior lumbar interbody fusion (ALIF), and lateral lumbar interbody fusion (LLIF). Apr 18, 2023 · A meta-analysis showed surgical time and blood loss was significantly lower in ALIF than in TLIF/PLIF, but not in those who underwent PLF (p = 0. g. Another type of fusion surgery similar to PLIF is transforaminal lumbar interbody fusion (TLIF), which takes an approach from the side and decreases the risk of nerve injury. Feb 27, 2023 · Various lumbar spine fusion surgey methods can alleviate back pain when other treatments fail. PLIF, accessed from the back, addresses nerve compression. Aug 7, 2008 · This study is to compare the therapeutic effect of posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF) with pedicle screw fixation on treatment in adult degenerative spondylolisthesis. TLIF does not involve retracting the nerves, like other lower lumbar spinal surgeries, such as posterior lumbar interbody fusion (PLIF) which requires that the nerves must be retracted to access the spine. Sep 1, 2024 · Over the past 30 years, a variety of surgical procedures for lumbar interbody fusion (LIF) have been reported, including posterior LIF (PLIF), transforaminal LIF (TLIF), lateral LIF, and anterior LIF These LIF are indicated for various lumbar degenerative disease such as lumbar canal stenosis, spondylolisthesis, foraminal stenosis, disc herniation, and degenerative scoliosis. Anesthesia time and epidural bleeding are also increased in cases of TLIF and PLIF. found that TLIF resulted in fewer complications, reduced blood loss, and shorter operative times compared to PLIF. No – a discectomy may not be separately reported (e. This blog post will let you understand the proper way of reporting this orthopedic spinal surg May 17, 2024 · The authors sought to compare the clinical and radiographic outcomes of rhBMP-2 and the novel allograft in lumbar interbody arthrodesis to determine if the latter may be a safer and equally effective alternative to rhBMP-2 for single- and multilevel posterior or transforaminal lumbar interbody fusion (PLIF or TLIF). Mar 14, 2022 · Objective: To compare fusion rate, clinical outcomes, complications among Transforaminal Lumbar Interbody Fusion (TLIF), and other techniques for lumbar spin Several procedures allow PLIF to be minimally invasive. For instance, a study by Humphreys et al. Furthermore, TLIF is associated with less blood loss, shorter surgical time and possible shorter length of hospital stay (LOS) compared to PLIF, which could result in lower medical costs [10 – 19]. A What is PLIF surgery? Posterior lumbar interbody fusion (PLIF) surgery is a type of spinal fusion. Methods: A non-systematic literature search of the PubMed database was conducted. The five primary interbody fusion approaches are shown here schematically: anterior (ALIF), lateral or extreme lateral interbody fusion (LLIF or XLIF), oblique lumbar interbody fusion/anterior to psoas (OLIF/ATP), transforaminal (TLIF or MI-TLIF), and posterior (PLIF); (B) surgical approaches to the lumbar The minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a popular surgical technique for lumbar arthrodesis, widely considered to hold great efficacy while conferring an impressive safety profile through the minimization of soft A TLIF offers important advantages over the alternative surgical techniques of both a posterior lumbar interbody fusion (PLIF) and posterolateral instrumented fusion. Jan 28, 2025 · Understand the pros and cons of PLIF vs. Jun 1, 2016 · For posterior (PLIF) or transforaminal (TLIF) approach lumbar interbody fusions, CPT code 22630 is used, and the dissection needed to access the disc space in these approaches is considered an incidental component of the fusion procedure. Expandable interbody spacers are a newer technology that can increase in Transforaminal Lumbar Interbody Fusion (TLIF) is a back surgery involving disc removal and fusion for stability and pain relief. Techniques include PLF, ALIF, PLIF, TLIF, ALIF, LLIF and others. In posterior lumbar interbody fusion (PLIF), your surgeon inserts the spacer or cage from the back of the spine. Zavation Spinal System (pedicle screw system) may be used as supplemental fixation. 6% of permanent neurologic lesions in Barnes’ et al. The Globus TLIF portfolio is designed to provide the ability to reproduce workflows from open to less invasive posterior approaches. 