{"id":768,"date":"2026-10-21T22:05:23","date_gmt":"2026-10-21T22:05:23","guid":{"rendered":"https:\/\/orthonext.it\/?page_id=768"},"modified":"2026-10-21T22:05:23","modified_gmt":"2026-10-21T22:05:23","slug":"artrodesi-lombare-tlif-xlif-alif","status":"publish","type":"page","link":"https:\/\/orthonext.it\/en\/artrodesi-lombare-tlif-xlif-alif\/","title":{"rendered":"Lumbar spinal fusion (TLIF, XLIF, ALIF)"},"content":{"rendered":"\n<!-- Ortho-Next | Artrodesi lombare (TLIF, XLIF, ALIF) | https:\/\/orthonext.it\/artrodesi-lombare-tlif-xlif-alif\/ (nuova) | snippet autonomo: HTML + CSS + JS. 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h1{font-size:32px}.onx-app__hero{padding:22px 18px;gap:24px}.onx-app__hero p{font-size:16px}.onx-phones{gap:12px}.onx-phone{width:128px;border-radius:22px;padding:6px}.onx-phone img{border-radius:17px}.onx-phone--lg{width:146px}\n.onx-store b{font-size:16px}.onx-store{padding:8px 10px}\n.onx-phones .onx-phone:nth-child(3){display:none}\n.onx-feat{grid-template-columns:1fr 1fr;gap:18px 12px}.onx-feat .onx-phone{width:100%;max-width:170px}.onx-feat figcaption h3{font-size:17px}.onx-feat figcaption p{font-size:13.5px}\n.onx-store{min-width:0;flex:1 1 150px}\n}\n.page-header{display:none!important}.page-content>.onx-scope,.elementor-widget-html .onx-scope{margin-top:0}\n<\/style>\n<div class=\"onx-scope\">\n<nav class=\"onx-patnav onx-patnav--top\" aria-label=\"Menu patologie\"><div class=\"onx-patnav__row\"><span class=\"onx-patnav__label\">Patologie e interventi<\/span><details class=\"onx-dd\"><summary aria-label=\"Apri il menu Patologie\">Patologie <span class=\"onx-dd__chev\" aria-hidden=\"true\">&#9662;<\/span><\/summary><div class=\"onx-dd__panel\"><div><p class=\"onx-dd__group\">Patologie della colonna<\/p><ul><li><a href=\"https:\/\/orthonext.it\/ernia-del-disco-sintomi-e-trattamenti\/\">Ernia del disco<small>Sciatica, formicolio, microdiscectomia<\/small><\/a><\/li><li><a href=\"https:\/\/orthonext.it\/stenosi-lombare-sintomi-e-trattamenti\/\">Stenosi lombare<small>Gambe pesanti camminando<\/small><\/a><\/li><li><a href=\"https:\/\/orthonext.it\/spondilolistesi\/\">Spondilolistesi<small>Vertebra che scivola<\/small><\/a><\/li><li><a href=\"https:\/\/orthonext.it\/scoliosi-sintomi-e-trattamenti\/\">Scoliosi<small>Ragazzi e adulti<\/small><\/a><\/li><li><a href=\"https:\/\/orthonext.it\/cervicobrachialgia-sintomi-e-trattamenti\/\">Cervicobrachialgia<small>Dal collo al braccio, mielopatia<\/small><\/a><\/li><li><a href=\"https:\/\/orthonext.it\/osteoporosi-vertebroplastica\/\">Fratture e osteoporosi<small>Vertebroplastica, MOC, cura dell&#x27;osso<\/small><\/a><\/li><\/ul><\/div><div><p class=\"onx-dd__group\">Interventi<\/p><ul><li><a href=\"https:\/\/orthonext.it\/endoscopia-vertebrale-biportale\/\">Endoscopia vertebrale<small>Biportale, due piccoli accessi<\/small><\/a><\/li><li><a href=\"https:\/\/orthonext.it\/artrodesi-lombare-tlif-xlif-alif\/\" aria-current=\"page\">Artrodesi lombare<small>TLIF, XLIF, ALIF<\/small><\/a><\/li><li><a