The discs are then replaced with a bone spacer made of either metal or plastic. There are three main types of inter body fusion techniques.The posterior lumbar interbody fusion (PLIF) technique is performed through an incision in the back (hence, the posterior position) and is usually done when either a single fusion of two vertebrae or a double fusion, which involves three vertebrae, is required. During a PLIF, the nerves are moved aside allowing access for the surgeon to perform a bone graft, or joining, on both the right and left sides of the inter body space.A transforaminal lumbar interbody fusion (TLIF) is also performed through an incision in the back.

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