TLIF surgery has advantages of increased fusion rate and decreased complications through a posterior approach. Spinal fusion is a salvage reconstructive procedure. No patient after a spinal fusion is 100% normal or 100% pain free. Complications do occur but are not common, and the majority of patients are satisfied with their pain relief and the results of the surgery. It is critical that patients contemplating spinal fusion surgery are prepared both physically, as well as psychologically. All questions should be answered. Smoking should be stopped. This article has provided an overview only of this TLIF lumbar spinal fusion. Additional details should be reviewed with your surgeon so that all questions and concerns are discussed.
Following a microdiscectomy surgery, a program of stretching, strengthening, and aerobic conditioning is recommended to help prevent recurrence of back pain or disc herniation. Some surgeons restrict a patient from bending, lifting, or twisting for the first six weeks following surgery. However, since the patient’s back is mechanically the same, it is also reasonable to return to a normal level of functioning immediately following surgery. There have been a couple of reports in the medical literature showing that immediate mobilization (return to normal activity) does not lead to an increase in recurrent lumbar herniated disc.