This is an operation that treats several different pathologies. Patients who have tried non-surgical treatments without success may be offered this surgical procedure. The following conditions may be treated with ALIF
It is important to tell Dr Anderson if you have had previous abdominal and pelvic surgical procedures as these can increase the risks of performing ALIF, and can mean that ALIF is not possible. You will be asked about this and examined during your consultation.
A full anaesthetic is used, and a urinary catheter is placed, a cut is made in the lower part of the abdomen. After splitting the muscles at the front of the abdominal wall, the retroperitoneal space is entered and then this allows for access to the psoas muscles, major abdominal blood vessels, and ultimately the spine.
Xray is used to make sure the correct level is operated on. Then the disc is removed to allow for pressure to be taken off the affected nerve (where appropriate) and for a cage to be placed between the two vertebral bodies. This cage is designed to correct the alignment of the spine to the desired position, as well as being filled with bone graft to help with fusion.
In some cases, Dr Anderson will also recommend placing spinal screws from a posterior approach. If this is being considered, he will discuss this with you during your consultation.
You will be given a modified diet to ensure that your bowels are working well, as nausea and vomiting can be an issue if food is introduced too quickly.
You will be seen by a physiotherapist who will help you to walk, and will make sure you are safe before going home. Most people stay in hospital for 2 – 3 days after ALIF surgery.
As ALIF requires an approach from the front of the abdomen, there are risks to structures here. These include:
Other risks with all operations include infection, pneumonia, urinary tract infection, heart and lung complications. Dr Anderson will discuss these with you during your consultation, as well as any other specific questions that you may have about the procedure.