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@jlssurplus
Thank you for your response. You have a good point about the spondylitis, and is it unstable enough to require fusion. I’m trying to find a 2nd opinion on that issue and further question my current surgeon about it. My current surgeon said in his opinion it was too unstable for a prosthetic disc. I’m going to ask him about Coflex, my guess is he will say it’s too unstable. The XLIF only makes the surgery minimally invasive because they use robotics and can make small incisions from the side. The actual fusion procedure is the same as the traditional fusion. Bone graft, cage, screws etc. So if you trust your surgeon that’s great and you’re in good hands even if they don’t do XLIF. XLIF only makes initial recovery faster. You can leave the hospital the next day and walk. Other than that I don’t see much difference

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Replies to "@jlssurplus Thank you for your response. You have a good point about the spondylitis, and is..."

@cira3
For me it would be much less risky because of my weight.

Also not cutting through everything from the back would have less chance of creating more nerve damage.

Faster recovery is a big thing for me as I am self employed, no employees and the only source of income. Everything I do at work is bad for my back

Unfortunately doing a full 3 level open fusion with the recovery time has the potential to bankrupt us and lose our house even if it goes well .

So now I live with the pain best I can.