Anterior Lumbar Interbody Fusion (ALIF)

Restore spinal stability and relieve lower back pain with a modern fusion procedure designed to get you moving again.

Anterior Lumbar Interbody Fusion (ALIF) Stabilizing the Spine

At Core Alliance, we offer advanced spinal procedures that prioritize safety, precision, and long-term relief. Anterior Lumbar Interbody Fusion (ALIF) is a proven surgical option for patients experiencing persistent lower back pain due to spinal instability or disc degeneration.

Led by Dr. Aron Rovner—a board-certified, fellowship-trained spine surgeon with over 20 years of experience—we provide highly personalized treatment focused on helping you regain strength, mobility, and confidence. Schedule your consultation today to find out if ALIF is the right step toward relief.

What Is Anterior Lumbar Interbody Fusion?

Anterior Lumbar Interbody Fusion (ALIF) is a spinal fusion surgery that treats chronic lower back pain caused by damaged or degenerated discs in the lumbar spine. The term “anterior” refers to the surgical approach—accessing the spine from the front of the body through the abdomen. This approach allows for greater visibility of the spine and avoids cutting through the back muscles, which can lead to a smoother recovery. During ALIF, the damaged disc is removed and replaced with a bone graft or spacer. This implant helps restore disc height and relieves pressure on nearby nerves.

A plate or screws may be used to stabilize the area and encourage the vertebrae to fuse over time. Once fused, the spine becomes more stable and less painful during motion.

ALIF is typically performed when other non-surgical treatments have failed to provide long-term relief. It is commonly used to treat conditions like degenerative disc disease, spondylolisthesis, or disc-related instability.

Benefits of ALIF

ALIF offers a range of benefits for patients dealing with lumbar spine conditions. These include the following:

Relief from chronic back or leg pain: By removing the damaged disc and stabilizing the spine, ALIF can significantly reduce nerve pressure and pain.
Improved spinal stability: The procedure restores support and alignment to the lower back, reducing the risk of further degeneration or injury.
Preservation of back muscles: Because the approach is from the front, there is no need to cut through large back muscles, which may improve recovery and reduce postoperative pain.
Restoration of disc height: Replacing the disc helps open up nerve space and reduce symptoms like numbness or tingling in the legs.
Long-term improvement in mobility and function: Many patients report better range of motion and a return to daily activities with less discomfort.

Who Is a Good Candidate for ALIF?

ALIF is typically recommended for patients who have persistent lower back pain or instability due to a degenerated or herniated lumbar disc.

Ideal candidates are those who have not found relief through conservative treatments such as physical therapy, medications, or injections.

The procedure is most appropriate when imaging studies show a clear structural cause for the pain, such as disc collapse, spondylolisthesis, or nerve root compression.

This surgery is usually considered for patients who are otherwise healthy enough to undergo anesthesia and are committed to following post-surgical rehabilitation protocols. A consultation with a spine specialist is essential to determine whether ALIF is the most effective and safe option based on your condition and lifestyle.

Your Consultation

At your consultation, Dr. Rovner will perform a detailed physical examination, review imaging studies, and talk with you about your symptoms and goals. We take time to explain all your options—both surgical and non-surgical—so you can make an informed decision about your care.

To make this process as convenient as possible, Core Alliance offers both in-person and virtual consultations.

"Went for my visit with Dr. Rovner and was very pleased with how knowledgeable he was about my issues. The office and doctor are great communicators. Looking forward to my follow-up visit after all the tests. Dr. Rovner was very friendly and professional and finally seems like he knows what he’s talking about after several poor experiences with other doctors. Thank you for your help! 10/10 would recommend."

– Kris O’Connell

Schedule A Consultation Tailored Solutions for Every Spine

What to Expect During Anterior Lumbar Interbody Fusion

ALIF is typically performed in a hospital or surgical center under general anesthesia. A vascular or general surgeon may assist in accessing the spine through a small incision in the lower abdomen. The muscles, blood vessels, and organs are gently moved aside to reach the front of the spine. Once the damaged disc is removed, a bone graft or synthetic spacer is inserted into the disc space to restore alignment and encourage fusion.

In some cases, additional hardware, such as screws or a plate, is used to secure the area. The entire procedure generally takes two to three hours, depending on how many spinal levels are treated. Most patients stay in the hospital for one or two nights following surgery.

What Is the Recovery Like After Anterior Lumbar Interbody Fusion?

Recovery from ALIF typically begins with a short hospital stay, followed by rest and light activity at home. Most patients are encouraged to begin walking soon after surgery to promote circulation and healing. A back brace may be recommended to support the spine during the early recovery period.

