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Minimally Invasive L4-5 Oblique Lumbar Interbody Fusion With Robot-Assisted Single-Position Posterior Fixation: 2-Dimensional Operative Video – Lumbar Fusion

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This article presents a case study of a 58-year-old female patient with L4-5 spondylolisthesis who underwent a minimally invasive L4-5 oblique lumbar interbody fusion (OLIF) with robot-assisted bilateral posterior instrumented fixation. The surgery was performed using the Mazor X Stealth Edition system by Medtronic in a single lateral position. The article highlights the benefits of using robotics in the lateral position, including increased operating efficiency and reduced case times. The OLIF approach allows for single-position posterior fixation and has been shown to be effective at L4-5. The article also mentions that this is the first video demonstrating the OLIF approach through a high-definition retractor-based camera

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

We present here a 58-year-old female patient with L4-5 spondylolisthesis, who underwent a minimally invasive L4-5 oblique lumbar interbody fusion (OLIF) with robot-assisted bilateral posterior instrumented fixation in a single lateral position (Mazor X Stealth Edition, Medtronic). There has been interest in detailed video-based descriptions of single-position surgery with lateral approach interbody fusions, either in the prone or lateral decubitus position.1-6 Particularly, the addition of…

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Oper Neurosurg (Hagerstown). 2024 Feb 8. doi: 10.1227/ons.0000000000001043. Online ahead of print.ABSTRACTWe present here a 58-year-old female patient with L4-5 spondylolisthesis, who underwent a minimally invasive L4-5 oblique lumbar interbody fusion (OLIF) with robot-assisted bilateral posterior instrumented fixation in a single lateral position (Mazor X Stealth Edition, Medtronic). There has been interest in detailed video-based,

Oper Neurosurg (Hagerstown). 2024 Feb 8. doi: 10.1227/ons.0000000000001043. Online ahead of print.

ABSTRACT

We present here a 58-year-old female patient with L4-5 spondylolisthesis, who underwent a minimally invasive L4-5 oblique lumbar interbody fusion (OLIF) with robot-assisted bilateral posterior instrumented fixation in a single lateral position (Mazor X Stealth Edition, Medtronic). There has been interest in detailed video-based descriptions of single-position surgery with lateral approach interbody fusions, either in the prone or lateral decubitus position.1-6 Particularly, the addition of robotics has been shown to help increase overall operating efficiency in the lateral position with reduced case times even with the increased up-front robot setup time.7,8 The OLIF, also known as an anterior-to-psoas approach, allows for single-position posterior fixation and can be very effective at L4-5 where the anatomy of the iliac crest or lumbar plexus does not preclude this surgical corridor the way it could in the transpsoas lateral lumbar interbody fusion. Clinical outcomes between these 2 lateral approaches have been shown to be very good,9 and OLIF has reduced blood loss while still restoring alignment parameters compared with anterior lumbar interbody fusion, with better fusion and reduced subsidence compared with transforaminal lumbar interbody fusion.10,11 To our knowledge, this is the first video demonstrating a view of the OLIF approach through a high-definition retractor-based camera (MaxView Camera, Viseon Inc). There is no identifying patient information in this video. The participants and any identifiable individuals consented to publication of his/her image, and the patient consented to the procedure.

PMID:38329333 | DOI:10.1227/ons.0000000000001043

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Minimally Invasive L4-5 Oblique Lumbar Interbody Fusion With Robot-Assisted Single-Position Posterior Fixation: 2-Dimensional Operative Video

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Oper Neurosurg (Hagerstown). 2024 Feb 8. doi: 10.1227/ons.0000000000001043. Online ahead of print.ABSTRACTWe present here a 58-year-old female patient with L4-5 spondylolisthesis, who underwent a minimally invasive L4-5 oblique lumbar interbody fusion (OLIF) with robot-assisted bilateral posterior instrumented fixation in a single lateral position (Mazor X Stealth Edition, Medtronic). There has been interest in detailed video-based

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