While multilevel fusions are a common and necessary procedure to treat many types of spinal pathology, such as scoliosis or other types of deformity, for treatment of low back pain from lumbar degenerative disc pathology this type of procedure remains controversial.

  • Two-level fusion. In certain instances, a two level spinal fusion may be an effective treatment for debilitating low back pain from two degenerated lumbar discs.
  • Three-level fusion. Lumbar fusion of three or more levels of the low back as a primary treatment for low back pain is rarely recommended, and many surgeons recommend against it in all cases of multilevel degenerative disc disease.

This article examines the potential risks and benefits of multilevel fusion for patients with low back pain from degenerative disc problems.

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