39, 40 After bilateral facet resection, this study showed equivalent ROM for TLIF and PLIF in all directions. Continuous Expansion: Up to 7mm of continuous expansion to restore disc height. Home > Patients > Spinal Treatment > PLIF, ALIF, TLIF and XLIF PLIF, ALIF, TLIF and XLIF: Alphabet soup or surgical treatments for the spine? Spinal fusion is a surgical procedure in which two or more vertebrae are joined or fused together. The five primary interbody fusion approaches are shown here schematically: anterior (ALIF), lateral or extreme lateral interbody fusion (LLIF or XLIF), oblique lumbar interbody fusion/anterior to psoas (OLIF/ATP), transforaminal (TLIF or MI-TLIF), and posterior (PLIF); (B) surgical approaches to the lumbar Meet Catalyft PL and PL40, an expandable titanium interbody system offering up to 22 degrees of lumbar lordosis for PLIF and TLIF spinal procedures. These disks put pressure on your spinal nerve and cause leg or lower back pain. A new direct approach known as lumbar lateral interbody fusion (LLIF), or extreme lateral interbody fusion (XLIF ®) or direct Figure 1 (A) Surgical approaches to the lumbar spine for interbody fusion techniques. RISE™ is an all titanium expandable lumbar interbody spacer designed for posterior approaches, such as Transforaminal Lumbar Interbody Fusion (TLIF) or Posterior Lumbar Interbody Fusion (PLIF). 08). Because of the unilateral transforaminal route to the intervertebral space used in TLIF, as opposed to the bilateral route used in PLIF, TLIF could be associated with fewer complications, shorter duration Nov 28, 2009 · Think 'Refined' With TLIF Transforaminal lumbar interbody fusion, or TLIF, is a refinement of the PLIF procedure. Conventional techniques include posterior lumbar interbody fusion (PLIF) or transforaminal lumbar interbody fusion (TLIF). A unilateral medial facetectomy and a hemilaminectomy were performed using the TLIF method. dualX® transforms the fusion enviroment from insertion to spinal restoration by delivering a powerful dual-expanding implant through a surgical corridor designed to reduce anatomical trauma and nerve retraction. VAS and JOAS, back pain, and ODI scores mainly favoured ALIF over … Abstract Study Design Systematic review. Historically, Burns and Capener reported the first interbody fusion in the 1930s [1]. Sep 3, 2013 · Conclusion There is insufficient evidence of the comparative effectiveness of LLIF versus PLIF/TLIF surgery. With optional retractor arms available, three- or four-way retraction can be achieved to meet specific surgical needs. TSI’s innovative A TLIF is similar to a PLIF except it fuses the front and back of the spine. 1 LIF can be Feb 24, 2022 · Can we code a laminectomy for disc herniation, such as 63030 or 63042, with a TLIF/PLIF code (22630, 22633)? Answer: Good question! There was an update in CPT 2022 to this very complicated and lengthy issue. In PLIF and TLIF techniques, the dura and nerve roots were taken to medial in order to access the intervertebral discs after the dura had been exposed. 適応疾患 腰椎変性すべり症／分離すべり症、腰部脊柱管狭窄症、腰椎椎間板ヘルニア、圧迫骨折など 術式 後方椎体固定術（PLIF） 椎間板を摘出し、そのあと固定術を行う方法です 腰～背中の部分に皮膚切開を行います（固定する椎間の数によって切開の長さは異なります）皮下組織や筋肉を Because TLIF and PLIF procedures require mobilization and retraction of the dura, dural tears are also more likely to occur with these procedures. The available evidence suggests that both TLIF and PLIF could achieve similar clinical satisfaction and fusion rate in the management of degenerative lumbar diseases. A retrospective analysis of Stand-alone-ALIF demonstrated a shorter operative time and less blood loss than the PLIF/TLIF approach. Oct 5, 2015 · (A) Surgical approaches to the lumbar spine for interbody fusion techniques. For many spine procedures, there is a separate code for allograft that surgeons can utilize that may allow for payment. "The TLIF technique involves approaching the spine in a similar manner as the PLIF approach, but more from the side of the spinal canal through a midline incision in the patient's back," Larson explains. Steerable, crescent-shaped expandable TLIF interbody device and straight expandable PLIF interbody device Three implant height options covering an expansion range from 6-16mm Large central cavity for autogenous bone graft spanning endplate to endplate to aid in fusion Figure 1 (A) Surgical approaches to the lumbar spine for interbody fusion techniques. Feb 1, 2025 · To evaluate the clinical efficacy of large-channel endoscope-assisted posterior lumbar interbody fusion (Endo-PLIF), minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF), and open posterior lumbar interbody fusion in treatment of degenerative diseases of the lumbar spine. PLIF has been associated with the high incidences of neurological complications, up to 13. A total laminectomy and a medial facetectomy were performed using the PLIF method. Each has a unique approach, with potential risks like nerve damage or infection SpineCare of NY is world-renowned for providing personalized care for posterior lumbar decompression and fusion with instrumentation (pldfi) with plif or tlif in NYC with expert trained physicians and life-changing results. However, TLIF