What Is the Anterior Approach of Spine Surgery?

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What Is the Anterior Approach of Spine Surgery?

October 8, 2019


Spinal fusion is used to correct tiny spinal issues (vertebras). It’s a method of “sweating.” The fundamental concept is to fuse the painful vertebrae into one strong bone. Spinal fusion is the alternative to treat when the cause of pain is motion — the hypothesis is that they should not hurt if the fragile bones do not move. But you need to consult an experienced spinal specialist in OKC for treatment.

An IF is a type of spinal fusion that involves the removal of the intervertebral disk. This fusion form can be carried out using various methods. For example, the surgeon can access the spine by an incision in the lower back or incisions on the side. The surgeon approaches the lower back from the front by means of an incision in the belly in a previous lumbar interbody fusion (ALIF).


A comparatively tiny incision (about 3 to 5 inches) is produced for single-level fusion surgery. Normally this incision is 4 to 5 centimeters and generally is small enough that the patient can cover it in trousers, particularly if the patient has reduced lumber disks (e.g., L5-S1).

A spinal specialist typically performs a retroperitoneal muscular method in OKC (behind the peritoneum, the membrane lining the abdomen). That implies that the front of the abdominal muscles is shifted softly to the side and not cut off without entering the peritoneal cavities.

The peritoneal cavity has been shifted to its side, thus preventing the midline spinal column from being accessible. The abdomen’s anatomy is a ‘bag inside a bag,’ and the inner bag holding the intestines isn’t input.

Large blood vessels, bringing blood back and forth to the legs, are directly opposite the vertebral bodies in the spine. Some of these ships may have to be retracted slightly to allow access to the disk room, depending on the level of the disk. A vascular surgeon or a general surgeon is needed to support the previous methods for exposure to disks due to the hazards and unique abilities engaged in manipulating blood vessels.


You will mostly remain in the hospital for 1 to 3 days after ALIF. The duration of your stay depends on how well your pain has been controlled and how well you can stand and move around.

Patients are encouraged to stand and walk on the first day after the operation. Your spinal specialist in OKC can give you a back brace to make the surgical fusion more convenient.

You will conduct fundamental exercises during the first several weeks after surgery, including routine walking. During this moment, you should avoid bending, twisting or lifting anything heavy with your back.

Potential Risks and Complications

As with all surgical procedures, the anterior strategy to colon fusion involves some hazards and potential problems distinctive to this operation.

Injury to the blood vessel. The incidence of blood vessel injury is very low in big blood vessels, usually around 1-2%. To minimize this danger, the surgeon should participate in surgery to handle big blood vessels to assist the spinal operator in obtaining access to the front of the spine. A general surgeon with suitable abilities and training should also perform the treatment.

Retrograde ejaculation. Retrograde ejaculation is a rare complication (< 1%) in male patients with the previous strategy of spine surgery. At the bottom of the lumbar spine, the reduced disks(L5-S1) contain a cluster of tiny nerves. These nerves can assist in regulating a valve required to convey semen, but instead, after ejaculation, the semen enters the lungs. The nerves have no impact on erectile function independently governed by a distinct set of nerves. The situation resolves itself in 3 to 6 months for most patients with this complication. However, a urologist can be consulted to aid fertility if needed. If retrograde ejaculation becomes constant, the person may not be able to have kids, but he may otherwise have normal sexual function without the medical intervention of a fertility specialist.

Contact Oklahoma Pain Doc, spinal specialist in OKC.

**Disclaimer: This content should not be considered medical advice and does not imply a doctor-patient relationship.

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