A Global Leader of the V COMINCO / A Chairman of the Nanoori Hospital Group Scientific Team / A Scientific Committee Members of the 2016 WCMISST KOMISS Joint Meeting / A Scientific Committee Membersof the 2016 Asia Spine / A Committee member of the Journal of Minimally Invasive Spine Surgery and Technique (JMISST) / Adjunct professor of the Medical College of the Chosun University / An Advisory Doctor of the Korean Spinal Neurosurgery Society / Reference Doctor of the Joimax Company / Reference Doctor of the Solco Company / Reference Doctor of the Lutronic Company
During the ILIF procedure, the surgeon makes a small incision in the lower back and an opening is created through the ligaments. This allows access to the spinous processes (the bone you can feel when you run your hand down your spine). The damaged portion of the disc is removed and allograft bone is placed in the empty space. This helps protect the spinal cord and nerves. A metal implant is inserted to stabilize the spine and secure the spinous processes until the fusion takes place. Morsellated bone is used together with the allograft to fuse the vertebra above and below.
In the prone (laying face down) position, with a pillow underneath the abdomen, the level and location for the injection are viewed using fluoroscopic (x-ray) guidance. The skin is anesthetized and a thin needle is advanced under fluroscopic guidance to the appropriate location for epidural injection. This placement is confirmed with injection of a small volume of contrast solution, which can be seen under x-ray. This proves that the medication will flow to the appropriate region. A small volume of anesthetic with steroid (usually triamcinalone) solution is then injected. The patient then returns to the recovery area for approximately 20 minutes.