Fusion + ADR for a Lasting Solution

When conservative care isn’t enough, the right surgical approach can deliver relief that lasts.

This 44-year-old patient came to Peloza Spine after years of chronic low back and leg pain that hadn’t responded to physical therapy, medications, or multiple injections. His MRI revealed a combination of spondylolisthesis, spinal stenosis, and an annular tear—each contributing to nerve compression, instability, and ongoing pain.

Understanding the complexity of his condition, Dr. Peloza took a hybrid surgical approach: a lumbar fusion at L5/S1 to stabilize the lower spine, paired with a motion-preserving total disc replacement (TDR) at L4/5. This strategy addressed both the mechanical instability and the need to preserve natural movement above the fusion level.