Minimally invasive anterior, lateral, and indirect lumbar interbody fusion: a literature evaluate.
Ann Transl Med. 2018 Mar;6(6):104
Authors: Xu DS, Walker CT, Godzik J, Turner JD, Smith W, Uribe JS
Lumbar interbody fusion includes insertion of a structural graft into an intervertebral disc house to advertise bony arthrodesis. It’s a well-established surgical technique for a number of spinal problems starting from degenerative situations to trauma, neoplastic illnesses, and deformities requiring correction. For the reason that inception of lumbar interbody fusion, probably the most established methods have been two posterior approaches, the posterior lumbar interbody fusion (PLIF) and the transforaminal lumbar interbody fusion (TLIF). Throughout the previous 15 years, a number of anterolateral approaches to the backbone have develop into broadly adopted. These approaches will be carried out minimally invasively and spare disruption of the paraspinal muscle tissues and posterior spinal column whereas enabling broad publicity of the disc house for insertion of interbody grafts a lot bigger than PLIF and TLIF instrumentation. This evaluate highlights three minimally invasive anterolateral approaches: the anterior lumbar interbody fusion (ALIF), the transpsoas lateral lumbar interbody fusion (LLIF), and prepsoas or anterior to the psoas indirect lumbar interbody fusion (OLIF). Related subjects for dialogue and comparability embrace affected person choice, surgical methods, outcomes, and problems for the three surgical approaches.
PMID: 29707553 [PubMed]