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Minimally Invasive Lateral Lumbar Interbody Fusion / Extreme Lateral Interbody Fusion (LLIF/XLIF)

MIS LLIF/XLIF is a minimally invasive spinal fusion technique that accesses the spine from the side, allowing for the removal of a damaged disc and the placement of a bone graft. This procedure stabilizes the spine and is often used to treat conditions like degenerative disc disease or scoliosis.

What is MIS LLIF/XLIF?

Minimally invasive lateral lumbar interbody fusion (MIS LLIF), sometimes referred to as extreme lateral interbody fusion (XLIF), is an advanced surgical technique designed to treat lumbar spine disorders by accessing the spine through the side of the body. This approach allows the surgeon to remove a damaged disc and place a bone graft in its place, promoting fusion between adjacent vertebrae to stabilize the spine and restore proper alignment. Compared to traditional open spinal fusion, MIS LLIF/XLIF involves significantly less muscle disruption, reduced blood loss, and a faster overall recovery.

Who is a Candidate for MIS LLIF/XLIF?

The ideal candidate for MIS LLIF/XLIF is typically someone experiencing chronic lower back pain or spinal instability caused by conditions such as degenerative disc disease, scoliosis, spondylolisthesis, or herniated discs. Candidates are often those who have not found adequate relief through non-surgical treatments such as physical therapy, medications, or injections, and require surgical intervention to achieve lasting spinal stability and pain relief. Because of its minimally invasive nature, MIS LLIF/XLIF is particularly well-suited for patients who need effective decompression and fusion while minimizing trauma to the surrounding muscles and tissues.

The MIS LLIF/XLIF Procedure

The MIS LLIF/XLIF procedure begins with a small incision made on the side of the body, allowing the surgeon to access the lumbar spine while avoiding the major muscles and nerves of the back. Using advanced imaging technology for precise guidance, an expert surgeon from SpineCare of NY will carefully remove the damaged intervertebral disc and insert a bone graft or spacer into the disc space. This restores disc height, decompresses nerve roots, and promotes fusion between the adjacent vertebrae. The lateral approach minimizes disruption to surrounding tissue, resulting in less postoperative pain, reduced risk of complications, and a quicker return to daily activities compared to traditional spinal fusion methods.

MIS LLIF/XLIF Recovery and Results

Following MIS LLIF/XLIF, most patients experience meaningful relief from chronic back pain along with improved spinal stability and mobility. Because the minimally invasive approach reduces trauma to the muscles and surrounding tissue, the recovery period is generally shorter than that of traditional open fusion surgery. Patients typically resume light activities within a few weeks, with a gradual return to more demanding activities over the course of several months. Physical therapy is an important component of the recovery process, helping to rebuild strength, improve flexibility, and support long-term spinal health and function.

Schedule a Consultation

If you are living with chronic lower back pain and think you may be a candidate for MIS LLIF/XLIF, schedule a consultation at SpineCare of NY. Backed by our affiliation with the renowned Hospital for Special Surgery (HSS), our team of esteemed spine specialists combines cutting-edge research with exceptional clinical expertise to deliver the most advanced care available. Take the first step toward relief and a better quality of life by filling out an online contact form and scheduling a consultation.

What Our Patients Are Saying

We are dedicated to delivering expert and compassionate care at SpineCare of NY. Check out our reviews to hear the stories of our incredible patients.  

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The quality of care I received by Dr. Frank Camissa and his team at Spine Care of NY throughout my laminectomy/spine fusion process was impeccable. My experience and results have confirmed I chose the best of the world’s spine surgeons!

Lynne M.
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Dr. Hughes and his staff are outstanding!!! I had a microdiscectomy-Laminectomy surgery. My pain prior to surgery was at a 10. I felt immediate relief post surgery and now pain free. I can’t thank Dr. Hughes and his staff enough! I’m back to the gym and playing tennis 3x a week.

Patrick O.
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In The Media

SpineCare of NY has been highlighted in the media for our innovative spine care and outstanding results. Explore our features here.

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SpineCare of NY is located at 523 East 72nd Street, 3rd Floor, New York, NY 10021.

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