href=\"https:\/\/orthonext.it\/artrodesi-cervicale-anteriore-acdf\/\">Artrodesi cervicale<small>ACDF al microscopio<\/small><\/a><\/li><\/ul><\/div><p class=\"onx-dd__all\"><a href=\"https:\/\/orthonext.it\/patologie\/\">Tutte le patologie e i video &#8594;<\/a><\/p><\/div><\/details><div class=\"onx-pills\"><a href=\"https:\/\/orthonext.it\/ernia-del-disco-sintomi-e-trattamenti\/\">Ernia del disco<\/a><a href=\"https:\/\/orthonext.it\/stenosi-lombare-sintomi-e-trattamenti\/\">Stenosi lombare<\/a><a href=\"https:\/\/orthonext.it\/spondilolistesi\/\">Spondilolistesi<\/a><a href=\"https:\/\/orthonext.it\/scoliosi-sintomi-e-trattamenti\/\">Scoliosi<\/a><a href=\"https:\/\/orthonext.it\/cervicobrachialgia-sintomi-e-trattamenti\/\">Cervicobrachialgia<\/a><a href=\"https:\/\/orthonext.it\/osteoporosi-vertebroplastica\/\">Fratture e osteoporosi<\/a><a href=\"https:\/\/orthonext.it\/endoscopia-vertebrale-biportale\/\">Endoscopia vertebrale<\/a><a href=\"https:\/\/orthonext.it\/artrodesi-lombare-tlif-xlif-alif\/\" aria-current=\"page\">Artrodesi lombare<\/a><a href=\"https:\/\/orthonext.it\/artrodesi-cervicale-anteriore-acdf\/\">Artrodesi cervicale<\/a><\/div><\/div><\/nav>\n<article class=\"onx-article\">\n<p class=\"onx-kicker\">Patologie &#183; Chirurgia vertebrale &#183; Lainate<\/p><h1>Artrodesi lombare: TLIF, XLIF e ALIF spiegate passo dopo passo<\/h1>\n<p class=\"onx-lead\">L&#x27;artrodesi vertebrale favorisce la fusione di due o pi&#249; vertebre. &#200; indicata in casi selezionati di spondilolistesi, mobilit&#224; anomala del segmento, deformit&#224; o discopatie degenerative, dopo un&#x27;attenta valutazione specialistica.<\/p>\n<figure class=\"onx-hero\"><img decoding=\"async\" src=\"https:\/\/orthonext.it\/wp-content\/uploads\/2026\/10\/onx-pat-tlif.jpg\" alt=\"Rendering 3D della TLIF\" loading=\"lazy\"><\/figure>\n<nav class=\"onx-toc\" aria-label=\"Indice\"><strong>In questa pagina<\/strong><ol><li><a href=\"#onx-s1\">Perch&#233; si fa<\/a><\/li><li><a href=\"#onx-s2\">I tre tempi dell&#x27;intervento (esempio: TLIF)<\/a><\/li><li><a href=\"#onx-s3\">TLIF o PLIF?<\/a><\/li><li><a href=\"#onx-s4\">Le vie laterale (XLIF) e anteriore (ALIF)<\/a><\/li><li><a href=\"#onx-s5\">Quando si valuta<\/a><\/li><li><a href=\"#onx-s6\">Dopo l&#x27;intervento<\/a><\/li><li><a href=\"#onx-video\">Video del Dott. Lavanga<\/a><\/li><li><a href=\"#onx-refs\">Riferimenti<\/a><\/li><\/ol><\/nav>\n<section class=\"onx-sec\" id=\"onx-s1\"><h2>Perch&#233; si fa<\/h2><p>Quando il disco si consuma, una vertebra scivola sull&#8217;altra o legamenti e articolazioni si ispessiscono, i <strong>forami di coniugazione<\/strong> da cui escono le radici nervose si restringono e il nervo viene compresso: dolore alla schiena e alla gamba, formicolio, debolezza e fatica a camminare. L&#8217;artrodesi permette di <strong>decomprimere i nervi<\/strong>, <strong>ricostruire l&#8217;altezza del disco<\/strong> e <strong>bloccare il segmento<\/strong> finch&#233; l&#8217;osso si salda <a class=\"onx-cite\" href=\"#onx-ref-1\" title=\"Mobbs 2015 &#8211; PMID 27683674\">[1]<\/a>.