Mr Nikolay Peev
Transforaminal Lumbar Interbody Fusion (TLIF) Surgery
Lumbar spinal fusion offers effective relief from persistent lower back pain and sciatica caused by worn or damaged discs, with procedures performed by leading spinal surgeons.
Steps to get started
Our team will support you through every stage, from your first enquiry to your recovery..
If you’re using health insurance
Check with your provider to see what’s covered. We’re happy to help with any paperwork and can work directly with many insurance companies to make the process smoother for you.
If you’re paying for treatment yourself or using a payment plan
We’ll give you clear information about costs and help you plan your care. You’ll know exactly what to expect, with no hidden fees.
Costs
Service costs vary depending on individual needs, but our team is here to guide you. Get in touch to confirm fees and receive a clear, personalised breakdown before making any appointments.
Book an Appointment
You can book an appointment online, call our friendly team, or ask your GP for a referral.
We’re here to answer your questions, talk you through your options, and help you feel confident about your treatment.
Our Locations
Quality care, wherever you are. Get directions to all our locations.
Why might you need TLIF Surgery?
Fusion surgery is only considered if:
- Tests confirm the disc is the main cause of pain
- You’ve had pain for over a year, and other treatments haven’t helped
- The disc keeps bulging again
- Pain is stopping you from doing daily activities
Meet Our Orthopaedic Consultants
At Kingsbridge, you’ll be in the expert hands of UK and Ireland’s top orthopaedic consultants.
Hear from Our Consultants
Learn more about TLIF surgery and our advanced spinal surgeons.
Benefits of TLIF Surgery
- Relieved or reduced chronic lower back pain
- Improved mobility and function
- Improved quality of life
What to Expect Before, During, and After TLIF Surgery?
Knowing what happens at each stage of TLIF surgery can help you feel prepared and more at ease. Here’s what you can expect:
Before Surgery
If you meet the criteria for TLIF surgery, following your discography investigation and consultation with your spinal surgeon, the possibility of undergoing lumbar spinal interbody fusion will be discussed with you. Your consultant will explain what happens during surgery and answer any questions you have.
During Surgery
TLIF surgery generally takes two to three hours and is performed under general anaesthetic so you are fully asleep. Your surgeon will access the spine through a small incision and remove the damaged disc. They will then insert a bone graft, which may come from your own bone, a donor bone or an artificial substitute, or a small cage into the space to help the bones fuse together. The spine will then be stabilised with small screws and rods to hold the bones in place while they heal. These are usually left in place unless they cause problems later. Over many months, your natural bone grows into the graft, creating a solid fusion and stopping the painful movement at that part of the spine.
After Surgery
Most people stay in hospital for two to four days. Usually, on the first or second day after your operation, the physiotherapist will help you out of bed and show you the correct way to move safely. Full recovery can take several weeks to months. Walking is the best activity to do after your surgery as it promotes healthy circulation and aids the healing process. Activities which involve repetitive bending or twisting should be avoided in the first few months along with sports until you can discuss this with your consultant during your follow-up appointment. Once the bone fuses, a gradual return to normal activity is then advised.