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Transforaminal Lumbar Interbody Fusion (TLIF) Restoring Strength and Stability

At Core Alliance, we’re committed to delivering advanced spine care that empowers our patients to move beyond chronic pain and regain their independence. Transforaminal Lumbar Interbody Fusion (TLIF) is one of the most effective techniques we offer to address instability and nerve compression in the lumbar spine.

Dr. Aron Rovner, a fellowship-trained, board-certified orthopedic spine surgeon, performs TLIF using minimally invasive methods tailored to your unique spinal anatomy. Schedule your consultation to find out if TLIF in Long Island is the next step on your path to healing.

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What Is Transforaminal Lumbar Interbody Fusion?

Transforaminal Lumbar Interbody Fusion, or TLIF, is a surgical procedure that helps stabilize the spine and relieve pressure on nerves by removing a damaged disc and replacing it with a bone graft or spacer. The term "transforaminal" refers to the side-angle approach through the foramen, which is the passageway through which spinal nerves exit the spine. By accessing the lumbar spine from one side of the back, the surgeon minimizes disruption to the surrounding muscle and tissue. Once the degenerated disc is removed, a bone graft or implant is placed between the vertebrae to restore disc height and encourage bone fusion. Screws and rods are used to maintain stability while the fusion develops. This procedure is commonly used to treat conditions such as herniated discs, degenerative disc disease, spondylolisthesis, and spinal stenosis that have not responded to conservative treatments.

Benefits of TLIF

Undergoing TLIF in Long Island offers a range of potential benefits, especially for those struggling with persistent back and leg symptoms:

  • Long-term nerve pain relief: TLIF relieves pressure on compressed nerves, often resolving radiating pain, tingling, and numbness.
  • Enhanced spinal support: By restoring alignment and promoting fusion, the spine becomes more stable and resilient.
  • Minimal tissue disruption: The side-access technique helps preserve muscle and soft tissue, reducing recovery time and surgical trauma.
  • Improved function and mobility: Many patients report greater flexibility and strength after healing.
  • Sustainable outcomes: TLIF is designed to deliver lasting improvements in stability, comfort, and quality of life.

Who Is a Good Candidate for TLIF in Long Island?

TLIF is typically recommended for patients experiencing chronic lower back pain, nerve-related leg symptoms, or lumbar instability caused by degenerative disc disease, spondylolisthesis, or spinal stenosis.

Candidates are often those who have tried physical therapy, medications, or injections without sufficient relief. This procedure may be appropriate if you are otherwise healthy, committed to rehabilitation, and ready to explore a surgical solution.

A thorough evaluation—including diagnostic imaging and symptom assessment—is essential to determine if transforaminal lumbar interbody fusion in Long Island is right for you.

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Your Consultation

During your consultation with Dr. Rovner, you can expect a thoughtful, one-on-one evaluation. He will examine your spine, review your imaging studies, and ask detailed questions about your symptoms and daily function. You’ll learn about all available treatment options and receive expert guidance on whether TLIF is the best course of action.

“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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Schedule A Consultation Tailored Solutions for Every Spine

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What to Expect During Transforaminal Lumbar Interbody Fusion

TLIF is performed under general anesthesia in a hospital or outpatient facility. Dr. Rovner makes a small incision on one side of the lower back to access the affected spinal segment. Using specialized instruments, the damaged disc is removed, and any pinched nerves are gently decompressed. A bone graft or implant is then inserted into the disc space, followed by stabilization using screws and rods. Minimally invasive techniques are often used to minimize blood loss, scarring, and post-operative pain. The procedure typically takes two to three hours, and most patients return home within one to two days.

What Is the Recovery Like After TLIF?

Recovery from TLIF in Long Island usually begins with early mobilization—patients are encouraged to begin walking shortly after surgery. Some discomfort is expected but generally improves within a few weeks. A supportive brace may be worn to aid healing.

Physical therapy is an essential part of recovery, helping patients rebuild core strength and range of motion. Most people return to light activities or work within six to twelve weeks, although full spinal fusion may take several months. Regular follow-up visits will help track your healing progress.

What Is the Cost of TLIF Surgery?

The cost of TLIF can vary based on surgical complexity, the number of spinal levels involved, and your insurance coverage. Core Alliance works with most PPO plans and will verify your benefits in advance to help you understand the financial details of your care.

Alternatives to Transforaminal Lumbar Interbody Fusion

At Core Alliance, surgery is never the first option. We explore all conservative treatments first, including physical therapy, injections, and medication. If surgery becomes necessary, we’ll discuss other procedures that may be a better fit—such as ALIF, PLIF, or endoscopic discectomy—based on your anatomy and goals.

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Why Choose Core Alliance?

When you choose Core Alliance for TLIF in Long Island, you’re choosing a spine care experience built on trust, expertise, and individualized attention.

Dr. Rovner has more than 20 years of experience performing complex spinal procedures and is dedicated to helping patients regain their quality of life through precise, minimally invasive care. Contact our team to take the next step toward relief.

Frequently Asked Questions Transforaminal Lumbar Interbody Fusion

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

Bone fusion typically occurs over three to six months. Your surgeon will monitor your progress through imaging and follow-up exams.

Will I lose flexibility after TLIF?

Some loss of flexibility at the fused level is expected, but most patients maintain good overall motion—especially if only one or two levels are fused.

Can TLIF be performed as a minimally invasive procedure?

Yes. Many TLIF procedures are now done using minimally invasive techniques, which can reduce scarring, blood loss, and recovery time.

Will I need physical therapy after surgery?

Yes. Physical therapy is a key part of your recovery and helps restore strength, improve range of motion, and prevent future injuries.

Is TLIF covered by insurance?

TLIF is usually covered by insurance when deemed medically necessary. Our team will handle all pre-authorizations and help you understand your coverage.

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