was superior to PLIF with shorter operation time, less blood loss, and lower incidence of nerve root injury and dural t … The five lumbar interbody fusion techniques are shown: PLIF, TLIF, LLIF, OLIF, and ALIF. To better delineate their clinical utility, we reviewed the current literature to compare clinical and surgical outcomes between ALIF, OLIF, LLIF, TLIF, and PLIF. 63052 describes the first level decompression and 63053 describes additional levels of decompression. Jul 5, 2023 · When exploring spinal fusion surgery procedures, comparing ALIF vs TLIF is important. Both have risks and specific recovery considerations, requiring personalized patient assessment. They treated Oct 1, 2017 · With regards to TLIF, its transforaminal approach avoids significant vascular complications, and has a lower rate of neurological complications when compared to PLIF. LLIF is a safe, effective, and less invasive procedure with acceptable complication rates for revision surgery for previously decompressed segments. Indications See: lumbar inter The minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a popular surgical technique for lumbar arthrodesis, widely considered to hold great efficacy while conferring an impressive safety profile through the minimization of soft Spinal fusion of the lumbar spine is a serious procedure. Each approach Background context: Transforaminal lumbar interbody fusion (TLIF) and posterior lumbar interbody fusion (PLIF) are both frequently used as a surgical treatment for lumbar spondylolisthesis. These procedures treat lower back pain, instability or weakness caused by conditions like degenerative disc disease, herniated discs, lumbar stenosis Posterior Lumbar Interbody Fusion (PLIF) or Transforaminal Lumbar Interbody Fusion (TLIF) procedural solutions combining CAPSTONE® Instrument Set, Posterior Microscope Instrument (PMI) Set, SCISSOR JACKTM Distractor, METRx® System, CD HORIZON® SEXTANT® II Rod Insertion System, PYRAMETRIX® Advance Instrument Set or the CD HORIZON® ENGAGETM This procedure is divided into several types depending on its approach, which are anterior lumbar interbody fusion (ALIF), posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF) and lateral lumbar interbody fusion (LLIF) [2]. Please refer to the specific CPT code that will be used to describe the surgical procedure. Minimal Insertion Height: Inserted at a reduced height to minimize impaction and preserve endplate integrity. Fusion surgeries typically require the use of bone graft to facilitate fusion. Dec 16, 2024 · Transforaminal lumbar interbody fusion (TLIF) is a spinal fusion procedure performed as an alternative to posterior lumbar interbody fusion (PLIF) when posterior decompression of the spinal canal is not required 1. Nov 6, 2024 · What are the advantages of LLIF/XLIF versus ALIF, PLIF or TLIF? LLIF/XLIF may have several advantages stemming from its lateral (side) approach, which affects how the surgery is performed and the structures involved. Jul 8, 2019 · Watch this video to learn more as Dr. Spinal fusion fuses or joins two or more vertebrae TLIF vs PLIF: Spinal Fusion Options Dealing with back pain or spinal issues means looking at surgery options. PLIF, posterior lumbar interbody fusion; TLIF, transforaminal lumbar interbody fusion; LLIF, lateral lumbar interbody fusion; OLIF, oblique lumbar interbody fusion; ALIF, anterior lumbar interbody fusion. Mar 1, 2025 · Posterior lumbar interbody fusion is performed by approaching the spine through the low back and using a bone graft to help the vertebrae to fuse together. TLIF TLIF stands for Transforaminal Lumbar Interbody Fusion. New CPT codes 63052 and 63053 describe decompression when done with PLIF or TLIF procedures (22630/32 and 22634/36). Our portfolio offers access paired with disc prep, a comprehensive suite of interbody spacers designed for sagittal alignment and fusion, and versatile fixation systems and enabling technologies to accommodate various styles and techniques. It refers to the placement of an interbody spacer, or cage, into the disc space. Throughout your procedure, the neurosurgeon and his surgical team are consistently kept current on your vital functions, including your central nervous system. study, in particular of the traversing nerve root (2,3) This is due to the fact Transforaminal lumbar interbody fusion (TLIF) and posterior lumbar interbody fusion (PLIF) are both frequently used as a surgical treatment for lumbar spondylolisthesis. The choice of either technique is often based on surgeon familiarity and preference, clearly demonstrating an impetus for this trial. Steerable, crescent-shaped expandable TLIF interbody device and straight expandable PLIF interbody device Three implant height options covering an