<\/p><\/section>\n<section class=\"onx-sec\" id=\"onx-s2\"><h2>I tre tempi dell&#x27;intervento (esempio: TLIF)<\/h2><ol><li><strong>Laminectomia e foraminotomia:<\/strong> si rimuovono la lamina e, dal lato di accesso, la faccetta articolare, liberando la radice nervosa.<\/li><li><strong>Gabbia intersomatica:<\/strong> si rimuove il disco degenerato e si inserisce una gabbia (cage) in titanio riempita di osso, che ripristina l&#8217;altezza del disco e mantiene aperto il forame.<\/li><li><strong>Viti peduncolari e barre:<\/strong> le viti, inserite attraverso il peduncolo fino al corpo vertebrale, vengono collegate da due barre: un telaio che tiene ferme le vertebre mentre si fondono.<\/li><\/ol><\/section>\n<section class=\"onx-sec\" id=\"onx-s3\"><h2>TLIF o PLIF?<\/h2><p>La PLIF (via posteriore) &#232; la tecnica &#8220;sorella&#8221; della TLIF. Nella spondilolistesi lombare una meta-analisi ha trovato risultati clinici paragonabili, ma con la TLIF <strong>meno complicanze<\/strong>, in particolare meno lesioni durali e nervose, con tempi operatori e perdite di sangue pi&#249; contenuti <a class=\"onx-cite\" href=\"#onx-ref-2\" title=\"Cole 2009 &#8211; PMID 19468868\">[2]<\/a><a class=\"onx-cite\" href=\"#onx-ref-3\" title=\"de Kunder 2017 &#8211; PMID 28647584\">[3]<\/a>.<\/p><\/section>\n\n<section class=\"onx-sec\" id=\"onx-s4\"><h2>Le vie laterale (XLIF) e anteriore (ALIF)<\/h2><p>Nella <strong>XLIF<\/strong> si raggiunge il disco dal fianco, attraverso il muscolo psoas, con un accesso mini-invasivo che permette di inserire una gabbia ampia e ottenere una decompressione indiretta dei nervi <a class=\"onx-cite\" href=\"#onx-ref-4\" title=\"Ozgur 2006 &#8211; PMID 16825052\">[4]<\/a>. In una serie prospettica di 600 casi le complicanze perioperatorie sono state del 6,2%, con degenza media di circa un giorno <a class=\"onx-cite\" href=\"#onx-ref-5\" title=\"Rodgers 2011 &#8211; PMID 21192221\">[5]<\/a>. Nella <strong>ALIF<\/strong> si arriva al disco dal davanti, attraverso l&#8217;addome, senza toccare i muscoli della schiena: &#232; particolarmente adatta al livello L5-S1. Le vie si possono combinare con le viti posteriori percutanee.<\/p><\/section>\n<section class=\"onx-sec\" id=\"onx-s5\"><h2>Quando si valuta<\/h2><ul><li><a href=\"https:\/\/orthonext.it\/spondilolistesi\/\">Spondilolistesi<\/a> degenerativa o istmica con dolore e sintomi alle gambe.<\/li><li><a href=\"https:\/\/orthonext.it\/stenosi-lombare-sintomi-e-trattamenti\/\">Stenosi<\/a> del canale o dei forami associata a mobilit&#224; anomala del segmento.<\/li><li>Ernie del disco recidive o discopatie degenerative selezionate.<\/li><li>Deformit&#224; come la <a href=\"https:\/\/orthonext.it\/scoliosi-sintomi-e-trattamenti\/\">scoliosi dell&#8217;adulto<\/a>.<\/li><li>Sintomi che persistono nonostante fisioterapia, farmaci e infiltrazioni.