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Lumbar lateral interbody fusion: step-by-step surgical technique and clinical experience – Lumbar Fusion

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The article discusses the use of lateral lumbar interbody fusion (LLIF) as a minimally invasive surgical approach for treating various degenerative and deformity conditions of the lumbar spine. The authors provide their single institutional surgical experience, including indications, contraindications, surgical technique, preoperative imaging assessment, patient positioning, and postoperative patient care recommendations. They also address common complications and summarize their research experience with LLIF as a standalone procedure. The article concludes that LLIF can be an effective surgical technique for degenerative lumbar spine conditions, with good clinical outcomes and a relatively low rate of complications when proper patient selection is performed

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best rated spinal centre in London

Published article

Lateral lumbar interbody fusion (LLIF) is a minimally invasive surgical approach used to treat a variety of degenerative and deformity conditions of the lumbar spine such as advanced degenerative disease, degenerative scoliosis, foraminal and central stenosis. It has emerged as an alternative to the traditional posterior and anterior lumbar approaches with some potential benefits such as lower blood loss and shorter hospital stay. In this article, we provide our single institutional surgical…

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J Spine Surg. 2023 Sep 22;9(3):294-305. doi: 10.21037/jss-23-54. Epub 2023 Sep 12.ABSTRACTLateral lumbar interbody fusion (LLIF) is a minimally invasive surgical approach used to treat a variety of degenerative and deformity conditions of the lumbar spine such as advanced degenerative disease, degenerative scoliosis, foraminal and central stenosis. It has emerged as an alternative to the,

J Spine Surg. 2023 Sep 22;9(3):294-305. doi: 10.21037/jss-23-54. Epub 2023 Sep 12.

ABSTRACT

Lateral lumbar interbody fusion (LLIF) is a minimally invasive surgical approach used to treat a variety of degenerative and deformity conditions of the lumbar spine such as advanced degenerative disease, degenerative scoliosis, foraminal and central stenosis. It has emerged as an alternative to the traditional posterior and anterior lumbar approaches with some potential benefits such as lower blood loss and shorter hospital stay. In this article, we provide our single institutional surgical experience including main indications and contraindications, a step-by-step surgical technique description, a detailed preoperative imaging assessment with a focus on magnetic resonance imaging (MRI) psoas anatomy, operative room (OR) setup and patient positioning. A descriptive surgical technical note of the following steps is provided: positioning and fluoroscopic confirmation, incision and intraoperative level confirmation, discectomy and endplate preparation, implant size selection and insertion and final fluoroscopic control, hemostasis check and wound closure along with an instructional surgical video with tips and pearls, postoperative patient care recommendations, common approach-related complications, along with our historical clinical institutional group experience. Finally, we summarize our research experience in this surgical approach with a focus on LLIF as a standalone procedure. Based on our experience, LLIF can be considered an effective surgical technique to treat degenerative lumbar spine conditions. Proper patient selection is mandatory to achieve good outcomes. Our institutional experience shows higher fusion rates with good clinical outcomes and a relatively low rate of complications.

PMID:37841793 | PMC:PMC10570643 | DOI:10.21037/jss-23-54

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Lumbar lateral interbody fusion: step-by-step surgical technique and clinical experience

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J Spine Surg. 2023 Sep 22;9(3):294-305. doi: 10.21037/jss-23-54. Epub 2023 Sep 12.ABSTRACTLateral lumbar interbody fusion (LLIF) is a minimally invasive surgical approach used to treat a variety of degenerative and deformity conditions of the lumbar spine such as advanced degenerative disease, degenerative scoliosis, foraminal and central stenosis. It has emerged as an alternative to the

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