Discectomy with Fusion (TLIF/PLIF)
A herniated disc is removed and the segment is simultaneously fused — providing both nerve relief and durable spinal stability for recurrent disc disease, segmental instability or complex disc pathology.
What is Discectomy with Fusion (TLIF/PLIF)?
Discectomy with Fusion combines comprehensive disc removal with simultaneous interbody fusion — performed as either Transforaminal (TLIF) or Posterior (PLIF) Lumbar Interbody Fusion. After targeted nerve root decompression and disc removal, an interbody cage filled with bone graft is inserted into the disc space; bilateral pedicle screws and rods complete the construct. The procedure addresses recurrent disc herniation, large disc damage with both back and leg pain, segmental instability or spondylolisthesis with concurrent disc herniation. Dr. Hithesh performs discectomy with fusion in Hyderabad when simple discectomy alone would leave the spine unstable or fail to address the underlying pathology.
Indicated for recurrent disc herniation, large disc damage with combined back and leg pain, segmental instability or spondylolisthesis with concurrent disc herniation — where simple discectomy alone is insufficient.
How the Procedure Works
Anaesthesia & Positioning
General anaesthesia is delivered; the patient is positioned prone on a Wilson frame, allowing safe surgical access to the lumbar spine.
Decompression & Discectomy
Targeted nerve root decompression is performed; disc material is comprehensively removed, preparing the disc space for cage placement and fusion.
Interbody Cage Placement
An interbody cage filled with bone graft is inserted into the prepared disc space, restoring disc height and beginning the biological fusion process.
Pedicle Screw Fixation
Bilateral pedicle screws are inserted into the vertebral bodies under fluoroscopic guidance; titanium rods connect the screws bilaterally for stability.
Closure & Recovery
Soft tissue layers are closed; structured graded physiotherapy and bracing as appropriate guide spinal recovery and successful biological fusion.
Outcomes
Who Needs This Treatment?
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Combines comprehensive disc removal with durable biological spinal fusion
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Effectively treats recurrent disc herniation and segmental spinal instability
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Addresses spondylolisthesis with concurrent disc herniation in single procedure
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Provides reliable lasting relief from both back pain and radicular leg pain
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Modern interbody cages deliver durable consistent biological fusion outcomes successfully
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Outstanding long-term outcomes for complex lumbar disc pathology cases reliably
When disc herniation comes with instability or recurrence, simple discectomy is a temporary solution at best. Combining discectomy with fusion provides the definitive answer — comprehensive decompression plus the durable stability the spine needs.
— — Dr. Bathini Hithesh, Consultant Orthopaedic Surgeon, Trauma & Joint Replacement Specialist, Lux Hospitals, Hyderabad
Discectomy with Fusion (TLIF / PLIF) Cost in Hyderabad
The cost of discectomy with fusion (TLIF / PLIF) in Hyderabad depends on the severity and recurrence of the disc problem, degree of spinal instability, number of spinal levels involved, complexity of surgery, implant requirements, investigations required, and the care needed before and after the procedure.
For patients with recurrent disc problems or associated spinal instability, the approximate cost of discectomy with fusion ranges between ₹3,00,000 and ₹5,50,000.
| Procedure | Approximate Cost Range |
|---|---|
| Discectomy with Fusion (TLIF / PLIF) | ₹3,00,000 – ₹5,50,000 |
The final cost may vary depending on your individual condition, findings during evaluation, number of levels treated, type of implants used, and whether any additional procedures are required.
Factors That Influence Discectomy with Fusion (TLIF / PLIF) Cost
The overall cost may depend on:
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Severity of disc condition and instability: The extent of recurrent disc herniation, nerve compression, spinal instability, and associated degenerative changes may influence treatment planning and surgical complexity.
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Pre-operative evaluation: Required investigations, clinical examination, X-rays, MRI scans, CT scans when needed, and medical assessments before surgery may affect the overall cost.
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Implant and additional procedure requirements: The type and number of pedicle screws, rods, interbody cage, bone graft materials, and additional decompression procedures may influence the cost.
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Hospital stay and post-operative care: The duration of admission, medicines, physiotherapy, rehabilitation, and follow-up requirements may influence the final estimate.
Is Discectomy with Fusion (TLIF / PLIF) Covered by Insurance?
Discectomy with fusion may be covered by health insurance when it is performed for a medically necessary spinal condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Hitesh Bathini
Orthopaedic Surgeon
During consultation, Dr. Hitesh Bathini, Orthopaedic Surgeon in Hyderabad, will evaluate your symptoms, medical history, previous treatment history, and investigation reports to determine whether discectomy with fusion is suitable for you. He will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Bathini Hithesh and get a personalised treatment plan.