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Lumbar spinal stenosis — transforaminal lumbar interbody fusion surgery

Spinal stenosis, or spinal narrowing, commonly occurs in the lower back due to age-related compression and gradual degeneration of the spine. This form of spinal stenosis often results in chronic lower back pain, with possible radiating pain in the buttock and leg. As spinal stenosis continues to worsen, you might find yourself having difficulty performing hobbies and activities that include bending, twisting, or running. Severe cases of lumbar spinal stenosis may result in limited daily activity, such as standing for long periods or walking.

If you have been diagnosed with lumbar spinal stenosis, speak with your doctor about conservative treatments, such as physical therapy, yoga, and pain medication, to help relieve your pain. Many cases of lumbar spinal stenosis often respond well to conservative therapies. However, if you are not finding lasting relief from conservative therapy, you might consider trying a surgical approach to help relieve your chronic back pain.

Minimally invasive stabilization

For patients who have exhausted conservative treatments for severe lumbar spinal stenosis and are being recommended for fusion surgery, USA Spine Care’s minimally invasive stabilization procedures are an outpatient treatment option that is an alternative to traditional open spinal fusion.

One of the most common minimally invasive stabilization procedures we perform for lumbar spinal stenosis is a transforaminal lumbar interbody fusion. During this procedure, the surgeon will make a small incision, about an inch in length, in the lower back. Through this incision, the surgeon will gently move aside surrounding muscles and soft tissue to access the spine. Once the spine is accessed, the damaged disc that is causing the spinal narrowing and instability will be removed, and an implant will be placed in the empty disc space to stabilize the spine and help prevent future nerve compression.

Our minimally invasive transforaminal lumbar interbody fusion is performed as an outpatient procedure at our state-of-the-art facilities across the country.

An effective alternative to traditional open back fusion

When most patients think of spine surgery, they often think of traditional open back fusion. Traditional open back fusion is highly invasive, requiring overnight hospitalization and a long, potentially difficult recovery period. These and other difficulties make many doctors and patients alike apprehensive about the prospect of undergoing a spinal fusion.

At USA Spine Care, our minimally invasive spine surgery is a safer and effective alternative to traditional open neck or back procedures.^

Learn more today

If you're living with spinal stenosis in the upper spine and searching for relief, reach out to USA Spine Care for help. Our multidisciplinary team is dedicated to helping people develop the right care plan to  reach treatment goals and achieve lasting relief.

Contact us today to learn more. Call toll free 1-866-249-1627.

Spinal Stenosis "Quick Answers"

Depending on the region and severity Spinal stenosis feels like tingling, burning and/or weakness in the hands, arms, neck, lower back or legs. It may also feel like a radiating pain or shooting shock-like pain. Read more in the links below: Spinal Stenosis Spinal Stenosis Overview Defining Spinal Stenosis Researching Spinal Stenosis Learning About Back Stenosis Spinal Stenosis Pathophysiology
The types of spinal stenosis are region based and consist of cervical (neck), thoracic (mid back) and lumbar or lower back. In addition, foraminal stenosis is the narrowing of the foramen. Read more in the links below: Spinal Stenosis of the Neck Cervical Stenosis - Basic Facts Neck Stenosis Causes Neck Stenosis Treatment Central Canal Stenosis Lumbar Spinal Stenosis Spinal Stenosis in the Back
Spinal Stenosis is the narrowing of the spinal canal. This condition, most often located in the Lumbar spine, may be caused by degeneration of the spine, wear and tear, sports injury, & collapsing discs. Read more in the links below. What Causes Spinal Stenosis? Obesity May Lead to a Stenosis Diagnosis Age and its Role in the Development of Spinal Stenosis Spinal Stenosis Causes Identifying Common Causes From Birth Defects to Getting Older Degenerative Conditions Car Accident Injuries
The symptoms of spinal stenosis include tingling or numbness in the extremities, pain and weakness in the neck, back and/or legs. In severe cases bladder, bowel dysfunction/continence. Learn more in the links below: What Are the Symptoms of Spinal Stenosis? Spinal Stenosis Symptoms Spinal Stenosis Diagnosis What Should I Do If I Think I Have Spinal Stenosis? Spinal Stenosis and Hand Pain Recognizing Spinal Stenosis Have You Been Diagnosed? About Your Diagnosis Diagnostic Process Helping Your Physician How a Diagnosis Is Made Arriving at a Diagnosis
Physician specialties that treat spinal stenosis include: Pain management & rehabilitation physicians, spine surgeons, orthopedic specialists & neurosurgeons. Read more about these specialties in the links below: Doctors Who Treat Spinal Stenosis Spinal Decompression Doctors
Patients can expect recovery to last 4-6 weeks in most cases (depending on the complexity of your condition). People who choose minimally invasive spine surgery recover faster and get back to work sooner than those who choose open back surgery. Read more in the links below: Recovery After a Procedure What to Expect Recovery Times

  • Problems from anesthesia.
  • A deep infection in the surgical wound.
  • A skin infection.
  • Blood clots.
  • Nerve injury, including weakness, numbness, or paralysis.
  • Tears in the fibrous tissue that covers the spinal cord and the nerve near the spinal cord. These tears may require more surgery.
  • Trouble passing urine, or loss of bladder or bowel control.
  • Long-term (chronic) pain, which happens after surgery in some cases.
  • The chance that the surgery won't relieve your symptoms. And even if you get better with surgery, there is a chance that you may get new symptoms in the future.
  • Death from problems caused by surgery, but this is rare.

Read more in the links below: Overview of Risk Factors Most Common Risk Factors Obesity & Spinal Stenosis Spinal Stenosis & Arthritis Treating Elderly Patients

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