Extreme Lateral Interbody Fusion (XLIF)

What is it and how is it performed by the spine specialists at Tailored Medical?

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What Is An Extreme Lateral Interbody Fusion?

XLIF (Extreme Lateral Interbody Fusion) is a type of Minimally Invasive Spinal Fusion procedure used to treat conditions of the lumbar and thoracic spine. The XLIF is primarily utilized to treat spinal injures, deformities or conditions that affect the vertebrae above the L-5 level of the spine. The XLIF procedure utilizes a lateral (side of the body) approach due to the discs above the L-5 vertebrae being more easily accessed in this fashion.

The goal of this procedure is to remove the spinal disc and/or bone spurs that are causing irritation of the spinal nerves and use internal fixation to stabilize the spine and relieve the pain associated with lumbar spinal conditions.

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How It's Performed

First, a small incision (usually 1-2 inches) is made on the side over the area of the affected spinal disc or vertebrae where a series of dilating tubes will be inserted. The muscle structures near the incision site are gently retracted, as opposed to being cut or dissected, and surgical tools and implants are slipped between the muscles. Next, under fluoroscopic guidance (real time X-ray visualization) the impinged spinal nerve is placed to the side and a substantial amount of the intervertebral disc and/or any bone materials are removed. Using the lateral incision made earlier a structural implant that also contains bone graft is placed into the disc space to restore normal height and stability to the spine.

This bone graft implant creates a biological response and, over time, this bone graft will knit together with the adjoining vertebrae and form one continuous and stable vertebra.

Next, a small metal rods and screws are implanted between the two vertebrae to ensure stability. The incision is then closed with small stitches.

In many cases, an XLIF can be performed on an outpatient basis due to the reduced trauma to the spine and muscular structures. In fact, most patients are up and walking shortly after this procedure and physical therapy will begin within a few days of the procedure.

Personalized Care.

Dr. Senatus & Dr. Karim employ a personalized patient-centered approach that prioritizes optimum functional outcome and well-being. Each consultation begins with a comprehensive evaluation by our team designed to create an individualized evidence based treatment plan which includes the patient, family, and collaborating providers.

Start Here. We'll Call You.

Ivy League Trained

Our specialists have trained at the worlds top medical institutions including Harvard, Yale, Columbia University Medical Center, and The Prestigious Cleveland Clinic.

Upper East Side

We are located at 800A 5th Ave, Suite 402, New York, NY 10065 in the Upper East Side section of Manhattan directly across from Central Park.

You will be welcomed into our boutique office where your time is of premium value.  That means little to no waiting and extensive consultation with Dr. Senatus to understand what is causing your pain and what steps can be taken to return you to a functional pain-free lifestyle.

(646) 960-8545

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