Physical therapy often begins within a few weeks and focuses on gradually rebuilding core strength, flexibility, and mobility. Most people can return to work or daily activities within six to twelve weeks, depending on their job and how well they’re healing. Full fusion may take several months to complete.

What Is the Cost of ALIF Surgery?

The cost of ALIF surgery can vary depending on factors such as insurance coverage, facility fees, imaging requirements, and the complexity of your condition. Core Alliance works with most PPO insurance providers and will verify your benefits in advance to help you understand your financial responsibility.

Alternatives to Anterior Lumbar Interbody Fusion

Before considering surgery, our team at Core Alliance always explores conservative treatments such as physical therapy, epidural injections, medications, or lifestyle adjustments.

In some cases, other types of spinal procedures—such as posterior lumbar fusion, disc replacement, or endoscopic discectomy—may be more appropriate depending on the anatomy of your spine and the severity of your symptoms. Dr. Rovner will walk you through all available options to ensure you make the best decision for your health and recovery.

Client Testimonials

Real stories. Real results. Discover how other patients found relief and a return to active living through our expert spine care.

Read More Testimonials

Dr Rovner is not only incredibly knowledgeable and thorough, but also a compassionate and caring doctor. He explained everything and made me feel comfortable and at ease. I woul...

–Ina Pllumbi

Had a great experience! No wait time for my virtual appointment. Dr. Rovner listened to my issues and came up with an appropriate treatment plan. Receiving my medication and PT ...

–Gina Forlani

Dr. Rovner has excellent bedside manners, he is knowledgeable and caring, and provided thorough and accurate care. I always felt comfortable asking questions and discussing my c...

–Tiffany Carrasquillo

Dr. Rovner was a pleasure to talk to regarding my various injuries. He outlined all the options I have and was patient with my questions. Highly recommended if you’re look...

–Jitin Dodd

My husband has had a great experience with the doctor and his prompt attention to questions and jumping on a call. Probably the most responsive doctor we’ve ever dealt wit...

–Alexa Turck

Dr Rovner was very kind and knowledgeable! I would totally recommend him! He had Immediate next steps and was extremely communicative.

–Joyce PorrasTapia

Loved consulting with Dr Ronver for my shoulder pain . Easy appointments and quick diagnosis. Loved the fact that he’s easily reachable and his deep Explanations in every ...

–Jairesh Mohan

Convenient scheduling and communication from a competent and caring team. Dr. Rovner and Erica were very helpful and assisted me through my treatment options and coordination of...

–Dana Manza

They were amazing just a week after my surgery and I'm feeling better than before it. They have been very clear on every step of the way and answered all my questions.

–Gery Evans

Love Dr.Rovner and his staff!! Always there to help with anything needed. Dr. Rovner is an incredibly skilled surgeon, he’s kind and passionate about his work and helping ...

–Valeria Gervasi

Dr. Rovner was very helpful with my issue and is very nice and welcoming

–Brayden Seaman

I've been going to NY Spine and Sports Surgery for over 10 years. I've always had a great experience with Dr. Rovner and his staff. Everyone is very helpful and caring. I would ...

–Bhagmattie Ram

Excellent bedside manner and speedy treatment options!

–B.K.

The staff is very nice and courteous Dr. Rovner is the BEST !

–Leticia Mitchell

The place is very good, I recommend it.

–Jose Orellana

Why Choose Core Alliance?

Core Alliance was built to eliminate delays and deliver expert care that respects your time, goals, and long-term well-being. Dr. Rovner brings over 20 years of experience in minimally invasive and complex spine procedures, offering every patient personalized attention and advanced surgical precision.

Frequently Asked Questions ALIF

How long does the fusion take to solidify after ALIF?

Fusion typically takes between three and six months to fully develop. X-rays or imaging will be used during follow-up visits to monitor your progress.

Will I need to wear a brace after surgery?

In many cases, a brace is prescribed for the first few weeks to support your spine and promote proper healing. Dr. Rovner will let you know based on your specific case.

Can I drive after ALIF surgery?

Driving is generally restricted for the first few weeks following surgery, especially if you are still on pain medication. Your provider will advise you when it is safe to resume.

Will I lose flexibility or movement in my back?

Because ALIF fuses the affected segment of the spine, some loss of motion at that level is expected. However, most patients experience improved overall mobility due to pain relief.

Is ALIF covered by insurance?

ALIF is often covered by insurance when deemed medically necessary. Our team will help you understand your benefits and obtain any required pre-authorizations.