Anterior Lumbar interbody Spine Fusion Surgery

ALIF is a spine fusion surgery performed through the front of the abdomen to access the lumbar discs. It allows placement of a large fusion cage for excellent disc height restoration and deformity correction. It is recommended for severe disc degeneration, spondylolisthesis, and situations requiring maximum disc space preparation.

ALIF avoids disruption of the back muscles and is performed with the patient on their back. It allows larger implant placement, better restoration of lumbar lordosis, and excellent fusion rates. However, it requires access through the abdomen with vascular surgeon assistance, which limits its use to appropriate anatomical candidates.

Recovery after ALIF involves 3–5 days of hospitalization, with return to light activities in 4–6 weeks. A lumbar brace is often used for 6–12 weeks. Driving and heavy lifting are restricted for 6–12 weeks. Full fusion confirmation by CT scan occurs at 6 months post-surgery.