<\/li><\/ul><p>Non tutti i mal di schiena richiedono un intervento: la chirurgia si propone dopo una visita accurata, la risonanza e le radiografie dinamiche, quando i benefici attesi superano chiaramente i rischi.<\/p><\/section>\n<section class=\"onx-sec\" id=\"onx-s6\"><h2>Dopo l&#x27;intervento<\/h2><p>In genere ci si alza gi&#224; nei primi giorni. Seguono una riabilitazione graduale e controlli radiografici che verificano nel tempo la fusione tra le vertebre. Tempi e indicazioni sono sempre personalizzati.<\/p><\/section>\n<section class=\"onx-videos\" id=\"onx-video\"><h2>Video del Dott. Lavanga<\/h2><div class=\"onx-vgrid\"><div class=\"onx-yt\" data-yt=\"QBGf1acjeCk\" data-title=\"TLIF: come liberiamo la radice nervosa ed eseguiamo l&#x27;artrodesi\"><button type=\"button\" class=\"onx-yt__btn\" aria-label=\"Riproduci il video: TLIF: come liberiamo la radice nervosa ed eseguiamo l&#x27;artrodesi\"><img loading=\"lazy\" src=\"https:\/\/orthonext.it\/wp-content\/uploads\/2026\/10\/onx-yt-qbgf1acjeck.jpg\" alt=\"\" loading=\"lazy\" decoding=\"async\" width=\"480\" height=\"360\"><span class=\"onx-yt__play\" aria-hidden=\"true\"><\/span><\/button><p class=\"onx-yt__title\">TLIF: come liberiamo la radice nervosa ed eseguiamo l&#x27;artrodesi<\/p><\/div><div class=\"onx-yt\" data-yt=\"Z1qaYCRDe2U\" data-title=\"Dentro l&#x27;intervento chirurgico in 3 step\"><button type=\"button\" class=\"onx-yt__btn\" aria-label=\"Riproduci il video: Dentro l&#x27;intervento chirurgico in 3 step\"><img loading=\"lazy\" src=\"https:\/\/orthonext.it\/wp-content\/uploads\/2026\/10\/onx-yt-z1qaycrde2u.jpg\" alt=\"\" loading=\"lazy\" decoding=\"async\" width=\"480\" height=\"360\"><span class=\"onx-yt__play\" aria-hidden=\"true\"><\/span><span class=\"onx-yt__dur\">2:44<\/span><\/button><p class=\"onx-yt__title\">Dentro l&#x27;intervento chirurgico in 3 step<\/p><\/div><div class=\"onx-yt\" data-yt=\"Q9aHmxH3lWU\" data-title=\"Artrodesi lombare anteriore e posteriore: due mesi dopo\"><button type=\"button\" class=\"onx-yt__btn\" aria-label=\"Riproduci il video: Artrodesi lombare anteriore e posteriore: due mesi dopo\"><img loading=\"lazy\" src=\"https:\/\/orthonext.it\/wp-content\/uploads\/2026\/10\/onx-yt-q9ahmxh3lwu.jpg\" alt=\"\" loading=\"lazy\" decoding=\"async\" width=\"480\" height=\"360\"><span class=\"onx-yt__play\" aria-hidden=\"true\"><\/span><span class=\"onx-yt__dur\">2:28<\/span><\/button><p class=\"onx-yt__title\">Artrodesi lombare anteriore e posteriore: due mesi dopo<\/p><\/div><div class=\"onx-yt onx-yt--ext\"><a class=\"onx-yt__btn\" href=\"https:\/\/www.youtube.com\/watch?v=zXcaDIhCkxY\" target=\"_blank\" rel=\"noopener\" aria-label=\"Guarda su YouTube: Artrodesi lombare per via laterale (XLIF): il punto di vista del chirurgo (immagini chirurgiche)\"><img loading=\"lazy\" src=\"https:\/\/orthonext.it\/wp-content\/uploads\/2026\/10\/onx-yt-zxcadihckxy.jpg\" alt=\"\" loading=\"lazy\" decoding=\"async\" width=\"480\" height=\"360\"><span class=\"onx-yt__ext\">Guarda su YouTube &#8599;<small>Immagini chirurgiche<\/small><\/span><span