The 360 Spinal Fusion Experts

An advanced procedure for correcting deformities of the lower back, a 360 Spinal Fusion is designed to provide a high degree of stability, and to significantly reduce–or completely eradicate–back pain.


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What is a 360 Spinal Fusion?

360 fusion

360 Spinal Fusion is two procedures in one. Both are lumbar procedures, but one is performed from the front of the body (the anterior) and one is performed from the back (the posterior).

360 Spinal Fusion Procedure Essentials

Patient Satisfaction. Very High
Does It Require an Overnight Stay? Sometimes. It depends on a few factors
Incision Size. Less than an inch
Recovery Period. Walking the day of the surgery, back to work or play in a couple weeks to a couple months

Physicians Who Perform 360 Spinal Fusion

North American Spine partner physicians are board-certified, minimally invasive specialists in 360 Spinal Fusion and other related procedures. They are among the best in the field, and many have served as teachers of the next generation of minimally invasive specialists.


Unlike at most practices, North American Spine partner physicians may collaborate on a complex procedure to ensure that all the required skill and knowledge is brought to the case. But perhaps the most telling fact of all is this: 97% of patients say they would recommend their doctor to a friend.



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Benefits of the 360 Spinal Fusion

Fusing both the front (anterior) and back (posterior) of the spine provides a high degree of stability for the spine and a large surface area for bone fusion to occur. Also, approaching both sides of the spine often allows for a more aggressive pain reduction for patients who have a deformity in the lower back. In essence, a 360 Spinal Fusion is a combination of an Anterior Lumbar Interbody Fusion (ALIF) and a Posterior Lumbar Interbody Fusion (PLIF).


Compared to traditional, “open” surgeries, the minimally invasive approach used by North American Spine physicians results in less surgical trauma, less bone and tissue damage, and results in fewer complications and a reduced recovery period. Note: we do see patients whose previous spine surgeries are no longer providing them the relief they need.

Details of the 360 Spinal Fusion

A 360  spinal fusion is any procedure that places the interbody cage from the front (anterior) or side (lateral) and then reinforces the fusion through the back side (posterior) of the body with specialized hardware.


Typically, the front or side portion is done first. Through a small incision, damaged disc material is removed, and the interbody cage and bone graft is placed. Then, the surgeon places specialized hardware from the back side of the body to reinforce the fusion.


The procedure is usually performed for patients with significant degenerative disc disease and/or a high degree of spinal instability.

Preparing for the 360 Spinal Fusion


Before pursuing a 360 Spinal Fusion, prospective patients should have tried conservative methods, such as physical therapy, chiropractic, and spinal injections. If those methods have not produced meaningful relief, you may be a candidate for a North American Spine procedure.

360 Spinal Fusion Recovery

360 Spinal Fusions are inpatient procedures, meaning patients will stay 1-3 nights in the surgery center. Recovery, however, is quite rapid in comparison to traditional open back surgery. Typically, patients will be walking the same day of surgery and performing light activity within a few weeks. More in-depth, customized recovery guidelines will be provided by your North American Spine physician. The vast majority of patients report a significant and lasting reduction of their pre-op symptoms. The 360 fusion has terrific success rates, because our physicians are able to secure the spine from both sides. Many patients are able to regain more mobility and perform activities they haven’t been able to for years because of the pain.


While every surgery carries some risk of injury or infection, complications are rare. Your physician will counsel you on these risks prior to the procedure.