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Wondering what spinal fusion surgery involves? Dr. Lovecchio breaks down the three main reasons spine surgeons perform fusion and explains all the different surgical approaches: posterior fusion, TLIF, ALIF, and LLIF/XLIF. WHAT YOU'LL LEARN: 🔹 The 3 main reasons for spinal fusion surgery 🔹 Posterior fusion with pedicle screws and rods 🔹 TLIF (Transforaminal Lumbar Interbody Fusion) - posterior approach 🔹 LLIF/XLIF (Lateral Lumbar Interbody Fusion) - side approach 🔹 ALIF (Anterior Lumbar Interbody Fusion) - front approach 🔹 How titanium cages and bone graft create fusion 🔹 Choosing the right fusion technique for your anatomy 🔹 Why hardware is temporary until bone heals 🔹 How fusion creates space for compressed nerve roots KEY TOPICS COVERED: • Spinal fusion indications and when surgery is needed • Pedicle screw placement and rod fixation technique • Interbody fusion cages and spacers • TLIF surgery - accessing disc space from the back • ALIF surgery - anterior approach with vascular surgeon • LLIF/XLIF surgery - lateral approach through psoas muscle • Facet joint fusion and transverse process fusion • L5-S1 fusion, L4-L5 fusion techniques • Patient anatomy and bone quality considerations • Minimally invasive vs open fusion approaches • Spinal deformity correction and realignment This video is essential for anyone considering lumbar fusion surgery or diagnosed with conditions requiring spinal stabilization. Understanding the different fusion techniques (TLIF, ALIF, LLIF) helps you have informed discussions with your spine surgeon. TIMESTAMPS: 0:00 - Introduction to Spinal Fusion 0:30 - Three Main Reasons for Fusion Surgery 1:15 - Reason 1: Stabilizing After Decompression 2:10 - Reason 2: Indirect Nerve Root Decompression 3:00 - Reason 3: Spinal Realignment for Deformity 3:45 - Posterior Fusion Technique Explained 4:30 - Pedicle Screws, Rods, and Bone Graft 5:20 - What is Interbody Fusion? 6:00 - TLIF: Posterior Interbody Approach 6:45 - LLIF/XLIF: Lateral Fusion Through the Side 7:30 - ALIF: Anterior Approach From the Front 8:20 - Comparing Cage Sizes: TLIF vs LLIF vs ALIF 9:10 - How Fusion Creates Space for Nerves 10:00 - Bilateral TLIF: Two Cages From the Back 10:40 - Choosing the Right Fusion Technique 11:30 - Patient Anatomy Considerations 12:15 - Bone Quality and Cage Size Selection 13:00 - Surgeon Experience and Technique Preference DISCLAIMER: This video is for educational purposes only and does not constitute medical advice. Always consult with your physician or spine specialist for diagnosis and treatment recommendations specific to your spinal stenosis, degenerative disc disease, or sciatica symptoms. 💬 Have questions about TLIF, ALIF, or LLIF surgery? Drop them in the comments! 👍 If you found this spinal fusion explanation helpful, please like and subscribe for more spine surgery education. 🔔 Turn on notifications to never miss new videos about lumbar fusion, spine surgery techniques, and back pain treatment options. 📺 Watch next: [Link to recovery video or related spine surgery content