Extreme Lateral Interbody Fusion XLIF / Direct Lateral Interbody Fusion DLIF As with any interbody fusion, XLIF or DLIF would involve placement of an interbody cage between two vertebrae in the disc space to promote fusion, or joining the two vertebrae together across the disc space. Der Eingriff wird von hinten posterior durchgeführt und die Bandscheibe zwischen zwei Wirbeln entfernt. Die entstandene Lücke wird mit einem Titankorb gefüllt. Abschließend werden die Wirbel mit einem Fixateur interne stabilisiert. siehe auch Anterior Lumbar Interbody Fusion und Transforaminal Lumbar Interbody Fusion. A metal plate may be placed over the interbody device and bone graft to provide spinal stability. The plate is affixed to the vertebral bodies using special screws. Further, the plate holds the bone graft in place. Lateral ALIF is often combined with posterior fusion performed from the back of the spine using pedicle screws. Posterior fusion provides additional spinal support and stability.
Patients requiring surgery may choose a motion-preserving surgery if available to them or they may require a fusion surgery. This article discusses and compares various fusion techniques, including Oblique Lateral Interbody Fusion OLIF surgery. What is an OLIF? An OLIF is a surgical technique for spinal problems that minimizes cutting to. Lateral Interbody Fusion. Learn what is involved in a minimally invasive lateral interbody fusion LIF of the lower back. A minimally invasive LIF is a procedure in which two or more vertebrae in the low back are “fused” together to create a solid bridge of bone between the vertebrae and across the disc space. You may still be treated through minimally invasive options, such as a lateral lumbar interbody fusion LLIF or transforaminal lumber interbody fusion TLIF. In both cases, the surgeon will first complete an MRI review followed by a full clinical evaluation to determine the best course of treatment. minimally invasive, lateral retroperitoneal transpsoas approach for adult degenerative scoliosis. Neurosurg Focus 2010;283:E8. 3. Dhall SS, Wang MY, Mummaneni PV. Clinical and radiographic comparison of mini–open transforaminal lumbar interbody fusion with open transforaminal lumbar interbody fusion in 42 patients with long-term follow-up. lateral interbody fusion: xlif, dlif. Spinal fusion is a technique used to stabilize the spinal bones or vertebrae. The goal of lumbar fusion is to create a solid bridge of bone between two or more vertebrae. Spinal fusion may be recommended when the natural disc space has decreased or the spine is unstable.
At this point, we are able to directly position our retractor over the lateral aspect of the spine. We have an excellent view of this disc spaces in the spine. In the usual transpsoas interbody lumbar fusion, the size of the graft or interbody device is carefully matched to fit into the space between your vertebrae. The graft or device is then. A variety of techniques exist for fusing lumbar spine vertebrae to help alleviate back pain, including posterior, transforaminal, anterior, and lateral lumbar interbody fusion PLIF, TLIF, ALIF, and LLIF, respectively. The animations below allow an inside view of each of these surgeries. A. 16.11.2015 · Simultaneous lateral interbody fusion and percutaneous posterior pedicle screw fixation avoided repositioning, shortened operative time. Combining both procedures into a single lateral position also maintains surgical precision with comparable excellent outcomes. We are hopeful that this novel technique will contribute to the advancement of. Summary. The Extreme Lateral Interbody Fusion XLIF is a useful procedure for a number of conditions that require fusion of the lumbar spine such as degenerative conditions, instability, and deformity of the lumbar spine. When it comes to spine surgery, medical experts are always looking for new ways make the procedure less taxing on the patient all while improving surgical success rates. One specific operation that is continually being evaluated is the spinal fusion operation. Recently, a new procedure called an oblique lateral lumbar interbody fusion has been.
Spine Extreme lateral interbody fusion - XLIF Jason Billinghursta and Behrooz A. Akbarniab INTRODUCTION I nterbody fusion involves the placement of a structural implant spacer, allograft, or cage within the disc space after a complete discectomy and preparation of end-plates. Lumbar interbody fusion, as originally described by Capener in the 1930s, used an anterior approach to the. What is Extreme Lateral Interbody Fusion XLIF? XLIF is simply a term given to an interbody fusion procedure where the spine is accessed from the patient's side laterally. XLIF stands for eXtreme Lateral Interbody Fusion. Like any other surgical approach to the spine there are advantages, limitations and risks to an XLIF procedure.
