scholarly journals Minimally invasive L5–S1 oblique lumbar interbody fusion with anterior plate

2016 ◽  
Vol 41 (videosuppl1) ◽  
pp. 1
Author(s):  
Martin H. Pham ◽  
Andre M. Jakoi ◽  
Patrick C. Hsieh
Keyword(s):  
Minimally Invasive ◽  
Degenerative Disc Disease ◽  
Interbody Fusion ◽  
Deformity Correction ◽  
Lumbar Interbody Fusion ◽  
Degenerative Scoliosis ◽  
Anterior Plate ◽  
Disc Disease ◽  
Case Presentation ◽  
Oblique Lumbar Interbody Fusion

Lumbar interbody fusion is an important technique for the treatment of degenerative disc disease and degenerative scoliosis. The oblique lumbar interbody fusion (OLIF) establishes a minimally invasive retroperitoneal exposure anterior to the psoas and lumbar plexus. In this video case presentation, the authors demonstrate the techniques of the OLIF at L5–S1 performed on a 69-year-old female with degenerative scoliosis as one component of an overall strategy for her deformity correction.The video can be found here: https://youtu.be/VMUYWKLAl0g.

scholarly journals Safety of Lumbar Interbody Fusion Procedures for Degenerative Disc Disease: A Systematic Review With Network Meta-Analysis of Prospective Studies

2020 ◽  
pp. 219256822093802
Author(s):  
Kuan-Yu Chi ◽  
Shih-Hao Cheng ◽  
Yu-Kai Kuo ◽  
En-Yuan Lin ◽  
Yi-No Kang
Keyword(s):  
Minimally Invasive ◽  
Degenerative Disc Disease ◽  
Interbody Fusion ◽  
Randomized Clinical Trials ◽  
Meta Analysis ◽  
Adverse Event Rate ◽  
Lumbar Interbody Fusion ◽  
Disc Disease ◽  
Vascular Events ◽  
Degenerative Disc

Study Design: A network meta-analysis. Objectives: Lumbar degenerative disc disease (LDDD) is an important issue in aging population, for which lumbar interbody fusion (LIF) is a feasible management in cases refractory to conservative therapy. There are various techniques available to perform LIF, including posterior (PLIF), transforaminal (TLIF), and anterior (ALIF) approaches. However, the comparative safety profile of these procedures remains controversial. Our study aimed to evaluate comparative adverse events of the LIF procedures in patients with LDDD. Methods: We searched 5 databases for relevant prospective cohort studies and randomized clinical trials. After quality assessments, we extracted neural, spinal, vascular, and wound events for conducting contrast-based network meta-analysis. Results were reported in risk ratio (RR), 95% confidence interval (CI), and surface under the cumulative ranking (SUCRA). Results: We identified 14 studies involving 921 participants with LDDD. Pooled result showed that open PLIF (OPLIF) leads to significantly higher overall adverse event rate than does open TLIF (OTLIF; RR = 3.43, 95% CI = 1.21-9.73). OTLIF confers the highest SUCRA in neural (78.7) and spinal (80.8) event rates. Minimally invasive TLIF has the highest SUCRA in vascular event (84.2), and minimally invasive PLIF has the highest SUCRA in wound event (88.1). No inconsistency or publication bias was detected in the results. Conclusions: Based on our results, perhaps OPLIF should be avoided in the management of LDDD due to the inferiority of overall complications. Specifically, TLIF seems to have the safest profile in terms of neural, spinal, and vascular events. Nevertheless, shared decision making is still mandatory when choosing the proper LIF procedure for patients with LDDD in clinical practice.

scholarly journals Complications Associated With Oblique Lumbar Interbody Fusion at L5-S1: A Systematic Review of the Literature

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Martin H Pham ◽  
Omron Hassan ◽  
Luis Daniel Diaz-Aguilar ◽  
Ronald A Lehman
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Complication Rate ◽  
Interbody Fusion ◽  
Assessment Tool ◽  
Deformity Correction ◽  
Injury Rate ◽  
Neurological Injury ◽  
Lumbar Interbody Fusion ◽  
Oblique Lumbar Interbody Fusion

Abstract INTRODUCTION Oblique lumbar interbody fusion (OLIF) at L5-S1, also known as a lateral decubitus anterior lumbar interbody fusion (ALIF) or anterior-to-psoas (ATP) approach, is a technique that provides a minimally invasive corridor to a key segment in the spine for degenerative conditions and deformity correction. However, the evaluation of complications associated with this level has been difficult as prior reports include other levels that have different anatomic considerations. OBJECTIVE To present a systematic review of previously reported cases of OLIF, lateral ALIF, and an ATP approach at L5-S1 to discuss their associated complications. METHODS Following preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines, a PubMed search was performed up to January 2021 to identify literature describing OLIF, lateral ALIF, and ATP approaches involving the L5-S1 levels. A quality assessment with risk of bias analysis was performed using the methodological index for non-randomized studies (MINORS) assessment tool for each study. Data we then extracted to identify all complications. RESULTS The initial search yielded 532 publications. After screening, there were 18 studies with 553 total patients who underwent OLIF including L5-S1. Analysis of these studies demonstrated a vascular complication rate of 2.5%, bowel-associated complication rate of 0.5%, ureteral injury rate of 0%, neurological injury rate of 1.9%, pseudarthrosis rate of 7.3%, and reoperation rate of 2.2%. CONCLUSION The L5-S1 level remains an important target for sagittal alignment in both degenerative and deformity surgery. The OLIF surgical corridor to this level presents special anatomic and clinical considerations and is a safe approach to minimize morbidity with minimally invasive access.

Lateral lumbar interbody fusion

2013 ◽  
Vol 35 (v2supplement) ◽  
pp. Video20 ◽  
Author(s):  
Adam S. Kanter ◽  
Gurpreet S. Gandhoke
Keyword(s):  
Minimally Invasive ◽  
Spinal Deformity ◽  
Degenerative Disc Disease ◽  
Interbody Fusion ◽  
Adult Spinal Deformity ◽  
Lumbar Disc ◽  
Low Grade ◽  
Lumbar Interbody Fusion ◽  
Disc Disease ◽  
Lateral Lumbar Interbody Fusion

Since its inception in the year 2001 the minimally invasive trans-psoas Lateral Lumbar Interbody Fusion (LLIF) approach has gained significant favor among spine surgeons. It is now routinely utilized to treat an array of spinal pathologies including degenerative disc disease, low grade spondylolisthesis, and adult spinal deformity. The intent of this video is to provide a step by step account of the basic procedural details when performing the LLIF procedure for a single level broad based degenerated lumbar disc with herniation.The video can be found here: http://youtu.be/dZFMqmCz6Q8.

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