• Mark J. Downey, MD & Alex Cotter, MD
    10 Old Montgomery Hwy #200. Homewood, AL 35209
    Appointments & Referrals: (205) 271-6511

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MIS AxiaLIF® (Presacral Lumbar Interbody Fusion)

MIS axial lumbar interbody fusion is a new minimally invasive surgery approach to traditional fusion procedures.

The access occurs via the presacral region near the tailbone. The surgery beings with a one-inch incision in the back next to the tailbone. The degenerated disc is removed and bone growth material is inserted in its place that will ultimately ‘fuse’ the spine to restore mobility and alleviate the pain.

The AxiaLIF® implant is inserted to stabilize the vertebrae while fusion is occurring. The surgeon will analyze the problematic area and will adjust the disc height and alignment if necessary.

After the AxiaLIF® procedure has been performed the surgeon will add posterior implants for additional stabilization of your spine. Some of the benefits of this procedure over the other traditional approaches are minimal blood loss, faster recovery times and less post-operative pain.


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Spine Group Alabama specializes in the treatment of back pain, neck pain, herniated discs, and all types of ligament strain related to the neck and low back. Spine Group Alabama is referred  back and neck pain patients from across Alabama, including Birmingham, Tuscaloosa, Auburn, Huntsville and Montgomery.

Office Hours:
Monday - Thursday: 8am - 4:30pm
Friday: 8am - 2:30pm
Saturday/Sunday: Closed
(205) 271-6511

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