This review 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 oblique lumbar interbody fusion OLIF. Relevant topics for discussion and comparison include patient selection, surgical techniques. Section 9, Chapter 6: Anterior and Lateral Interbody Fusion: Indications and Techniques in Lumbar Scoliosis. Comron Saifi, Joseph M. Lombardi, and Frank M. Phillips. INTRODUCTION. Degenerative scoliosis is an increasingly common pathology in the elderly population, posing clinical challenges for the surgeon and patient alike. Front to the lumbar spine, it is called an Anterior Lumbar Interbody Fusion ALIF. Side to the lumbar spine, it is called a Lateral Interbody Fusion XLIF/DLIF. Back to the lumbar spine, it is called a Posterior Lumbar Interbody Fusion PLIF or a Transforaminal Lumbar Interbody Fusion TLIF.
What is lateral lumbar interbody fusion LLIF? The primary goal of a lateral lumbar interbody fusion is to relieve pressure on the nerve roots and/or spinal cord and/or treat an unhealthy intervertebral disc in the spine. Lateral lumbar interbody fusion is a method of spine surgery in which the lumbar spine is approached through the patient. The XLIF eXtreme Lateral Interbody Fusion is an approach to spinal fusion in which the surgeon accesses the intervertebral disc space and fuses the lumbar spine low back using a surgical approach from the side lateral rather than from the front anterior or the back posterior. Different from the other types of interbody fusion surgeries, the OLIF uses a lateral approach similar to XLIF extreme lateral approach or DLIF direct lateral approach, as it reaches the damaged intervertebral disc from the side, however, the surgical incision is made along the oblique muscle, this avoids disruption of certain muscles and. Methods. A literature search was performed on Pubmed and Web of Science using combinations of the following keywords and their acronyms: lateral lumbar interbody fusion LLIF, oblique lateral interbody fusion OLIF, anterior-to-psoas approach ATP, direct lateral interbody fusion DLIF, extreme lateral interbody fusion XLIF, and minimally.
Anterior Approaches for Lumbar Interbody Fusion Glen Manzano, MD. Anterior Techniques • ALIF • Lateral transpsoas approaches XLIF/DLIF Anterior Approaches - Contraindications • ALIF • Contraindications • Calcified aorta • Prior vascular reconstructive surgery • Prior intra-abdominal or retroperitoneal surgery • History of severe pelvic inflammatory disease • Prior anterior. Lumbar lateral interbody fusion LLIF has been gaining popularity among the spine surgeons who deal with degenerative spinal diseases. LLIF achieves effective anterior interbody fusion in degenerative spinal pathologies such as spondylolisthesis, spondylolysis, discogenic lower back pain, adjacent segment disease, and degenerative kyphoscoliosis.
Purpose. Anterior or lateral interbody fusion is a treatment option for lumbar disc disease. A segmental change occurs after such surgery. This study was designed to evaluate the changes in the lumbar regional alignment after a single or two-level standalone anterior or lateral interbody fusion. INTRODUCTION. Anterior ALIF and lateral LLIF lumbar interbody fusion techniques combined with pedicle screw and rod fixation PSF are widely accepted surgical strategies to treat pain, deformity, and instability associated with degenerative spine disease. 1–12 However, given the inherent axial and coronal stability of a large. A lateral lumbar interbody fusion allows access to the spine to treat certain degenerative conditions. Learn more online at New Jersey Neck & Back Institute, P.C. today. What is a posterior lumbar interbody fusion PLIF? The primary goal of a posterior lumbar interbody fusion is to relieve pressure on either the nerve roots or spinal cord and/or treat an unhealthy disc in the lumbar spine using a surgical approach through the back of the body.
In the lumbar region, the surgeon can perform an interbody fusion via posterior approach. This procedure is commonly called a posterior lumbar interbody fusion PLIF. As with the anterior interbody procedures, report PLIF procedures per interspace rather than per vertebra that the surgeon addresses. Once again, these procedures include. Pros of X-ray/CT documentation of indirect decompression with extreme lateral interbody fusion. Postoperative X-rays and computed tomography CT studies documented that MIS XLIF with or without posterior instrumentation provided increased maximal disc removal/end plate availability for interbody fusion while affording indirect decompression of. Lateral Lumbar Interbody Fusion can be just as effective as traditional open back surgery, without the long recovery time and complications. If you are experiencing debilitating lower back pain and you are seeking an effective treatment option, our minimally invasive lateral lumbar interbody fusion procedure can help alleviate the pain. Extreme Lateral Interbody Fusion XLIF - San Antonio, TX - Spine Surgeon - Orthopedic Surgeon - Dr. Hongbo Liu is an orthopedic surgeon specializing in medical care for adult and pediatric patients with spinal disorders$1.Dr. Liu believes in quality and excellence and provides innovative and evidence-based treatments to the patients.
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