MIS XLIF®: Extreme Lateral Interbody Fusion

Overview

Extreme Lateral Interbody Fusion (XLIF®) is typically used to treat leg or back pain caused by degenerative disc disease.

An XLIF® procedure typically involves one small incision on the patient’s side. The surgeon inserts a probe and guides surgical instruments in the incision. The probe is used to help avoid interrupting the nerves. X-ray images guide the probe to the proper place in the spine. Using dilation tubes and a retraction device the surgeon gains access to the spine and removes the damaged disc. Once the disc is removed an implant filled with bone graft is placed in the empty disc space. This realigns the spine and relieves pressure from pinched nerve roots.

Using the XLIF® procedure, instead of traditional spine surgery, the surgeon avoids cutting into major muscles by making the incision in the patient’s side — which can mean less post-operative pain. This procedure is generally performed in an outpatient setting or 23 hour stay.

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Maahir Haque, MD is recognized as a leader in the field of minimally invasive spine surgery. At Spine Group Orlando, Dr. Maahir Haque also provides second opinions for spine surgery and MRI reviews for those with back pain and neck pain. Dr. Haque emphasizes non-surgical options for back pain and neck pain where possible. This can include accessing a back pain specialist with expertise in pain-relieving spinal injections and spine therapists. Spine therapy can include back stretches that can be a future home remedy for back pain or neck pain. If spine surgery is necessary because of a herniated disc, spinal fracture, or spinal stenosis, Dr. Maahir Haque operates through tubular retractors that reduce the size of the incision, lessen blood loss, reduce time in the hospital, speed return to activity with a less painful recovery. This spine surgery expertise enables many patients to have outpatient spine surgery and be home the same day. Spine Group Orlando and Dr. Maahir Haque provides artificial disc replacement in the neck using the Mobi-C disc implant, the first FDA-approved disc for multiple levels in the neck. Prodisc-C is also used for artificial disc replacement in the cervical spine. Dr. Haque is also one of the few spine surgeons in Orlando, Florida to provide lumbar artificial disc replacement using the Prodisc-L artificial disc. Dr. Haque is also referred patients from across Orlando and north central Florida for artificial disc replacement surgery as an alternative to spinal fusion. Accordingly, Dr. Haque's patients travel from across north central Florida, including: Orlando; Jacksonville; Tallahassee; Lakeland; Gainesville; Tampa; Daytona Beach; and Cocoa Beach. The spine center, as a destination for medical tourism for some international patients from Mexico and the Caribbean, can provide recommendations to out-of-town patients on nearby hotels and tourist attractions.