class=\"onx-yt__dur\">0:56<\/span><\/a><p class=\"onx-yt__title\">Artrodesi lombare per via laterale (XLIF): il punto di vista del chirurgo<\/p><\/div><div class=\"onx-yt onx-yt--ext\"><a class=\"onx-yt__btn\" href=\"https:\/\/www.youtube.com\/watch?v=Is4l6HVg4TM\" target=\"_blank\" rel=\"noopener\" aria-label=\"Guarda su YouTube: Accesso anteriore tipo ALIF per la discopatia L5-S1 (immagini chirurgiche)\"><img loading=\"lazy\" src=\"https:\/\/orthonext.it\/wp-content\/uploads\/2026\/10\/onx-yt-is4l6hvg4tm.jpg\" alt=\"\" loading=\"lazy\" decoding=\"async\" width=\"480\" height=\"360\"><span class=\"onx-yt__ext\">Guarda su YouTube &#8599;<small>Immagini chirurgiche<\/small><\/span><span class=\"onx-yt__dur\">1:43<\/span><\/a><p class=\"onx-yt__title\">Accesso anteriore tipo ALIF per la discopatia L5-S1<\/p><\/div><\/div><p class=\"onx-yt__note\">I video si caricano da YouTube (youtube-nocookie.com) solo quando premi &#9654;.<\/p><\/section>\n<aside class=\"onx-cta\"><div><h2>Prenota una visita con il Dott. Vito Lavanga<\/h2><p>Ortho-Next, Viale Rimembranze 43, Lainate (MI), anche in telemedicina. Scrivici su WhatsApp al <strong>392 39 91 841<\/strong>.<\/p><\/div><div class=\"onx-cta__btns\"><a class=\"onx-btn onx-btn--y\" href=\"https:\/\/wa.me\/393923991841?text=Buongiorno%2C%20vorrei%20prenotare%20una%20visita%20con%20il%20Dott.%20Lavanga\" target=\"_blank\" rel=\"noopener\">WhatsApp 392 39 91 841<\/a><a class=\"onx-btn onx-btn--w\" href=\"https:\/\/wa.me\/393315032553?text=GUIDA\" target=\"_blank\" rel=\"noopener\">Guida gratuita: scrivi GUIDA<\/a><\/div><\/aside>\n<div class=\"onx-author\"><div class=\"onx-author__ico\" aria-hidden=\"true\">VL<\/div><div><strong>Dott. Vito Lavanga<\/strong>, ortopedico e chirurgo della colonna vertebrale, oltre 2.300 interventi. Riceve a Ortho-Next, Lainate, e nelle altre sedi in cui opera.<\/div><\/div>\n<h2 style=\"font-size:24px\">Approfondimenti correlati<\/h2><div class=\"onx-related\"><a href=\"https:\/\/orthonext.it\/spondilolistesi\/\">Spondilolistesi<small>Vertebra che scivola<\/small><\/a><a href=\"https:\/\/orthonext.it\/stenosi-lombare-sintomi-e-trattamenti\/\">Stenosi lombare<small>Gambe pesanti camminando<\/small><\/a><a href=\"https:\/\/orthonext.it\/artrodesi-cervicale-anteriore-acdf\/\">Artrodesi cervicale<small>ACDF al microscopio<\/small><\/a><\/div>\n<section class=\"onx-refs\" id=\"onx-refs\"><h2>Riferimenti scientifici (PubMed)<\/h2><ol><li id=\"onx-ref-1\">Mobbs RJ et al. Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF\/ATP, LLIF and ALIF. J Spine Surg. 2015. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27683674\/\" target=\"_blank\" rel=\"noopener\">PMID 27683674<\/a><\/li><li id=\"onx-ref-2\">Cole CD et al. Comparison of low back fusion techniques: transforaminal lumbar interbody fusion (TLIF) or posterior lumbar interbody fusion (PLIF) approaches. Curr Rev Musculoskelet Med. 2009. