Ntchito yaikulu yamsanakhomo lachiberekero anterior mbalendi kupititsa patsogolo kukhazikika kwa khomo lachiberekero pambuyo pa opaleshoni. Pamene intervertebral disc imachotsedwa kapena kusakanikirana, vertebrae ikhoza kukhala yosasunthika, zomwe zimapangitsa kuti zikhale zovuta. Mbalame yam'mbuyo ya chiberekero (ACP) ili ngati mlatho womwe umagwirizanitsa vertebrae pamodzi, kuonetsetsa kuti akuyenda bwino ndikulimbikitsa machiritso. Nthawi zambiri amapangidwa ndi zinthu zomwe zimagwirizana ndi biocompatible monga titaniyamu kapena chitsulo chosapanga dzimbiri kuti zitsimikizire kusakanikirana bwino ndi thupi ndikuchepetsa chiopsezo cha kukanidwa.