Lumbar Fusion
Long Island

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Stabilize the spine & reduce motion

Dr. George Kakoulides, our board-certified neurosurgeon, performs lumbar fusion on Long Island to address degenerative disc disease, spinal stenosis, and spondylolisthesis. This procedure is recommended when conservative treatments fail to relieve chronic back pain or instability.

Lumbar fusion involves permanently connecting two or more vertebrae in the lower spine to eliminate motion between them. This stabilization reduces pain and improves function by using bone grafts or implants to facilitate the fusion. This surgical intervention is particularly effective for patients who have not found relief through non-surgical methods.

Doctor examining a patient for lumbar fusion on Long Island.

When is lumbar fusion needed?

Lumbar fusion is typically needed when patients suffer from chronic back pain or spinal instability that does not respond to conservative treatments such as physical therapy, medications, or injections. This surgery stabilizes the affected spine segments to reduce pain and improve function, particularly in cases of severe spinal degeneration or deformity. Generally speaking, you may need lumbar fusion for these conditions:

  • Degenerative disc disease
  • Spinal stenosis
  • Spondylolisthesis
  • Severe disc herniation
  • Spinal deformities (scoliosis, kyphosis)
  • Spinal fractures
  • Spinal tumors

If you are wondering if a lumbar fusion on Long Island is the right treatment for you, schedule a consultation with Dr. Kakoulides.

The techniques used during lumbar fusion

Anterior Lumbar
Interbody Fusion

Anterior Lumbar Interbody Fusion (ALIF) involves accessing the spine through an incision in the abdomen. This approach allows the surgeon to work on the spine without moving the nerves, reducing the risk of nerve damage. By placing larger implants and bone grafts, ALIF promotes better spinal alignment and fusion. This technique offers a clear view of the intervertebral space and minimizes back muscle disruption.

Lumbar Interbody
Fusion (TLIF)

Transforaminal Lumbar Interbody Fusion (TLIF) is performed through an incision along the middle of the back. This allows for the removal of the intervertebral disc and the insertion of bone grafts and implants directly into the disc space. TLIF reduces the need for extensive muscle retraction and minimizes nerve manipulation. TLIF provides a stable environment for bone fusion and maintains the natural curvature of the spine.


Lateral Interbody Fusion involves accessing the spine through a small incision made at the side of the waist. This minimally invasive lumbar fusion on Long Island avoids significant muscle and nerve disruption, leading to quicker recovery and less postoperative pain. The surgeon removes the damaged disc and inserts a bone graft and implant to facilitate fusion. It preserves the integrity of the back muscles and maintains spinal stability and alignment.

Lumbar fusion: recovery & aftercare

After lumbar fusion, you will need to follow a specific recovery and aftercare plan to ensure optimal healing. Dr. Kakoulides will provide detailed instructions, including pain management, physical therapy, and activity restrictions. Initial recovery may take a few weeks, but full fusion can take several months. Regular follow-up appointments will be scheduled to monitor your progress and ensure the fusion is healing correctly.

A consultation for Lumbar Fusion on Long Island.

Contact Dr. George Kakoulides

Dr. George Kakoulides is a board-certified neurosurgeon specializing in minimally invasive spine surgery, including lumbar fusion. He only recommends lumbar fusion and other minimally invasive spine surgeries if absolutely necessary — most patients can achieve optimal relief through conservative treatments. If you are experiencing chronic back pain or spinal instability, schedule a consultation to discuss how lumbar fusion on Long Island can restore your quality of life.