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19468868\/\" target=\"_blank\" rel=\"noopener\">PMID 19468868<\/a><\/li><li id=\"onx-ref-3\">de Kunder SL et al. Transforaminal lumbar interbody fusion (TLIF) versus posterior lumbar interbody fusion (PLIF) in lumbar spondylolisthesis: a systematic review and meta-analysis. Spine J. 2017. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28647584\/\" target=\"_blank\" rel=\"noopener\">PMID 28647584<\/a><\/li><li id=\"onx-ref-4\">Ozgur BM et al. Extreme Lateral Interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J. 2006. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16825052\/\" target=\"_blank\" rel=\"noopener\">PMID 16825052<\/a><\/li><li id=\"onx-ref-5\">Rodgers WB et al. Intraoperative and early postoperative complications in extreme lateral interbody fusion: an analysis of 600 cases. Spine (Phila Pa 1976). 2011. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21192221\/\" target=\"_blank\" rel=\"noopener\">PMID 21192221<\/a><\/li><\/ol><p class=\"onx-disclaimer\">Contenuto informativo: non sostituisce la visita medica, la diagnosi o una terapia personalizzata.<\/p><\/section>\n<\/article>\n<nav class=\"onx-patnav onx-patnav--bottom\" aria-label=\"Altre patologie\"><p class=\"onx-patnav__title\">Continua a leggere<\/p><div class=\"onx-patnav__row\"><span class=\"onx-patnav__label\">Patologie e interventi<\/span><details class=\"onx-dd onx-dd--up\"><summary aria-label=\"Apri il menu Patologie\">Patologie <span class=\"onx-dd__chev\" aria-hidden=\"true\">&#9662;<\/span><\/summary><div class=\"onx-dd__panel\"><div><p class=\"onx-dd__group\">Patologie della colonna<\/p><ul><li><a href=\"https:\/\/orthonext.it\/ernia-del-disco-sintomi-e-trattamenti\/\">Ernia del disco<small>Sciatica, formicolio, microdiscectomia<\/small><\/a><\/li><li><a href=\"https:\/\/orthonext.it\/stenosi-lombare-sintomi-e-trattamenti\/\">Stenosi lombare<small>Gambe pesanti camminando<\/small><\/a><\/li><li><a href=\"https:\/\/orthonext.it\/spondilolistesi\/\">Spondilolistesi<small>Vertebra che scivola<\/small><\/a><\/li><li><a href=\"https:\/\/orthonext.it\/scoliosi-sintomi-e-trattamenti\/\">Scoliosi<small>Ragazzi e adulti<\/small><\/a><\/li><li><a href=\"https:\/\/orthonext.it\/cervicobrachialgia-sintomi-e-trattamenti\/\">Cervicobrachialgia<small>Dal collo al braccio, mielopatia<\/small><\/a><\/li><li><a href=\"https:\/\/orthonext.it\/osteoporosi-vertebroplastica\/\">Fratture e osteoporosi<small>Vertebroplastica, MOC, cura dell&#x27;osso<\/small><\/a><\/li><\/ul><\/div><div><p class=\"onx-dd__group\">Interventi<\/p><ul><li><a href=\"https:\/\/orthonext.it\/endoscopia-vertebrale-biportale\/\">Endoscopia vertebrale<small>Biportale, due piccoli accessi<\/small><\/a><\/li><li><a href=\"https:\/\/orthonext.it\/artrodesi-lombare-tlif-xlif-alif\/\" aria-current=\"page\">Artrodesi lombare<small>TLIF, XLIF, ALIF<\/small><\/a><\/li><li><a href=\"https:\/\/orthonext.it\/artrodesi-cervicale-anteriore-acdf\/\">Artrodesi cervicale<small>ACDF al microscopio<\/small><\/a><\/li><\/ul><\/div><p class=\"onx-dd__all\"><a