Performing a fusion in the thoraco-lumbar spine may be a necessity under certain circumstances, however, includes a greater surgical invasiveness and alters the biomechanics of the spinal column. In this University of Washington program, meet Dr. Webb from Nottingham, United Kingdom, a very experienced spine surgeon who, from a more than 30-year vantage point, reviews the indications for fusion and reflects on circumstances where surgeons can safely avoid spine fusions during neurologic decompression surgery. From the Series:The Aging Spine