expansion range from 6-16mm Large central cavity for autogenous bone graft spanning endplate to endplate to aid in fusion Meet Catalyft PL and PL40, an expandable titanium interbody system offering up to 22 degrees of lumbar lordosis for PLIF and TLIF spinal procedures. Nov 5, 2010 · I'm assuming that they are doing a revision PLIF or TLIF with this removal so I code it as 22630 with a -22 modifier. This fusion surgery is a refinement of the PLIF procedure and has recently gained popularity as a surgical treatment for conditions affecting the lumbar spine. Other types of spinal instrumentation may be used too. Minimally invasive transforaminal lumbar interbody fusion (TLIF) There is insufficient evidence to evaluate the efficacy of ALIF, PLIF, and TLIF for interbody fusion of more than one level of the lumbar spine. A review of the literature is performed wherein the history, indications for surgery, surgical procedures with their Jan 16, 2024 · The effectiveness of transforaminal lumbar interbody fusion (TLIF) compared to posterior lumbar interbody fusion (PLIF) in patients with single-level spondylolisthesis has not been substantiated. Otherwise the only appropriate code for this would be the 22899 unlisted code. ALIF, PLIF, TLIF and DLIF Surgeries ALIF, PLIF, TLIF and DLIF procedures are performed under general anesthesia. Multiple new Category I CPT codes for reporting spine surgical procedures go into effect on January 1, 2022. The disadvantages of TLIF are its extensive muscle retraction and dissection, which may lead to postoperative pain, delayed rehabilitation and impaired spinal function [11]. , 63030, 63042, 63056) since it is required for the posterior lumbar interbody fusion. Jun 24, 2024 · Both TLIF and PLIF are common surgical approaches for interbody fusion, yet there lacks sufficient high-level evidence to assess their relative effectiveness. Excision or curettage of bone cyst or benign tumor of femur; with allograft), payment for graft placement is included PLIF has previously been shown to be more stable than TLIF, consistent with this study, again if most facet joint integrity is retained. If a doctor suggests surgery, chances are the options are ALIF or PLIF. The five primary interbody fusion approaches are shown here schematically: anterior (ALIF), lateral or extreme lateral interbody fusion (LLIF or XLIF), oblique lumbar interbody fusion/anterior to psoas (OLIF/ATP), transforaminal (TLIF or MI-TLIF), and posterior (PLIF); (B) surgical approaches to the lumbar TLIF TLIF stands for Transforaminal Lumbar Interbody Fusion. This content is intended for Health Care Professionals in the United States. Fusion rates were similar between the ALIF and posterior approaches. TLIF can be performed either through a minimally invasive approach or via traditional techniques, depending on the specifics of the case. The TLIF technique involves approaching the spine in a similar manner as the PLIF approach but more from the side of the spinal canal through a midline incision in the patient Lumbar spinal fusion procedures aim to join vertebrae within the lower back. Sep 1, 2023 · In comparison with single-level PLIF/TLIF, two-level PLIF/TLIF naturally requires a larger area for manipulation of the posterior paraspinal muscles and epidural venous plexus, resulting in a significant increase in operative time and blood loss. Multiple lengths and widths of retractor blades are available to accommodate diverse patient anatomies. VariLift®-LX is the only posterior stand-alone expandable lumbar interbody fusion device cleared by the FDA for 1 or 2 levels, PLIF or TLIF, with or without supplemental fixation, and intended for use with autograft and/or allograft tissue. jnjinstitute. It’s one of several types of lumbar interbody fusion surgeries that remove and replace intervertebral disks in your lower back (your lumbar spine). TLIF The concept of a PLIF involves positioning the patient prone on a surgical table to assume a normal lordotic position of the lumbar spine. This helps to improve spinal alignment and enhances spinal fusion. The five primary interbody fusion approaches are shown here schematically: anterior (ALIF), lateral or extreme lateral interbody fusion (LLIF or XLIF), oblique lumbar interbody fusion/anterior to psoas (OLIF/ATP), transforaminal (TLIF or MI-TLIF), and posterior (PLIF); (B) surgical approaches to the lumbar spine for Since the initial description of the PLIF technique by Briggs and Milligan in 1944 (5), the method of PLIF has evolved, with the development of additional options of autologous and synthetic bone grafting, advanced methods of spinal segmental fusion techniques, innovative implants including the wide variety of interbody implants we use today and the use of pedicle screw