href=\"https:\/\/orthonext.it\/patologie\/\">Tutte le patologie e i video &#8594;<\/a><\/p><\/div><\/details><div class=\"onx-pills\"><a href=\"https:\/\/orthonext.it\/ernia-del-disco-sintomi-e-trattamenti\/\">Ernia del disco<\/a><a href=\"https:\/\/orthonext.it\/stenosi-lombare-sintomi-e-trattamenti\/\">Stenosi lombare<\/a><a href=\"https:\/\/orthonext.it\/spondilolistesi\/\">Spondilolistesi<\/a><a href=\"https:\/\/orthonext.it\/scoliosi-sintomi-e-trattamenti\/\">Scoliosi<\/a><a href=\"https:\/\/orthonext.it\/cervicobrachialgia-sintomi-e-trattamenti\/\">Cervicobrachialgia<\/a><a href=\"https:\/\/orthonext.it\/osteoporosi-vertebroplastica\/\">Fratture e osteoporosi<\/a><a href=\"https:\/\/orthonext.it\/endoscopia-vertebrale-biportale\/\">Endoscopia vertebrale<\/a><a href=\"https:\/\/orthonext.it\/artrodesi-lombare-tlif-xlif-alif\/\" aria-current=\"page\">Artrodesi lombare<\/a><a href=\"https:\/\/orthonext.it\/artrodesi-cervicale-anteriore-acdf\/\">Artrodesi cervicale<\/a><\/div><\/div><div class=\"onx-patnav__pn\"><a href=\"https:\/\/orthonext.it\/endoscopia-vertebrale-biportale\/\"><small>&#8249; Precedente<\/small>Endoscopia vertebrale<\/a><a class=\"onx-next\" href=\"https:\/\/orthonext.it\/artrodesi-cervicale-anteriore-acdf\/\"><small>Successiva &#8250;<\/small>Artrodesi cervicale<\/a><\/div><\/nav>\n<\/div>\n<script>\n\/* Ortho-Next - menu patologie + video YouTube a caricamento su clic (youtube-nocookie) *\/\n(function(){\n  if(window.__onxInit)return;window.__onxInit=1;\n  function closeAll(except){document.querySelectorAll('details.onx-dd[open]').forEach(function(d){if(d!==except)d.removeAttribute('open');});}\n  document.addEventListener('toggle',function(e){var d=e.target;if(d.matches&&d.matches('details.onx-dd')&&d.open)closeAll(d);},true);\n  document.addEventListener('click',function(e){if(!e.target.closest('details.onx-dd'))closeAll(null);\n    var b=e.target.closest('.onx-yt__btn');if(!b)return;var box=b.closest('.onx-yt');var id=box.getAttribute('data-yt');\n    var f=document.createElement('iframe');f.src='https:\/\/www.youtube-nocookie.com\/embed\/'+encodeURIComponent(id)+'?autoplay=1&rel=0&modestbranding=1';\n    f.title=box.getAttribute('data-title')||'Video YouTube';f.allow='accelerometer; 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Patologie della colonna Ernia del discoSciatica, formicolio, microdiscectomia Stenosi lombareGambe pesanti camminando SpondilolistesiVertebra che scivola ScoliosiRagazzi e adulti CervicobrachialgiaDal collo al braccio, mielopatia Fratture e osteoporosiVertebroplastica, MOC, cura dell&#x27;osso Interventi Endoscopia vertebraleBiportale, due piccoli accessi Artrodesi lombareTLIF, XLIF, ALIF Artrodesi cervicaleACDF al microscopio Tutte le patologie e i video &#8594; [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/orthonext.it\/en\/artrodesi-lombare-tlif-xlif-alif\/\" \/>\n<meta property=\"og:site_name\" content=\"Ortopedia Vertebrale e Fisioterapia a Lainate\" \/>\n<meta