Issues on minimally invasive indirect lumbar interbody fusion at L2-L5 ranges: a assessment of the literature and surgical methods.
Ann Transl Med. 2018 Mar;6(6):101
Authors: Quillo-Olvera J, Lin GX, Jo HJ, Kim JS
Fusion is the cornerstone within the therapy of an unstable degenerative lumbar spinal illness. Numerous methods have been developed. Amongst these methods exists the indirect lumbar interbody fusion (OLIF), which is the ante-psoas strategy. Enough restoration of disc top with massive cages positioned within the intervertebral area, oblique decompression, and correction of sagittal and coronal alignment might be achieved with OLIF process with the benefit of minimal threat for the psoas muscle and lumbar plexus. Nonetheless, this system entails problems straight related to the anatomical location the place the fusion takes place. This surgical space is a window between the left lateral border of the aorta, or the left frequent iliac artery, and the anterior stomach of the left psoas muscle. Vascular problems related to the damage of the principle vessels, segmental artery or iliolumbar vein of the lumbar backbone have been reported, in addition to urologic lesions attributable to ureter transgression, amongst others. Though these problems have been described within the literature, an article that enhances this info with technical recommendation for its avoidance is but to be printed. This text is a assessment of essentially the most frequent problems related to the OLIF process in L2-L5 lumbar ranges, in addition to an outline of technical methods for the prevention of such problems.
PMID: 29707550 [PubMed]