✦ Combined Disc & Fusion

Discectomy with Fusion (TLIF/PLIF)

Q: Why combine fusion with discectomy?

When recurrent herniation, instability or spondylolisthesis is present, simple discectomy is insufficient — fusion adds durable spinal stability.

Q: TLIF or PLIF — which is better?

TLIF preserves more anatomy through unilateral approach. PLIF provides comprehensive bilateral access. Choice depends on pathology and surgeon.

Q: Will I lose spinal flexibility?

Single-level fusion typically causes minimal functional flexibility loss. Most patients adapt well and return to active recreational pursuits.

Q: Is recovery longer than simple discectomy?

Yes — full recovery takes 3–6 months as biological fusion matures. Walking begins within days, but return to heavy activity takes longer.

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.

3–4 Hours PROCEDURE

5–7 Days HOSPITAL STAY

>90% SUCCESS RATE

3–6 Months FULL RECOVERY

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

3–4 HoursDURATION

5–7 DaysHOSPITAL STAY

>90%SUCCESS RATE

3–6 MonthsFULL RECOVERY

Who Needs This Treatment?

→Combines comprehensive disc removal with durable biological spinal fusion
→Effectively treats recurrent disc herniation and segmental spinal instability
→Addresses spondylolisthesis with concurrent disc herniation in single procedure
→Provides reliable lasting relief from both back pain and radicular leg pain
→Modern interbody cages deliver durable consistent biological fusion outcomes successfully
→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

Common Questions

Frequently Asked Questions

Why combine fusion with discectomy?+

TLIF or PLIF — which is better?+

Will I lose spinal flexibility?+

Is recovery longer than simple discectomy?+

Not sure which treatment is right for you?

Book a consultation with Dr. Bathini Hithesh and get a personalised treatment plan.

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