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The Evolution of Lateral Lumbar Interbody Fusion: A Journey from Past to Present – Lumbar Fusion

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The article discusses the evolution of lumbar interbody fusion procedures, including posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF), anterior lumbar interbody fusion (ALIF), and lateral lumbar interbody fusion (LLIF). LLIF, initially known as extreme/direct lateral interbody fusion (XLIF/DLIF) before the development of oblique lumbar interbody fusion (OLIF), has become a pivotal technique in the field. The article highlights the importance of combining LLIF with posterior stabilization (PS) using pedicle screws for comprehensive stability. The advancement of single-position surgery (SPS) has revolutionized the procedure by eliminating the need for patient repositioning, resulting in reduced operative time. Ongoing research aims to enhance LLIF procedures, with the integration of robotic technology into SPS emerging as a significant advancement for the future of spinal fusion surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best recognised day surgery unit in the world

Published article

Lumbar interbody fusion procedures have seen a significant evolution over the years, with various approaches being developed to address spinal pathologies and instability, including posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF), anterior lumbar interbody fusion (ALIF), and lateral lumbar interbody fusion (LLIF). LLIF, a pivotal technique in the field, initially emerged as extreme/direct lateral interbody fusion (XLIF/DLIF) before the development of…

Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
Medicina (Kaunas). 2024 Feb 23;60(3):378. doi: 10.3390/medicina60030378.ABSTRACTLumbar interbody fusion procedures have seen a significant evolution over the years, with various approaches being developed to address spinal pathologies and instability, including posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF), anterior lumbar interbody fusion (ALIF), and lateral lumbar interbody fusion (LLIF). LLIF, a pivotal technique,

Medicine (Kaunas). 2024 Feb 23;60(3):378. doi: 10.3390/medicine60030378.

ABSTRACT

Lumbar interbody fusion procedures have seen a significant evolution over the years, with various approaches being developed to address spinal pathologies and instability, including posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF), anterior lumbar interbody fusion (ALIF), and lateral lumbar interbody fusion (LLIF). LLIF, a pivotal technique in the field, initially emerged as extreme/direct lateral interbody fusion (XLIF/DLIF) before the development of oblique lumbar interbody fusion (OLIF). To ensure comprehensive circumferential stability, LLIF procedures are often combined with posterior stabilization (PS) using pedicle screws. However, achieving this required repositioning of the patient during the surgical procedure. The advent of single-position surgery (SPS) has revolutionized the procedure by eliminating the need for patient repositioning. With SPS, LLIF along with PS can be performed either in the lateral or prone position, resulting in significantly reduced operative time. Ongoing research endeavors are dedicated to further enhancing LLIF procedures making them even safer and easier. Notably, the integration of robotic technology into SPS has emerged as a game-changer, simplifying surgical processes and positioning itself as a vital asset for the future of spinal fusion surgery. This literature review aims to provide a succinct summary of the evolutionary trajectory of lumbar interbody fusion techniques, with a specific emphasis on its recent advancements.

PMID:38541104 | DOI:10.3390/medicina60030378

The London Spine Unit : best recognised day surgery unit in the world

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The Evolution of Lateral Lumbar Interbody Fusion: A Journey from Past to Present

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Medicina (Kaunas). 2024 Feb 23;60(3):378. doi: 10.3390/medicina60030378.ABSTRACTLumbar interbody fusion procedures have seen a significant evolution over the years, with various approaches being developed to address spinal pathologies and instability, including posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF), anterior lumbar interbody fusion (ALIF), and lateral lumbar interbody fusion (LLIF). LLIF, a pivotal technique

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