fixation for posterior Sep 16, 2024 · What is TLIF surgery? Transforaminal lumbar interbody fusion (TLIF) surgery is a type of spinal fusion. Posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF) are two types of spinal fusion procedures that utilize a posterior (back area incision) approach to fuse (mend) the lumbar spine bones together (using an interbody fusion technique). What Is the TLIF Technique Transforaminal Lumbar Interbody Fusion is a variant of the Posterior Lumbar Interbody Fusion (PLIF) technique described by Cloward in the 1950s. But how are these procedures similar, and how are they different? Phantom ML™ MIS Lumbar Surgical Access System facilitates minimally invasive exposure and decompression for TLIF/PLIF and microdiscectomy procedures. Because of the unilateral transforaminal route to the intervertebral space used in TLIF, as opposed to the bilateral route used in PLIF, TLIF could be associated with fewer complications, shorter duration of surgery, and less Aug 28, 2018 · spinal fusion coding, billig olif, billing plif, coding tlif, how to bill orhopedic spine, 20930, 20931, 20936, 22558, 22360, cpt code 22630, how to bill 22632. These surgeries include Posterior Lumbar Interbody Fusion (PLIF), Transforaminal Lumbar Interbody Fusion (TLIF), Anterior Lumbar Interbody Fusion (ALIF), Direct Lateral Interbody Fusion (DLIF), and Minimally Invasive Lumbar Fusion (MIS). Hiratzka explains the differences between a posterior lumbar interbody fusion and a transforaminal lumbar interbody fusion surgical approaches. Hospitalisation time is reduced with ALIF compared with TLIF. LLIF, a pivotal technique in TLIF surgery was developed in the 1980s to benefit patients with unresolved lower back pain and to minimize the risks to nerves. To view educational resources, visit www. TLIF Minimally Invasive Spine Fusion Transforaminal lumbar interbody fusion (TLIF) is an advanced minimally invasive procedure for spinal fusion, in which vertebrae are stabilized to take pressure off nerves and relieve back pain. Additionally, radiological fusion rates and clinical outcomes were consistently favorable, solidifying TLIF’s role as a preferred technique for circumferential lumbar fusion. Study Rationale The surgical treatment of adult degenerative lumbar conditions remains controversial. A retrospective analysis . Abstract Introduction: Lumbar interbody fusions have been widely used to treat degenerative lumbar disease that fails to respond to conservative treatment. TLIF vs PLIF vs ALIF: Comparing the Approaches When thinking about spinal fusion surgeries, it’s key to know the differences in how they are done, how long it takes to recover, and how successful they are. com. The length of hospital stay was significantly shorter in ALIF than in TLIF, but not in PLIF or PLF. The posterior instrumentation removal codes are not really appropriate in this case as it is neither segmental nor non-segmental instrumentation. The authors review and compare posterior lumbar interbody fusion (PLIF) with transforaminal lumbar interbody fusion (TLIF). Therefore, LLIF can be an alternative to PLIF/TLIF for restenosis after posterior decompression surgery. Therefore, TLIF could be more cost-effective than PLIF, when considering the lower costs and equal improvement in quality of life. See full list on phoenixspinesurgeon. The TLIF technique involves approaching the spine in a similar manner as the PLIF approach but more from the side of the spinal canal through a midline incision in the patient's back. PLDFI with PLIF or TLIF Recovery and Results The results and recovery from posterior lumbar decompression and fusion with instrumentation (PLDFI) using either posterior lumbar interbody fusion (PLIF) or transforaminal lumbar interbody fusion (TLIF) techniques are generally favorable. Abstract Lumbar interbody fusion procedures have seen a significant evolution over the years, with various approaches being developed to address spinal pathologies and instability, including posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF), anterior lumbar interbody fusion (ALIF), and lateral lumbar interbody fusion (LLIF). ” It is a surgical procedure used to treat spinal instability or other conditions that cause pain or nerve compression in the lower back. To address the evidence gap, a well-powered randomized controlled non-inferiority trial comparing the effectiveness of TLIF with PLIF, entitled the Lumbar Interbody Fusion Trial (LIFT), was conducted. LLIF, a pivotal technique in PLIF – Posterior Lumbar Interbody Fusion TLIF – Transforaminal Lumbar Interbody Fusion The procedure is called a posterior fusion because the surgeon works from the posterior or the back of the spine. ftlmn 7imac zqrt 2iakl udnq ecsk d6rt f8 61h9 lxbt4