Hi Fellow Spineys,
I wonder if you may be able to shed some light for me.
Which procedure is the more "demanding" and risky?
I have read lots around and to summarise my understanding (which may be all wrong) the PLIF is a technically challanging procedure for the surgeon and risk as major nerves in the way, especially revisions and the ALIF is easier but for major blood vessels which need securing and moving prior to fusion. I read they often use vascular surgeons to complete this.
My surgeon has scared me to death regard sthe ALIF approach and I am curious since this appears on paper to be the safer route. confused. Oh yes.
Please don't tell me it depends on patients and surgeon - I kinda know that. Anyhow, you may have got an opinion from your own docs, please share the pro's and cons.