property=\"og:image\" content=\"https:\/\/orthonext.it\/wp-content\/uploads\/2026\/10\/onx-pat-tlif.jpg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/orthonext.it\\\/artrodesi-lombare-tlif-xlif-alif\\\/\",\"url\":\"https:\\\/\\\/orthonext.it\\\/artrodesi-lombare-tlif-xlif-alif\\\/\",\"name\":\"Artrodesi lombare (TLIF, XLIF, ALIF) - Ortopedia Vertebrale e Fisioterapia a Lainate\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/orthonext.it\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/orthonext.it\\\/artrodesi-lombare-tlif-xlif-alif\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/orthonext.it\\\/artrodesi-lombare-tlif-xlif-alif\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/orthonext.it\\\/wp-content\\\/uploads\\\/2026\\\/10\\\/onx-pat-tlif.jpg\",\"datePublished\":\"2026-10-21T22:05:23+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/orthonext.it\\\/artrodesi-lombare-tlif-xlif-alif\\\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/orthonext.it\\\/artrodesi-lombare-tlif-xlif-alif\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/orthonext.it\\\/artrodesi-lombare-tlif-xlif-alif\\\/#primaryimage\",\"url\":\"https:\\\/\\\/orthonext.it\\\/wp-content\\\/uploads\\\/2026\\\/10\\\/onx-pat-tlif.jpg\",\"contentUrl\":\"https:\\\/\\\/orthonext.it\\\/wp-content\\\/uploads\\\/2026\\\/10\\\/onx-pat-tlif.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/orthonext.it\\\/artrodesi-lombare-tlif-xlif-alif\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/orthonext.it\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Artrodesi lombare (TLIF, XLIF, ALIF)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/orthonext.it\\\/#website\",\"url\":\"https:\\\/\\\/orthonext.it\\\/\",\"name\":\"Ortopedia Vertebrale e Fisioterapia a Lainate\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/orthonext.it\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/orthonext.it\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/orthonext.it\\\/#organization\",\"name\":\"Ortopedia Vertebrale e Fisioterapia a Lainate\",\"url\":\"https:\\\/\\\/orthonext.it\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/orthonext.it\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/orthonext.it\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-2c018019-a980-4b76-8702-96238d14929d.webp\",\"contentUrl\":\"https:\\\/\\\/orthonext.it\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-2c018019-a980-4b76-8702-96238d14929d.webp\",\"width\":480,\"height\":137,\"caption\":\"Ortopedia Vertebrale e Fisioterapia a Lainate\"},\"image\":{\"@id\":\"https:\\\/\\\/orthonext.it\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Artrodesi lombare (TLIF, XLIF, ALIF) - Ortopedia Vertebrale e Fisioterapia a Lainate","robots":{"index":"noindex","follow":"follow"},"og_locale":"en_GB","og_type":"article","og_title":"Artrodesi lombare (TLIF, XLIF, ALIF) - Ortopedia Vertebrale e Fisioterapia a Lainate","og_description":"Patologie e interventi Patologie &#9662; 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