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The goal of the surgery is decompress a portion of the spine and remove pressure on the spinal cord or nerves. Lumbar spine fusion surgery for symptomatic degenerative disc disease is typically done on one level of the spine most commonly toward the bottom of the spine at l5 s1 or l4 l5. United States Spinal Surgery Procedures Outlook To 2021 Spinal Fusion Spinal Fusion Surgery Back Surgery Back and leg pain can be a complex issue that may require a team of health professionals to diagnose and treat. Spinal surgeries . See the multilevel spinal fusion surgery. Spine surgery instrumentation medical devices bone graft procedures and a bone stimulator are sometimes used along with spinal fusion. The surgeon removes the bony walls of the vertebrae and any bone spurs aiming to open up the spinal column to remove pressure on the nerves. In certain cases it may be done on two levels and only very rarely would it be considered on 3 or more levels. The surgery involves an incision