Is It Time For PLIF?
A posterior lumbar interbody fusion (PLIF) is a special approach to surgery in the lower spine. PLIF seeks to repair spinal conditions like herniated discs, degenerated discs, and spondylolisthesis. The surgeon approaches the surgery from the back or posteriorly, often using minimally invasive means. The damaged disc is removed, and a bone graft is installed. Metal screws and rods hold the spine in place to allow the bones to fuse.
Preparing for surgery
Surgery has evolved to safer, more successful techniques. Although the procedure is safe, the patient must prepare for surgery. Making simple changes improves the chances of success. Some things can help, such as a healthy diet and preparing the house for more effortless mobility beforehand. However, there are 3 things all patients should do before surgery that has a major impact on the outcome.
1. Quit smoking
Smoking has been long discussed as a practice that is dangerous for health. Surgeons agree that the practice is particularly harmful to spinal procedures. The nicotine can impact the success of the fusion. Smokers also have delayed healing, more post-operative pain, and a higher chance of complications. Quitting at least several weeks before surgery is ideal. If necessary, get medical support to help curb the habit.
2. Alcohol, infections, and bleeding
Alcohol consumption can have a negative impact on surgery. Heavy, chronic alcohol use can harm both the procedure and recovery. Drinking heavily as little as 48 hours before surgery can increase the chance of infections. Studies show that there is also an increased chance of bleeding and heart complications, even with minimally invasive surgery. For the safest outcome, stop alcohol 4-8 weeks before surgery.
3. Stop NSAIDs and other blood thinners
Most spinal surgery patients rely on non-steroidal anti-inflammatory drugs (NSAIDs) for pain management. However, these drugs can be counterproductive to surgery. NSAIDs are known blood thinners that can cause complications. Some supplements like omega-3s and vitamin E also cause blood thinning. Review all medication and supplements and stop at least 7 days before surgery.
Pause for PLIF
With any surgical procedure, there is a chance of complications. PLIF can help with reducing pain and improving mobility. However, success depends on both the patient and the surgeon. Quitting smoking, alcohol, and NSAIDs can help both procedure and recovery. Raise these concerns with the spinal surgeon and seek help with quitting as necessary.
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“Everyone was friendly and concerned about my comfort. They frequently asked how I was doing, or if I needed something.”
“Marcia and staff were excellent and genuinely cared for my well being. Wish I could have taken them home.”
“Rebecca was amazing. I have always had trouble in the past with getting an IV started. I told Rebecca I was concerned about it. She got it on the 1st try – no digging in my arm and NO bruising the next day.”
“Everyone was friendly and the place was very clean.”
“Dr. Best…is the best!”
“I can’t say enough about Marcia and the entire team. The care I received was well beyond anything I could have expected.”
“Everyone was friendly and the place was very clean.”
“The staff was very polite, they were excellent. They explained exactly what was going on.”
“The STAFF from the moment you walk in were the nicest people I’ve encountered at a medical facility.”
“Dr. Tupper was amazing! He spent time explaining exactly what he was doing, what I would experience and made sure I was comfortable.”
“The nurses were very nice and caring!”
“Dr. Tupper was amazing! He spent time explaining exactly what he was doing, what I would experience and made sure I was comfortable.”
“Incredibly professional, friendly and confidence of knowing their roles as healthcare employees. Excellent!”
“Anesthesia staff was outstanding!”
“Efficiency of the staff. Courteous, friendly and caring attitude. Excellent office staff. Pleasant surroundings.”
“All staff were wonderful.”
“Entire staff was knowledgeable and courteous. They genuinely cared for my well being and made sure my wife and I were taken care of.”
“All staff were wonderful.”
“NO wait time, RN Rebecca answered all questions prior to my visit by phone and again answered all questions and concerns while prepping me.”
“I liked that it was so clean. Every staff member was pleasant and easy to talk with.”
“Everyone was concerned with my comfort.”
“NO wait time, RN Rebecca answered all questions prior to my visit by phone and again answered all questions and concerns while prepping me.”
“Experience was amazing. The nurses my son needed at this time couldn’t have been chosen any more perfect. They were supportive and understanding, patient and just great human beings.THANK YOU KINDLY ”
“The STAFF from the moment you walk in were the nicest people I’ve encountered at a medical facility.”
“The staff was great, especially Mary and Marcia. Marcia was extremely helpful post-op and made sure I was comfortable and well-cared for.”
“Efficiency of the staff. Courteous, friendly and caring attitude. Excellent office staff. Pleasant surroundings.”
“I liked that it was so clean. Every staff member was pleasant and easy to talk with.”
“I can’t say enough about Marcia and the entire team. The care I received was well beyond anything I could have expected.”
“Entire staff was knowledgeable and courteous. They genuinely cared for my well being and made sure my wife and I were taken care of.”
“The nurses were very nice and caring!”
“Dr. Best…is the best!”
“Dr. Dedhia made everything clear and even scheduled an early follow-up appt so I could get back to work sooner.”
“The staff was great, especially Mary and Marcia. Marcia was extremely helpful post-op and made sure I was comfortable and well-cared for.”
“Everyone was concerned with my comfort.”
“Dr. Dedhia made everything clear and even scheduled an early follow-up appt so I could get back to work sooner.”
“No severe pain – Just a little discomfort – I was asked several times during procedure if I was OK – they showed genuine concern for my well being.”
“Rebecca was amazing. I have always had trouble in the past with getting an IV started. I told Rebecca I was concerned about it. She got it on the 1st try – no digging in my arm and NO bruising the next day.”
“Experience was amazing. The nurses my son needed at this time couldn’t have been chosen any more perfect. They were supportive and understanding, patient and just great human beings.THANK YOU KINDLY ”
“No severe pain – Just a little discomfort – I was asked several times during procedure if I was OK – they showed genuine concern for my well being.”
“The staff was very polite, they were excellent. They explained exactly what was going on.”
“Anesthesia staff was outstanding!”
“Amazing nurses, very caring and friendly and put both me and my son at ease.”
“Marcia and staff were excellent and genuinely cared for my well being. Wish I could have taken them home.”
“Amazing nurses, very caring and friendly and put both me and my son at ease.”
“Everyone was friendly and concerned about my comfort. They frequently asked how I was doing, or if I needed something.”
“Incredibly professional, friendly and confidence of knowing their roles as healthcare employees. Excellent!”
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Arthroscopy can help diagnose or treat joint conditions. Benefits of the MIS include faster recovery, less pain, and fewer scars.
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People with chronic back pain may benefit from posterior interbody lumbar fusion surgery. PLIF can reduce pain and improve stability.
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