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Transforaminal Lumbar Interbody Fusion (TLIF) Restoring Spine Health

At Core Alliance, we offer evidence-based surgical treatments designed to alleviate back pain and restore quality of life. One of the most effective surgical options for lumbar instability and nerve compression is Transforaminal Lumbar Interbody Fusion (TLIF).

Patients undergoing TLIF in Bloomfield, NJ benefit from the experience of Dr. Aron Rovner, a board-certified, fellowship-trained orthopedic spine surgeon with more than two decades of expertise. Our approach is patient-focused, minimally invasive when appropriate, and designed to deliver long-term relief. Schedule your consultation today to determine whether TLIF is the right next step in your recovery.

What Is Transforaminal Lumbar Interbody Fusion?

Transforaminal Lumbar Interbody Fusion, or TLIF, is a surgical procedure used to treat lower back pain caused by issues such as disc herniation, spondylolisthesis, spinal stenosis, or degenerative disc disease. The procedure removes the damaged disc between two vertebrae and replaces it with a bone graft or implant to stabilize the spine.

The term "transforaminal" refers to the surgical approach through the foramen—the space where nerve roots exit the spine. By accessing the spine from one side of the back, the surgeon avoids significant disruption to muscles and ligaments, which promotes a smoother recovery.

During surgery, after the disc is removed and the implant is placed, screws and rods are added to maintain alignment and encourage spinal fusion. TLIF in Bloomfield, NJ is often performed using minimally invasive methods, reducing scarring and speeding up recovery for the right candidates.

Benefits of TLIF

Patients undergoing TLIF at Core Alliance often report meaningful improvements in pain, mobility, and overall function. The procedure offers a wide range of benefits:

  • Alleviates nerve-related symptoms: By decompressing the affected nerve roots, TLIF can significantly reduce leg pain, tingling, and numbness.
  • Improves spinal stability: The fusion process strengthens and supports the spine, reducing the chance of future slippage or instability.
  • Minimally invasive approach: Using a transforaminal route allows for less muscle disruption, which may lead to shorter recovery times.
  • Supports daily movement and comfort: Many patients return to activities they had previously avoided due to pain or weakness.
  • Provides durable, long-term outcomes: TLIF creates lasting fusion between vertebrae, helping to prevent recurring symptoms.
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Who Is a Good Candidate for TLIF in Bloomfield, NJ?

Ideal candidates for Transforaminal Lumbar Interbody Fusion in Bloomfield, NJ, are individuals suffering from chronic lower back pain or leg symptoms due to a structural spinal issue that has not improved with conservative care. Conditions treated with TLIF include spinal stenosis, degenerative disc disease, spondylolisthesis, and recurrent herniated discs. You may be a good candidate if you’ve tried treatments like physical therapy, medication, or injections without success. Suitable candidates are typically in overall good health and motivated to follow through with post-operative care, including physical therapy and lifestyle adjustments. A comprehensive consultation is the best way to determine if TLIF is right for your specific diagnosis and goals.

Your Consultation

During your initial consultation at Core Alliance, Dr. Rovner will review your health history, assess your imaging studies, and talk through your symptoms and treatment history. You’ll receive clear information about both surgical and non-surgical options to help you make a confident decision about your care plan.

“I had an amazing experience with Dr. Rovner. I had been dealing with hip pain for 3 years. He was available for a consultation right away. He has a great bedside manner. He explained everything in great detail. His team is also very helpful. They got me scheduled for an injection in a timely manner. The ambulatory service brought me to the surgical center, and I was seen right away. I was home in my bed in a couple of hours. And most importantly, my hip pain is gone!! I strongly recommend Dr Rovner.”

– Tetyana Koulikova

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What to Expect During Transforaminal Lumbar Interbody Fusion

TLIF is generally performed under general anesthesia at a hospital or surgery center. A small incision is made on one side of the lower back. The surgeon carefully removes the damaged disc, decompresses the nerve roots, and places a bone graft or synthetic spacer between the vertebrae. Stabilizing hardware, such as rods and screws, is added to keep the spine in proper alignment while the bone heals. If you qualify for minimally invasive surgery, specialized instruments are used to limit tissue disruption. Most TLIF procedures take two to three hours to complete. Patients typically remain in the hospital for one or two nights, depending on the complexity of the surgery.

What Is the Recovery Like After Transforaminal Lumbar Interbody Fusion?

Recovery varies based on your age, health, and the extent of the surgery. Most patients begin walking within 24 hours and may wear a back brace for several weeks to support healing. Some initial soreness is normal, but significant pain improvement often occurs within the first few weeks.

Physical therapy is usually introduced within a few weeks and helps patients regain strength, flexibility, and balance. Many patients return to work or normal activities within six to twelve weeks, with spinal fusion continuing over several months. Dr. Rovner will monitor your progress with follow-up visits and imaging.

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What Is the Cost of TLIF Surgery?

The cost of TLIF in Bloomfield, NJ can depend on your insurance plan, facility fees, and any additional imaging or pre-operative testing required. At Core Alliance, we work with most PPO insurance providers and will help verify your benefits ahead of time so you have a clear understanding of what to expect.

Alternatives to Transforaminal Lumbar Interbody Fusion

Surgery is never our first recommendation. Core Alliance takes a conservative, step-by-step approach to spine care. Before recommending TLIF, we explore options such as epidural steroid injections, medications, physical therapy, and lifestyle modifications.

If surgery becomes necessary, we also evaluate other procedures like ALIF, PLIF, or minimally invasive discectomy, depending on the patient’s spinal anatomy and treatment goals. Your care plan will always be tailored to your individual needs.

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Why Choose Core Alliance?

At Core Alliance, our mission is to help patients return to active, pain-free lives through personalized care and surgical excellence. Dr. Rovner’s advanced training, combined with his conservative philosophy, ensures that every decision is based on what’s best for your health and future.

We eliminate unnecessary delays and prioritize education, comfort, and long-term outcomes. Contact us today to learn whether TLIF in Bloomfield, NJ is the right solution for you.

Frequently Asked Questions Transforaminal Lumbar Interbody Fusion

How long does it take for the bones to fuse after TLIF?

Fusion typically occurs over three to six months. Imaging and follow-up appointments help track progress.

Will I lose flexibility after TLIF?

You may lose some flexibility at the fused spinal segment, but most patients experience better overall motion thanks to pain relief.

Can TLIF be done minimally invasively?

Yes. Many patients qualify for a minimally invasive TLIF procedure, which may lead to faster recovery and less postoperative discomfort.

Will I need physical therapy?

Yes, physical therapy plays a critical role in rebuilding strength and flexibility after surgery.

Is TLIF covered by insurance?

TLIF is often covered when medically necessary. Our team will assist you in verifying PPO insurance benefits and obtaining pre-authorization.

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