The procedure allows for a significant release of the disc and lateral ligaments, so considerable bone position improvement can occur. A large cage device with donated bone is used to stabilize the area and promote fusion. Dr. Paul often uses bone graft subsitutes as well.
The cage is specifically sized to restore as much normal alignment as possible. Dr. Paul typically plans for potential sizes and realignment before surgery. He also uses live intraoperative technology to monitor realignment during surgery as well.
Dr. Paul will sometimes apply screws and/or a plate to help fix the cage in place. Depending on your situation, he is often required to perform surgery from the back as well. This can involve placing hardware to help support your lateral fusion.